Changing social norms: The impact of normative feedback included in motivational enhancement therapy on cannabis outcomes among heavy-using adolescents.

Changing social norms: The impact of normative feedback included in motivational enhancement therapy on cannabis outcomes among heavy-using adolescents.
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DOI:
10.1016/j.addbeh.2017.08.030
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发表时间:
2018-01
影响因子:
4.4
通讯作者:
Roffman RA
Roffman RA
中科院分区:
医学2区
文献类型:
--
作者:
Blevins CE;Walker DD;Stephens RS;Banes KE;Roffman RA

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大量使用大麻是一种有问题的行为,特别是在一些青少年中。青少年特别容易受到社会影响。因此,强制性规范(对他人使用大麻的认可的看法)和描述性规范(对他人使用大麻的频率的看法)影响大麻行为。鉴于规范并不总是准确的,动机增强疗法旨在通过规范反馈和纠正规范误解来减少大麻的使用。本研究的目的是评估感知规范(描述性和强制性)和大麻相关的结果(使用,大麻相关的问题,大麻使用障碍症状)之间的关系,在一个沉重的大麻使用青少年人口接受动机增强治疗。从6所西雅图高中招募了大量使用大麻的个体(n=252,68%为男性,平均年龄13.38岁,59%为白人),进行基于动机增强疗法的干预,包括规范反馈。参与者认为亲密朋友之间的大麻使用率高于其他同龄青少年,并且与其他同龄同龄人的认可相比,他们对亲密朋友使用大麻的认可度更高。个人批准和其他同龄青少年的认可减少干预后,但没有证据表明,在规范性反馈干预后,亲密朋友的规范性观念的变化。规范观念的变化与大麻使用的减少和相关结果有关。结果表明,规范性反馈在改变青少年大麻使用者行为方面的重要性,但也突出了亲密朋友的持续影响。
Heavy cannabis use is a problematic behavior, particularly among some adolescents. Adolescents are particularly prone to social influence. As such, injunctive norms (perceptions of others’ approval of cannabis use) and descriptive norms (perception of frequency of others’ cannabis use) influence cannabis behavior. Given that norms are not always accurate, motivational enhancement therapy aims to reduce cannabis use through normative feedback and correction of normative misconceptions. The purpose of this study was to evaluate the relationships between perceived norms (descriptive and injunctive) and cannabis-related outcomes (use, cannabis-related problems, and cannabis use disorder symptoms) in a heavy cannabis-using adolescent population receiving motivational enhancement therapy. Heavy cannabis-using individuals (n=252, 68% male, mean age 13.38, 59% Caucasian) were recruited from six Seattle high schools for a motivational enhancement therapy-based intervention involving normative feedback. Participants perceived higher rates of cannabis use among close friends than other same age teens and reported a higher perception of approval for cannabis use from close friends as compared to perceived approval of other same aged peers. Personal approval and the perceived approval of other same age teens were reduced following the intervention but there was no evidence of change in normative perceptions for close friends following the normative feedback interventions. Changes in normative perceptions were related to decreases in cannabis use and -related outcomes. Results suggest the importance of normative feedback in changing behavior in adolescent cannabis users, but also highlight the ongoing influence of close friends.
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