An exploratory follow-up study of cannabis use and decision-making under various risk conditions within adolescence.
An exploratory follow-up study of cannabis use and decision-making under various risk conditions within adolescence.
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对青春期各种风险条件下大麻使用和决策的探索性后续研究。
DOI：
10.1037/neu0000897
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发表时间：
2023
期刊：
影响因子：
2.4
通讯作者：
Gonzalez,Raul
中科院分区：
文献类型：
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作者：
Thompson,ErinL;Adams,AshleyR;Pacheco-Colón,Ileana;Lopez-Quintero,Catalina;Limia,JorgeM;Pulido,William;Granja,Karen;Paula,DayanaC;Gonzalez,Ingrid;Ross,JMegan;Duperrouzel,JacquelineC;Hawes,SamuelW;Gonzalez,Raul
研究决策（DM）和大麻使用（CU）之间的关联的研究通常使用横截面，成人样本和综合评分或单一任务来评估DM。本研究探讨了任务评估DM在各种风险条件下（即，模糊与明确;增益与损失）和CU频率，CU相关的问题，CU障碍（CUD）的发病率之间的差异协会在adolescence.MethodAdolescents（n= 401，90%的西班牙裔）年龄在14-17岁的基线参加了五个半年一次的评估。CU频率，CU相关的问题，和CUD进行了评估，分别使用药物使用史问卷，Maritime问题量表，和结构化临床访谈精神疾病诊断和统计手册，第四版。采用爱荷华州赌博任务（IGT）、骰子游戏任务（GDT）和杯子任务评估DM。我们使用潜在的增长曲线模型来研究DM和升级CU频率和CU相关的问题之间的双向关联，和离散时间生存分析，以确定是否在DM任务的基线性能预测CUD onset.ResultsBaseline performance on GDT预测更大的升级CU（β=. 200，p=. 008)和CU相关问题（β=. 388，p=. 035）。没有其他显着的协会被发现。ConclusionsDM下明确的风险可能是一个更显着的危险因素升级CU和CU相关的问题比DM下模糊的风险。执行功能的缺陷可以部分解释这一结果。研究结果表明，神经认知发展应告知预防和干预工作，重点是减少CU。鉴于本研究的探索性质，需要复制研究结果。（PsycInfo数据库记录（c）2023阿帕，保留所有权利）
ObjectiveStudies examining the associations between decision-making (DM) and cannabis use (CU) often use cross-sectional, adult samples, and composite scores or single tasks to assess DM. The present study explored differential associations between tasks assessing DM under various risk conditions (ie, ambiguous vs. explicit; gain vs. loss) and CU frequency, CU-related problems, and CU disorder (CUD) onset across a 2-year period within adolescence.MethodAdolescents (n= 401, 90% Hispanic) aged 14–17 at baseline participated in five biannual assessments. CU frequency, CU-related problems, and CUD were assessed using the Drug Use History Questionnaire, Marijuana Problems Scale, and Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, fourth edition, respectively. DM was assessed using the Iowa gambling task (IGT), Game of Dice Task (GDT), and Cups Task. We used latent growth curve modeling to examine bidirectional associations between DM and escalation in CU frequency and CU-related problems, and discrete time survival analyses to determine whether baseline performance across DM tasks predicted CUD onset.ResultsBaseline performance on the GDT predicted greater escalation in CU (β=. 200, p=. 008) and CU-related problems (β=. 388, p=. 035). No other significant associations were found.ConclusionsDM under explicit risk may be a more salient risk factor for escalating CU and CU-related problems than DM under ambiguous risk. Deficits in executive functioning could partially explain the results. Findings suggest that neurocognitive development should inform prevention and intervention efforts focused on reducing CU. Given the exploratory nature of the present study, replication of findings is needed.(PsycInfo Database Record (c) 2023 APA, all rights reserved)