Cannabis Withdrawal, Posttreatment Abstinence, and Days to First Cannabis Use Among Emerging Adults in Substance Use Treatment: A Prospective Study.
Cannabis Withdrawal, Posttreatment Abstinence, and Days to First Cannabis Use Among Emerging Adults in Substance Use Treatment: A Prospective Study.
复制标题
大麻戒断，治疗后的戒酒以及新兴成年人在药物使用治疗中首次使用大麻的天数：一项前瞻性研究。
DOI：
10.1177/0022042615616431
复制
发表时间：
2016-01
影响因子：
1.7
通讯作者：
Zhang S
中科院分区：
文献类型：
--
作者：
Davis JP;Smith DC;Morphew JW;Lei X;Zhang S
很少有前瞻性研究调查大麻戒断与治疗结果的关系，这项工作也没有使用《精神疾病诊断和统计手册》（第5版; DSM-5）大麻戒断阈值。样本包括110名正在接受门诊药物使用治疗的新兴成年人，他们是重度大麻使用者，没有其他药物使用和有限的酒精使用。我们使用生存分析来预测首次使用大麻的天数，并使用逻辑回归来预测参与者是否在3个月内禁欲并生活在社区中。那些符合大麻戒断标准的人比那些不符合大麻戒断标准的人更有可能恢复使用大麻。然而，大麻戒断的存在并不是3个月禁欲的重要预测因素。DSM-5大麻戒断的新兴成年人可能难以在摄入评估后的几天内开始禁欲，这意味着需要采取策略来减缓他们更快地恢复大麻使用。
Very little prospective research investigates how cannabis withdrawal is associated with treatment outcomes, and this work has not used the Diagnostic and Statistical Manual of Mental Disorders (5th ed.; DSM-5) thresholds for cannabis withdrawal. The sample included 110 emerging adults entering outpatient substance use treatment who were heavy cannabis users with no other drug use and limited alcohol use. We used survival analyses to predict days to first use of cannabis and logistic regression to predict whether participants were abstinent and living in the community at 3 months. Those meeting criteria for cannabis withdrawal were more likely to return to use sooner than those not meeting criteria for cannabis withdrawal. However, the presence of cannabis withdrawal was not a significant predictor of 3-month abstinence. Emerging adults with DSM-5 cannabis withdrawal may have difficulty initiating abstinence in the days following their intake assessment, implying the need for strategies to mitigate their more rapid return to cannabis use.