Institute for Social Research.
Department of Psychiatry and Behavioral Sciences.
Psychol Addict Behav. 2022 Jun;36(4):410-418. doi: 10.1037/adb0000791. Epub 2021 Nov 4.
The present study examined daily associations between mental health symptoms (i.e., depression and anxiety symptoms) and simultaneous alcohol and marijuana (SAM) use and use-related negative consequences among young adults.
Participants were a community sample of 409 young adults between the ages of 18-25 who drank alcohol at least three times in the past month and reported SAM use in the past month ( = 21.6, 50.9% female). A baseline assessment included a measure of SAM use motives, after which participants completed five 14-day bursts reporting daily mental health symptoms and alcohol/marijuana use.
Daily mental health symptoms were not associated with SAM use likelihood. However, baseline SAM coping motives moderated the association between mental health symptoms and use such that young adults with stronger coping motives showed a stronger positive association between mental health symptoms and SAM use. Further, on SAM use days, reporting more mental health symptoms relative to one's average was associated with experiencing more use-related negative consequences, even after controlling for daily levels of alcohol and marijuana use (RR = 1.03, 95% CI = 1.01-1.05, = .002).
The association between daily mental health symptoms and SAM use depended on whether the young adults had coping motives for use. Daily fluctuations in mental health were associated with negative use-related consequences experienced on SAM use days regardless of motives. These findings highlight the potential importance of prevention and intervention strategies particularly on days when young adults are experiencing increased mental health symptoms. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
本研究考察了心理健康症状（即抑郁和焦虑症状）与年轻人同时使用酒精和大麻（SAM）以及使用相关的负面后果之间的日常关联。
参与者为年龄在 18-25 岁之间、过去一个月至少饮酒三次且过去一个月报告 SAM 使用的社区样本 409 名年轻人（n=21.6，50.9%为女性）。基线评估包括 SAM 使用动机的测量，之后参与者完成了五次为期 14 天的报告，每天报告心理健康症状和酒精/大麻使用情况。
每日心理健康症状与 SAM 使用的可能性无关。然而，基线 SAM 应对动机调节了心理健康症状与使用之间的关联，表明具有更强应对动机的年轻人在心理健康症状与 SAM 使用之间表现出更强的正相关。此外，在 SAM 使用日，与平均水平相比，报告更多的心理健康症状与经历更多与使用相关的负面后果相关，即使在控制每日酒精和大麻使用水平后也是如此（RR=1.03，95%CI=1.01-1.05，p=.002）。
每日心理健康症状与 SAM 使用之间的关联取决于年轻人是否具有使用的应对动机。无论动机如何，每日心理健康波动都与 SAM 使用日经历的负面使用相关后果相关。这些发现强调了预防和干预策略的潜在重要性，特别是在年轻人经历心理健康症状增加的日子。
