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青少年使用大麻对动机和抑郁的影响:一项系统综述。

Effects of Adolescent Cannabis Use on Motivation and Depression: A Systematic Review.

作者信息

Pacheco-Colón Ileana, Ramirez Ana Regina, Gonzalez Raul

机构信息

Center for Children and Families, Department of Psychology, Florida International University.

出版信息

Curr Addict Rep. 2019 Dec;6(4):532-546. doi: 10.1007/s40429-019-00274-y. Epub 2019 Aug 29.

Abstract

PURPOSE OF REVIEW

This article reviews recent behavioral and neuroimaging studies to elucidate whether adolescent cannabis use is related to reduced motivation and increased risk of depression.

RECENT FINDINGS

Recent work suggests that heavy adolescent cannabis use predicts poorer educational outcomes, often presumed to reflect reduced academic motivation, as well as increased levels of depressive symptoms. However, evidence of a link between cannabis use and general motivation was lacking. Factors such as concurrent alcohol and tobacco use, trajectories of cannabis use during adolescence, and cannabis-related changes in underlying neurocircuitry may impact associations among cannabis use, motivation, and depression.

SUMMARY

Heavy adolescent cannabis use is associated with poorer educational outcomes and increased levels of depressive symptoms. The role of depression in how cannabis may affect motivation, broadly, is not yet clear, as most studies have not examined associations among all three constructs. Future work should explore possible overlap between cannabis effects on motivation and depression, and clarify the temporality of these associations.

摘要

综述目的

本文回顾了近期的行为学和神经影像学研究,以阐明青少年使用大麻是否与动机降低和抑郁症风险增加有关。

最新发现

近期研究表明,青少年大量使用大麻预示着较差的教育成果,通常认为这反映了学业动机降低以及抑郁症状水平升高。然而,缺乏大麻使用与一般动机之间存在关联的证据。同时使用酒精和烟草、青少年时期大麻使用轨迹以及潜在神经回路中与大麻相关的变化等因素,可能会影响大麻使用、动机和抑郁之间的关联。

总结

青少年大量使用大麻与较差的教育成果以及抑郁症状水平升高有关。总体而言,抑郁症在大麻如何影响动机方面的作用尚不清楚,因为大多数研究尚未考察这三种因素之间的关联。未来的研究应探索大麻对动机和抑郁影响的可能重叠之处,并阐明这些关联的时间顺序。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d78/8168938/d4bf640f57a8/nihms-1568569-f0001.jpg

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