Examining daily associations between mental health symptoms and simultaneous alcohol and marijuana use and consequences among young adults.
Examining daily associations between mental health symptoms and simultaneous alcohol and marijuana use and consequences among young adults.
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DOI：
10.1037/adb0000791
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发表时间：
2022-06
影响因子：
3.4
通讯作者：
Lee, Christine M
中科院分区：
文献类型：
--
作者：
Patrick, Megan E;Ramirez, Jason J;Cadigan, Jennifer M;Graupensperger, Scott;Walukevich-Dienst, Katherine;Rhew, Isaac C;Rinehart, Linda;Lee, Christine M
目前的研究检查了心理健康症状之间的日常联系（即，抑郁和焦虑症状）和同时使用酒精和大麻（SAM）以及年轻人中与使用相关的负面后果。参与者是409名年龄在18-25岁之间的年轻人的社区样本，他们在过去一个月内至少饮酒三次，并报告在过去一个月内使用SAM（法师= 21.6，50.9%女性）。基线评估包括SAM使用动机的测量，之后参与者完成了5次14天的突发报告，每天报告心理健康症状和酒精/大麻使用。日常心理健康症状与SAM使用可能性无关。然而，基线SAM应对动机缓和心理健康症状和使用之间的关联，使具有较强的应对动机的年轻人表现出较强的心理健康症状和SAM使用之间的正相关。此外，在SAM使用日，报告更多的心理健康症状相对于一个人的平均水平与经历更多的使用相关的负面后果相关，即使在控制酒精和大麻使用的日常水平后（RR = 1.03，95% CI = 1.01-1.05，p = .002）。日常心理健康症状与SAM使用之间的关联取决于年轻人是否有使用SAM的应对动机。心理健康的日常波动与SAM使用日经历的负面使用相关后果有关，无论动机如何。这些发现强调了预防和干预策略的潜在重要性，特别是在年轻人经历心理健康症状增加的日子里。这项研究记录了心理健康症状（即，抑郁和焦虑症状）与当天同时使用酒精和大麻（SAM）有关，只有年轻人具有更强的基线SAM应对动机。在SAM使用日，更大的心理健康症状与更多的负面后果相关，无论使用动机如何。在某一天精神健康症状的升高是物质使用相关风险的指标。
The current study examined daily associations between mental health symptoms (i.e., depression and anxiety symptoms) and simultaneous alcohol and marijuana (SAM) use and use-related negative consequences among young adults. Participants were a community sample of 409 young adults between the ages of 18–25 who drank alcohol at least three times in the past month and reported SAM use in the past month (Mage = 21.6, 50.9% female). A baseline assessment included a measure of SAM use motives, after which participants completed five 14-day bursts reporting daily mental health symptoms, and alcohol/marijuana use. Daily mental health symptoms were not associated with SAM use likelihood. However, baseline SAM coping motives moderated the association between mental health symptoms and use such that young adults with stronger coping motives showed a stronger positive association between mental health symptoms and SAM use. Further, on SAM use days, reporting more mental health symptoms relative to one’s average was associated with experiencing more use-related negative consequences, even after controlling for daily levels of alcohol and marijuana use (RR = 1.03, 95% CI = 1.01–1.05, p = .002). The association between daily mental health symptoms and SAM use depended on whether the young adults had coping motives for use. Daily fluctuations in mental health were associated with negative use-related consequences experienced on SAM use days regardless of motives. These findings highlight the potential importance of prevention and intervention strategies particularly on days when young adults are experiencing increased mental health symptoms. This study documented that mental health symptoms (i.e., symptoms of depression and anxiety) on a given day were associated with simultaneous alcohol and marijuana (SAM) use that day only for young adults with stronger baseline SAM coping motives. On SAM use days, greater mental health symptoms were associated with more negative consequences, regardless of motives for use. Elevated mental health symptoms on a given day are an indicator of substance use related risk.