Department of Psychology, Louisiana State University, Baton Rouge, Louisiana, USA.
Subst Use Misuse. 2024;59(7):1133-1140. doi: 10.1080/10826084.2024.2320400. Epub 2024 Feb 25.
: Individuals with elevated social anxiety are vulnerable to experiencing negative consequences related to cannabis use. One transdiagnostic vulnerability factor that has received little attention in the social anxiety-cannabis problem relation is distress tolerance, which is associated with more cannabis use to manage negative affect broadly (i.e., coping motives) and cannabis-related problems. However, it is unknown whether distress tolerance is related to greater cannabis use to manage social anxiety specifically (i.e., social anxiety motives). : This study tested whether the relation between social anxiety and cannabis problems occurred via perceived distress tolerance among 309 (77.3% female) undergraduates who endorsed current (past three-month) cannabis use. : Social anxiety was negatively associated with distress tolerance and positively associated with cannabis problems, coping, and social anxiety motives. Social anxiety was indirectly (via distress tolerance) related to more cannabis problems and motives to cope with negative affect generally and to cope with social anxiety specifically. Social anxiety was indirectly related to more cannabis problems via the serial effects of distress tolerance and coping and social anxiety motives. : Findings suggest that individuals with elevated social anxiety may be vulnerable to using cannabis to manage negative affect (generally and social anxiety specifically) due to low perceived ability to tolerate psychological distress, which may lead to more cannabis problems. Keywords: cannabis; marijuana; distress tolerance; social anxiety; motives; coping motives.
社交焦虑水平较高的个体容易受到与大麻使用相关的负面后果的影响。在社交焦虑与大麻问题的关系中，有一种跨诊断的脆弱性因素——痛苦耐受力，它与更广泛地使用大麻来应对负性情绪（即应对动机）和与大麻相关的问题有关。然而，目前尚不清楚痛苦耐受力是否与更专门地使用大麻来应对社交焦虑（即社交焦虑动机）有关。本研究在 309 名（77.3%为女性）承认目前（过去三个月）使用大麻的大学生中测试了社交焦虑与大麻问题之间的关系是否通过感知痛苦耐受力发生。社交焦虑与痛苦耐受力呈负相关，与大麻问题、应对和社交焦虑动机呈正相关。社交焦虑通过痛苦耐受力间接（间接）与更多的大麻问题和应对负性情绪（一般和社交焦虑具体）的应对动机有关。社交焦虑通过痛苦耐受力和应对以及社交焦虑动机的串联效应与更多的大麻问题间接相关。研究结果表明，由于感知到的耐受心理痛苦的能力较低，社交焦虑水平较高的个体可能容易使用大麻来管理负性情绪（一般和社交焦虑具体），这可能导致更多的大麻问题。关键词：大麻；大麻；痛苦耐受力；社交焦虑；动机；应对动机。
