Relief of cannabis withdrawal symptoms and cannabis quitting strategies in people with schizophrenia.

Relief of cannabis withdrawal symptoms and cannabis quitting strategies in people with schizophrenia.
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DOI:
10.1016/j.psychres.2013.07.044
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发表时间:
2013-10-30
影响因子:
11.3
通讯作者:
Gorelick, David Alan
Gorelick, David Alan
中科院分区:
医学2区
文献类型:
--
作者:
Koola, Maju Mathew;Boggs, Douglas Lee;Kelly, Deanna Lynn;Liu, Fang;Linthicum, Jared Allen;Turner, Hailey Elaine;McMahon, Robert Patrick;Gorelick, David Alan

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这项研究检查了大麻戒断症状的反应和使用戒烟策略来维持精神分裂症患者的禁欲。120名精神分裂症患者的便利样本,他们至少每周使用大麻,并且以前没有正式治疗的戒烟尝试,他们接受了176项Marijuana戒烟问卷调查,以描述他们“最严重”(自我定义)的戒烟尝试。113名参与者有戒断症状,其中104人(92.0%)采取了一些措施来缓解症状,最常见的是尼古丁使用(75%)。90%的戒断症状引起了大多数参与者的缓解行动,最常见的是焦虑(95.2%的参与者)和大麻渴望(94.4%)。96%的参与者在戒烟尝试期间使用一种或多种戒烟策略来保持禁欲,最常见的是摆脱大麻(72%)和大麻用具(67%)。宗教支持或祈祷是最常被认为“最有帮助”的戒烟策略(15%)。使用自我认定的最有帮助的戒烟策略与显著较高的一个月(80.8%对73.6%)和一年(54.9%对41.3%)戒烟率相关。缓解精神分裂症患者大麻戒断症状的行动很常见。推广有效的戒烟策略可能有助于预防复发。
This study examined the response to cannabis withdrawal symptoms and use of quitting strategies to maintain abstinence in people with schizophrenia. A convenience sample of 120 participants with schizophrenia who had at least weekly cannabis use and a previous quit attempt without formal treatment were administered the 176-item Marijuana Quit Questionnaire to characterize their “most serious” (self-defined) quit attempt. One hundred thirteen participants had withdrawal symptoms, of whom 104 (92.0%) took some action to relieve a symptom, most commonly nicotine use (75%). 90% of withdrawal symptoms evoked an action for relief in a majority of participants experiencing them, most frequently anxiety (95.2% of participants) and cannabis craving (94.4%). 96% of participants used one or more quitting strategies to maintain abstinence during their quit attempt, most commonly getting rid of cannabis (72%) and cannabis paraphernalia (67%). Religious support or prayer was the quitting strategy most often deemed “most helpful” (15%). Use of a self-identified most helpful quitting strategy was associated with significantly higher one-month (80.8% vs. 73.6%) and one-year (54.9% vs. 41.3%) abstinence rates. Actions to relieve cannabis withdrawal symptoms in people with schizophrenia are common. Promotion of effective quitting strategies may aid relapse prevention.
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