Department of Anesthesiology, University of North Carolina, Chapel Hill, North Carolina, USA.
Department of Psychiatry & Behavioral Sciences, Duke University Medical Center, Durham, North Carolina, USA.
Am J Addict. 2022 May;31(3):242-250. doi: 10.1111/ajad.13285. Epub 2022 Apr 1.
Anxiety sensitivity, or fear of anxious arousal, may be an important risk factor for problematic cannabis use. Specifically, anxiety sensitivity may motivate cannabis use to cope with distress, particularly among trauma-exposed individuals. The current study tested associations among anxiety sensitivity, its subdomains, and cannabis use motives in a sample of trauma-exposed cannabis users. We hypothesized elevated anxiety sensitivity, particularly cognitive concerns, would be associated with increased maladaptive coping use motives, after covarying for the number of traumas and cannabis use quantity.
Hypotheses were tested in a cross-sectional study of trauma-exposed young adult cannabis users (N = 56) (M = 20.7 years, 59% women, 73% white). Participants completed self-report measures, and a clinical interview assessing cannabis use quantity.
Multiple regression analyses indicated that elevated anxiety sensitivity was associated with increased cannabis use coping motives, after covarying for the number of traumas experienced and cannabis use quantity. Specifically, higher levels of anxiety sensitivity cognitive and social concerns were associated with coping motives for cannabis use.
Anxiety sensitivity, particularly concerns about cognitive dyscontrol and negative social evaluations of anxious arousal, may motivate cannabis use to cope with stress among trauma-exposed cannabis users. Future research should include prospective studies with diverse samples to replicate results and determine whether intervening on anxiety sensitivity could reduce maladaptive coping motives for cannabis use.
The current study replicates prior research indicating anxiety sensitivity, particularly cognitive concerns, is associated with maladaptive cannabis use. Expanding on prior research, findings indicated anxiety sensitivity is associated with coping motives for cannabis use among trauma-exposed cannabis users.
焦虑敏感，即对焦虑发作的恐惧，可能是导致大麻使用问题的一个重要风险因素。具体来说，焦虑敏感可能会促使人们使用大麻来应对痛苦，尤其是在创伤暴露个体中。本研究在创伤暴露的大麻使用者样本中检验了焦虑敏感及其子领域与大麻使用动机之间的关联。我们假设，在控制创伤数量和大麻使用量后，较高的焦虑敏感，特别是认知担忧，与增加的适应不良应对使用动机有关。
我们对一组创伤暴露的年轻成年大麻使用者（N=56）（M=20.7 岁，59%为女性，73%为白人）进行了横断面研究。参与者完成了自我报告的测量和临床访谈，以评估大麻使用量。
多元回归分析表明，在控制经历的创伤数量和大麻使用量后，较高的焦虑敏感与增加的大麻使用应对动机有关。具体而言，较高的焦虑敏感认知和社交担忧与大麻使用的应对动机有关。
焦虑敏感，特别是对认知失控和焦虑发作的负面社会评价的担忧，可能会促使创伤暴露的大麻使用者使用大麻来应对压力。未来的研究应包括具有多样性样本的前瞻性研究，以复制结果并确定干预焦虑敏感是否可以减少大麻使用的适应不良应对动机。
本研究复制了先前的研究结果，表明焦虑敏感，特别是认知方面的担忧，与适应不良的大麻使用有关。扩展了先前的研究结果，发现焦虑敏感与创伤暴露的大麻使用者的应对动机与大麻使用有关。
