Institute of Psychology, ELTE Eötvös Loránd University, Hungary; Doctoral School of Psychology, ELTE Eötvös Loránd University, Hungary.
Institute of Psychology, ELTE Eötvös Loránd University, Hungary; Doctoral School of Psychology, ELTE Eötvös Loránd University, Hungary.
Compr Psychiatry. 2022 Jul;116:152320. doi: 10.1016/j.comppsych.2022.152320. Epub 2022 Apr 28.
Distressful and negative affective states can be associated with limited self-regulation capacities, while emotion regulation processes (e.g., rumination, negative urgency) might contribute to further depletion of self-control capacities which in turn can lead to diminished control over cannabis use.
The mediating functions of rumination (i.e., brooding and reflection), negative urgency (NU) and constructs of cannabis use regulation (i.e., cannabis protective behavioral strategies [CPBS] and cannabis refusal self-efficacy [CRSE]) were examined on the associations between anxious-depressive symptoms and cannabis use outcomes (i.e., frequency, harmful use).
The cross-sectional study used a sample of cannabis users showing signs of harmful consumption (N = 750; Males: 70.13% [N = 526]; Age: M = 29.11 [SD = 7.45]). Standardized questionnaires measured anxious-depressive symptoms, rumination, NU, CRSE, CPBS, frequency of cannabis use and harmful cannabis use. A linear regression-based, double-mediation model was performed.
Five significant indirect effects were demonstrated in the mediation model. Single-mediation effects were shown between anxious-depressive symptoms and harmful cannabis use via CRSE and via CPBS. Double-mediation effects were presented between anxious-depressive symptoms and harmful cannabis use via reflection and CPBS, via reflection and CRSE, and via NU and CRSE.
Emotion and cannabis use regulation pathways explained the associations between anxious-depressive symptoms and harmful cannabis use. The mediation model provided new details on how anxious-depressive symptoms, rumination and NU might lead to harmful cannabis use via regulation of cannabis use. Limited self-regulation capacities and similarities between emotion and cannabis use regulation processes might explain the identified indirect effects.
痛苦和消极的情绪状态可能与自我调节能力有限有关，而情绪调节过程（例如，沉思、消极冲动）可能会进一步耗尽自我控制能力，从而导致对大麻使用的控制能力下降。
检验沉思（即忧虑和反思）、消极冲动（NU）和大麻使用调节的结构（即大麻保护性行为策略[CPBS]和大麻拒绝自我效能[CRSE]）在焦虑抑郁症状与大麻使用结果（即使用频率、有害使用）之间的关联中的中介作用。
本横断面研究使用了一个表现出有害消费迹象的大麻使用者样本（N=750；男性：70.13%[N=526]；年龄：M=29.11[SD=7.45]）。标准化问卷测量了焦虑抑郁症状、沉思、NU、CRSE、CPBS、大麻使用频率和有害大麻使用。采用基于线性回归的双重中介模型进行分析。
在中介模型中，证明了五个显著的间接效应。焦虑抑郁症状与有害大麻使用之间存在单一中介效应，通过 CRSE 和 CPBS 实现。焦虑抑郁症状与有害大麻使用之间存在双重中介效应，通过反射和 CPBS、反射和 CRSE 以及 NU 和 CRSE 实现。
情绪和大麻使用调节途径解释了焦虑抑郁症状与有害大麻使用之间的关联。中介模型提供了新的细节，说明焦虑抑郁症状、沉思和 NU 如何通过大麻使用调节导致有害大麻使用。有限的自我调节能力和情绪与大麻使用调节过程之间的相似性可能解释了所确定的间接效应。
