情绪调节困难、痛苦耐受力与大麻问题的关系：保护性行为策略未充分利用的作用。
The relations of difficulties in emotion regulation and distress intolerance with cannabis problems: The role of protective behavioral strategies underutilization.
机构信息
Department of Psychology, Louisiana State University, 236 Audubon Hall, Baton Rouge, LA 70803, USA.
Department of Psychology, Louisiana State University, 236 Audubon Hall, Baton Rouge, LA 70803, USA.
出版信息
J Subst Use Addict Treat. 2024 Nov;166:209462. doi: 10.1016/j.josat.2024.209462. Epub 2024 Jul 24.
INTRODUCTION
Difficulties with emotion regulation and distress tolerance are related to more cannabis problems, yet little research has identified why this is the case. Cannabis-related protective behavioral strategies (PBS; behaviors used to mitigate cannabis related problems) are related to less cannabis consumption and related problems. Potentially, these individuals may use cannabis to alleviate the distress and/or in an attempt to regulate their emotions. Thus, the present study aimed to examine the mediational role of PBS on the relations of emotion dysregulation and distress intolerance with cannabis problems.
METHODS
Undergraduate students who endorsed past-month cannabis use (N = 339, M = 19.33, SD = 1.37; 77.9 % female) at a southern United States university completed a survey online via Qualtrics.
RESULTS
More emotion dysregulation and less distress tolerance predicted less PBS use and more cannabis problems, but not cannabis use frequency. After statistically controlling for sex, the relation of each transdiagnostic factor with cannabis problems occurred indirectly via the relations of less PBS use and greater cannabis use frequency CONCLUSIONS: The present study supports previous claims that emotion dysregulation and distress intolerance are related to more cannabis problems. Additionally, results suggest that individuals with high levels of these problems underutilize PBS which, in turn, is associated with more frequent cannabis use and use-related problems. Clinical implications are discussed.
简介
情绪调节困难和痛苦耐受力与更多的大麻问题有关，但很少有研究能确定其原因。与大麻相关的保护性行为策略（PBS；用于减轻大麻相关问题的行为）与较少的大麻消费和相关问题有关。这些人可能会使用大麻来缓解痛苦和/或试图调节自己的情绪。因此，本研究旨在探讨 PBS 在情绪调节障碍和痛苦耐受力与大麻问题之间的关系中的中介作用。
方法
在一所美国南部的大学，本科生通过 Qualtrics 在线完成了一项调查，他们报告了过去一个月的大麻使用情况（N=339，M=19.33，SD=1.37；77.9%为女性）。
结果
更多的情绪调节障碍和更少的痛苦耐受力预示着 PBS 的使用减少和大麻问题增加，但与大麻使用频率无关。在统计学上控制了性别后，每个跨诊断因素与大麻问题的关系都是通过 PBS 使用减少和大麻使用频率增加的关系间接发生的。
结论
本研究支持了之前的观点，即情绪调节障碍和痛苦耐受力与更多的大麻问题有关。此外，结果表明，这些问题水平较高的个体较少使用 PBS，而 PBS 的使用减少与更频繁的大麻使用和与使用相关的问题有关。讨论了临床意义。
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