Department of Psychology, University of Houston, Houston, TX, USA.
Department of Psychology, University of Houston, Houston, TX, USA; HEALTH Institute, University of Houston, Houston, TX, USA.
Addict Behav. 2023 Feb;137:107509. doi: 10.1016/j.addbeh.2022.107509. Epub 2022 Oct 1.
Many individuals diagnosed with cannabis use disorder (CUD) report a desire to quit using cannabis due to problems associated with use. Yet, successful abstinence is difficult for a large subset of this population. Thus, the present study sought to elucidate potential risk factors for cannabis use problems, perceived barriers for quitting, and diminished self-efficacy for remaining abstinent. Specifically, this investigation examined cigarette user status, anxiety sensitivity, and the interplay between these individual difference factors in terms of cannabis-related problems, perceived barriers for cannabis cessation, and self-efficacy for quitting cannabis use. The sample consisted of 132 adult cannabis users who met criteria for CUD and were interested in quitting (38 % female; 63.6 % Black; M = 37.22; SD = 28.79; 54.6 % current tobacco users). Findings revealed a significant interaction, such that anxiety sensitivity was related to cannabis use problems and perceived barriers for cannabis cessation among current cigarette users, but not among cigarette non-users. There was no significant interaction for self-efficacy for remaining abstinent. The current findings suggest that cigarette users constitute a subgroup that may be especially vulnerable to the effects of anxiety sensitivity in terms of cannabis use problems and perceived barriers for quitting cannabis use.
许多被诊断患有大麻使用障碍 (CUD) 的人报告说,由于与使用相关的问题,他们希望停止使用大麻。然而,对于这一人群中的很大一部分人来说,成功戒除大麻是困难的。因此,本研究旨在阐明大麻使用问题的潜在风险因素、戒烟的感知障碍以及戒除大麻的自我效能感降低。具体而言,本研究调查了吸烟状况、焦虑敏感性以及这些个体差异因素之间的相互作用,这些因素涉及大麻相关问题、戒烟的感知障碍以及戒除大麻使用的自我效能感。样本由 132 名符合 CUD 标准且有戒烟意愿的成年大麻使用者组成(女性占 38%;黑人占 63.6%;M=37.22;SD=28.79;54.6%为当前烟草使用者)。研究结果显示存在显著的交互作用,即焦虑敏感性与当前吸烟的大麻使用者的大麻使用问题和戒烟的感知障碍有关,但与不吸烟的大麻使用者无关。对于保持禁欲的自我效能感没有显著的交互作用。目前的研究结果表明,吸烟人群可能是一个特别容易受到焦虑敏感性影响的亚组,尤其是在大麻使用问题和戒烟的感知障碍方面。