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酒精和大麻的共同动机、阶级分析,以及同时使用者的物质使用。

Alcohol and Cannabis Cross Motives, Class Analysis, and Substance Use among Concurrent Users.

机构信息

Department of Psychological Sciences, Texas Tech University, Lubbock, Texas, USA.

出版信息

Subst Use Misuse. 2021;56(14):2085-2095. doi: 10.1080/10826084.2021.1967991. Epub 2021 Sep 17.

Abstract

Substance use motives refer to an individual's reasons for engaging in substance use. Although the respective alcohol and cannabis literatures have linked specific substance-use motives to indices of use, less is known about motives in concurrent users, particularly examination of cross-motives (e.g., cannabis motives predicting alcohol use). The present work examined motives for use in a sample of concurrent users to assess relations between motives and alcohol and cannabis outcomes (quantity, frequency, and use disorder symptoms) using both variable- and person-centered approaches. Finally, the present work aimed to discern the impact of timeframe selection for defining concurrent use (i.e., past year, past two weeks). Participants ( = 524) consisted of individuals that endorsed having used both alcohol and cannabis in the past year with subsample ( = 192) of individuals endorsing past two-week concurrent use. Univariate linear regression analyses revealed small to medium positive relations between all alcohol motives and alcohol outcomes and small to medium positive relations between cannabis social, coping, enhancement, and expansion motives and cannabis use. Regressions examining cross-motives and multivariate models revealed wide variability in relations. Mixture analyses revealed a three-class solution (i.e., High Motives, Positive Alcohol, and Low Conformity) for past year concurrent users and a two-class solution (i.e., Low Motives and High Motives) for past two-week concurrent users. Examination of motive classes revealed differences in substance, particularly cannabis, outcomes as a function of class membership. Findings are useful in classifying concurrent users' motives and highlight the importance of timeframe selection.

摘要

物质使用动机是指个体从事物质使用的原因。尽管酒精和大麻文献都将特定的物质使用动机与使用指标联系起来,但对于同时使用多种物质的人的动机了解较少,特别是对跨动机的研究(例如,大麻动机预测酒精使用)。本研究在同时使用多种物质的人群中考察了使用动机,使用变量和个体中心方法评估了动机与酒精和大麻结果(数量、频率和使用障碍症状)之间的关系。最后,本研究旨在辨别定义同时使用的时间框架选择(即过去一年、过去两周)的影响。参与者(n=524)包括过去一年同时使用酒精和大麻的个体,其中子样本(n=192)包括过去两周同时使用的个体。单变量线性回归分析显示,所有酒精动机与酒精结果之间存在小到中等程度的正相关,大麻社交、应对、增强和扩展动机与大麻使用之间存在小到中等程度的正相关。考察跨动机和多变量模型的回归显示,相关性存在很大差异。混合分析显示,过去一年的同时使用者存在三种动机类别(高动机、积极饮酒和低从众),过去两周的同时使用者存在两种动机类别(低动机和高动机)。对动机类别的考察表明,物质(特别是大麻)的结果因类别的不同而存在差异。这些发现有助于对同时使用者的动机进行分类,并强调了时间框架选择的重要性。

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