Cannabis craving in response to laboratory-induced social stress among racially diverse cannabis users: The impact of social anxiety disorder.
Cannabis craving in response to laboratory-induced social stress among racially diverse cannabis users: The impact of social anxiety disorder.
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DOI：
10.1177/0269881116629115
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发表时间：
2016-04
期刊：
影响因子：
--
通讯作者：
Jeffries ER
中科院分区：
文献类型：
--
作者：
Buckner JD;Zvolensky MJ;Ecker AH;Jeffries ER
社交焦虑症似乎是大麻相关问题的一个风险因素。尽管人们推测，在社交焦虑升高期间，对大麻的渴望增加反映了一种应对更大的负面情感的意图，但尚不清楚社交压力期间生理唤醒的增加是否与对大麻的渴望有关，特别是在患有社交焦虑障碍的人中。同样，没有研究评估在社会压力增加期间使用大麻的动机原因。因此，目前的研究测试了126名当前大麻使用者(88.9%患有大麻使用障碍，31.7%患有社交焦虑障碍，54.0%非西班牙裔高加索人)随机分配到社交或阅读任务中，状态社交焦虑的增加(主观测量和生理唤醒)是否与更大的大麻渴望有关。正如预测的那样，社交条件下的大麻使用者报告说比阅读条件下的人对大麻的渴望更大。这种影响在社交焦虑症患者中尤为明显。尽管生理唤醒并不能缓和条件和渴望之间的关系，但应对动机是想要使用大麻的最常见原因，据报道，在参与社交任务的人中，这一原因更多。这些实验结果独特地增加了越来越多的文献，表明状态社交焦虑(特别是在社交焦虑障碍患者中)在大麻使用脆弱性过程中的重要性。
Social anxiety disorder appears to be a risk factor for cannabis-related problems. Although it is presumed that increases in cannabis craving during elevated social anxiety reflect an intent to cope with greater negative affectivity, it is unclear whether increases in physiological arousal during social stress are related to cannabis craving, especially among those with social anxiety disorder. Similarly, no studies have assessed motivational reasons for cannabis use during elevated social stress. Thus, the current study tested whether increases in state social anxiety (measured subjectively and via physiological arousal) were related to greater cannabis craving among 126 current cannabis users (88.9% with cannabis use disorder, 31.7% with social anxiety disorder, 54.0% non-Hispanic Caucasian) randomly assigned to either a social interaction or reading task. As predicted, cannabis users in the social interaction condition reported greater cannabis craving than those in the reading condition. This effect was particularly evident among those with social anxiety disorder. Although physiological arousal did not moderate the relationship between condition and craving, coping motives were the most common reasons cited for wanting to use cannabis and were reported more among those in the social interaction task. These experimental results uniquely add to a growing literature suggesting the importance of elevated state social anxiety (especially among those with social anxiety disorder) in cannabis use vulnerability processes.
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