Problematic alcohol and cannabis use among young adults: The roles of depression and discomfort and distress tolerance

Problematic alcohol and cannabis use among young adults: The roles of depression and discomfort and distress tolerance
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DOI:
10.1016/j.addbeh.2006.12.019
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发表时间:
2007-09-01
影响因子:
4.4
通讯作者:
Schmidt, Norman B.
Schmidt, Norman B.
中科院分区:
医学2区
文献类型:
--
作者:
Buckner, Julia D.;Keough, Meghan E.;Schmidt, Norman B.

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有问题的物质使用与抑郁有关。澄清物质使用和抑郁之间的关系仍然是一个重要的研究目标,对预防和治疗具有重要意义。个体在忍受消极的身体和情感感受的能力上的差异被假设为对抑郁的个体的物质使用行为起作用。本研究调查了265名大学生(N=265)在酒精和大麻问题与抑郁之间的关系中不适和痛苦耐受性的作用。与其他报告一致,抑郁症与酒精和大麻问题有关。正如预测的那样,痛苦耐受性在抑郁与酒精和大麻问题之间的关系中起到了中介作用。有趣的是,不适耐受性缓和了抑郁症和大麻问题之间的关系,因此,具有高度不适耐受性的抑郁症个人最容易受到大麻问题的影响。这些数据表明,痛苦不耐受可能至少部分解释了抑郁的年轻人中的酒精和大麻问题,而不舒适不耐受实际上可能在大麻问题的发展中起到保护作用。(C)2007爱思唯尔有限公司。保留所有权利。
Problematic substance use is associated with depression. Clarifying the relationship between substance use and depression remains an important research goal, with implications for prevention and treatment. Individual differences in the ability to tolerate negative physical and emotional sensations were hypothesized to play a role in substance use behaviors among depressed individuals. The present study investigated the roles of discomfort and distress tolerance in the relationship between alcohol and cannabis problems and depression among undergraduates (N=265). Consistent with other reports, depression was correlated with alcohol and cannabis problems. As predicated, distress tolerance mediated the relationships between depression and alcohol and cannabis problems. Interestingly, discomfort intolerance moderated the relationship between depression and cannabis problems such that depressed individuals with high discomfort tolerance were most vulnerable to cannabis problems. These data suggest that distress intolerance may at least partially account for alcohol and cannabis problems among depressed young adults whereas discomfort intolerance may actually serve a protective role in the development of cannabis problems. (C) 2007 Elsevier Ltd. All rights reserved.