Daily-level associations between PTSD and cannabis use among young sexual minority women.

Daily-level associations between PTSD and cannabis use among young sexual minority women.
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DOI:
10.1016/j.addbeh.2017.06.007
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发表时间:
2017-11
影响因子:
4.4
通讯作者:
Lee CM
Lee CM
中科院分区:
医学2区
文献类型:
--
作者:
Dworkin ER;Kaysen D;Bedard-Gilligan M;Rhew IC;Lee CM

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与异性恋妇女相比,性少数族裔妇女的创伤暴露和创伤后应激障碍(PTSD)的患病率更高,她们也更有可能使用大麻,尽管没有研究调查这一人群中PTSD和大麻使用之间的关系。日常水平的方法是必要的,以检查创伤后应激障碍和使用之间的最近的联系。这项研究包括90名暴露在创伤中的年轻成年女性,她们认为性少数(34.4%被认为是女同性恋者,48.9%被认为是双性恋者),并评估了她们的创伤后应激障碍症状和大麻使用之间的日常水平的联系。参与者在两次测量波中进行评估,每波相隔一年,每波由14次连续的每日评估组成。使用大麻的天数占总天数的22.8%。广义线性混合效应模型的结果表明,一个人每天的创伤后应激障碍症状严重程度的平均水平与当天使用大麻的可能性密切相关(创伤后应激障碍得分增加1个标准差的OR=2.67;p<.001)。然而,每天偏离一个人的平均创伤后应激障碍评分与同一天吸食大麻无关。研究结果表明,创伤后应激障碍的严重性可能会增加使用大麻的总体风险,而不是一个依赖于国家的风险因素。
Sexual minority women have elevated trauma exposure and prevalence of posttraumatic stress disorder (PTSD) compared to heterosexual women and they are also more likely to use cannabis, although no research has examined relationships between PTSD and cannabis use in this population. Daily- level methodologies are necessary to examine proximal associations between PTSD and use. This study included 90 trauma-exposed young adult women who identified as sexual minorities (34.4% identified as lesbian and 48.9% identified as bisexual) and evaluated daily-level associations between their PTSD symptoms and cannabis use. Participants were assessed at two measurement waves, one year apart, each consisting of 14 consecutive daily assessments. Cannabis use occurred on 22.8% of the days. Results from generalized linear mixed effects models showed that a person’s mean level of PTSD symptom severity across days was strongly associated with same-day likelihood of cannabis use (OR = 2.67 for 1 SD increase in PTSD score; p < .001). However, daily deviation from one’s average PTSD score was not associated with cannabis use on the same day. Findings suggest that PTSD severity may confer general risk for cannabis use, rather than being a state-dependent risk factor.
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