Department of Psychiatry, New York State Psychiatric Institute, New York, New York, USA.
Department of Psychiatry, Columbia University Irving Medical Center, New York, New York, USA.
Early Interv Psychiatry. 2022 Apr;16(4):371-379. doi: 10.1111/eip.13176. Epub 2021 May 16.
Cannabis use is common among individuals with first episode psychosis (FEP) and persistent use is associated with worse outcomes. The purpose of this qualitative study is to identify factors pertaining to onset of cannabis use and persistent use among young adults with early psychosis receiving coordinated specialty care (CSC) in the United States and begin to develop a theoretical framework to drive further study and hypothesis testing and inform the approach to treatment of cannabis use disorder in this setting.
Participants were ages 16-30 years with early psychosis attending a CSC program in New York State. Interviews were conducted in December 2018. Coding and analysis was conducted in Atlas.ti and themes were identified via a thematic analysis approach.
Thirteen individuals completed the interview. The mean age in years was 20.7 and the majority were male (n = 10). Almost half (46%) were Black, non-Hispanic and 39% were Hispanic. Seven participants indicated they were currently using cannabis and six participants indicated they had stopped for at least 6 months at the time of the interview. Several themes emerged including the influence of family and social norms, motivating factors for persistent use and for reduced use or abstinence, and ambivalence regarding the impact of cannabis use on mental health.
A theoretical framework emerged which may help identify future research in this area and inform the approach to treatment of cannabis use disorder in this setting.
在首发精神病患者（FEP）中，大麻使用较为常见，持续使用与更差的结局相关。本定性研究的目的是确定与美国接受协调专业护理（CSC）的年轻首发精神病患者大麻使用起始和持续相关的因素，并开始建立一个理论框架，以推动进一步的研究和假设检验，并为该环境中大麻使用障碍的治疗方法提供信息。
参与者年龄在 16-30 岁之间，患有早期精神病，在纽约州的 CSC 项目中就诊。访谈于 2018 年 12 月进行。在 Atlas.ti 中进行编码和分析，并通过主题分析方法确定主题。
13 名参与者完成了访谈。平均年龄为 20.7 岁，大多数为男性（n=10）。近一半（46%）为非裔美国人，非西班牙裔，39%为西班牙裔。7 名参与者表示他们目前正在使用大麻，6 名参与者表示他们在接受采访时至少已经停止使用 6 个月。出现了几个主题，包括家庭和社会规范的影响、持续使用和减少使用或戒除的动机因素，以及对大麻使用对心理健康影响的矛盾态度。
出现了一个理论框架，可能有助于确定该领域的未来研究，并为该环境中大麻使用障碍的治疗方法提供信息。
