Cannabis and Related Impairment: The Unique Roles of Cannabis Use to Cope with Social Anxiety and Social Avoidance
Cannabis and Related Impairment: The Unique Roles of Cannabis Use to Cope with Social Anxiety and Social Avoidance
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DOI：
10.1111/j.1521-0391.2014.12150.x
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发表时间：
2014-11-01
影响因子：
3.7
通讯作者：
Zvolensky, Michael J.
中科院分区：
文献类型：
--
作者：
Buckner, Julia D.;Zvolensky, Michael J.
背景和目标：社交焦虑似乎是大麻相关问题的一个危险因素。社交焦虑的人很容易使用大麻来应对社交场合，并且在没有大麻的情况下避免社交场合。然而，使用大麻来应对社交焦虑相对于更广泛地应对负面影响的相对影响还有待检验。 方法：本研究使用大麻应对社交焦虑量表（MCSAS）来检验使用大麻应对社交场合的增量有效性（MCSAS-Cope）和在没有大麻的情况下避免社交场合（MCSAS-Avoid）的增量有效性，该样本是在社区招募的 123 名（34.1% 女性）当前吸食大麻的样本中进行的。结果：在控制首次使用大麻的年龄、性别、酒精和烟草使用、其他大麻使用动机以及大麻预期后，MCSAS-Cope 与大麻使用频率和大麻相关问题仍然呈显着正相关。在控制了首次使用大麻的年龄、性别、酒精和烟草使用以及经验性回避后，MCSAS-Avoid 仍然与大麻问题显着相关，但与频率无关。讨论和结论：目前的研究结果表明，使用大麻来管理社会形式的焦虑可能对理解大麻使用行为很重要。科学意义：目前的研究结果确定了与更频繁地使用大麻和大麻相关损伤有关的认知/动机因素，这对于进一步完善预防和治疗工作可能至关重要。
Background and Objectives: Social anxiety appears to be a risk factor for cannabis-related problems. Socially anxious individuals are vulnerable to using cannabis to cope in social situations and to avoiding social situations if marijuana is unavailable. Yet, the relative impact of cannabis use to cope with social anxiety relative to use to cope with negative affect more broadly has yet to be examined.Methods: The present study used the Marijuana to Cope with Social Anxiety Scale (MCSAS) to examine the incremental validity of using cannabis use to cope in social situations (MCSAS-Cope) and avoidance of social situations if cannabis is unavailable (MCSAS-Avoid) in a community-recruited sample of 123 (34.1% female) current cannabis users.Results: After controlling for age of first cannabis use, gender, alcohol and tobacco use, other cannabis use motives, and cannabis expectancies, MCSAS-Cope remained significantly positively related to cannabis use frequency and cannabis-related problems. After controlling for age of first cannabis use, gender, alcohol and tobacco use, and experiential avoidance, MCSAS-Avoid remained significantly related to cannabis problems but not frequency.Discussion and Conclusions: The present findings suggest that cannabis use to manage social forms of anxiety may be important to understanding cannabis use behaviors.Scientific Significance: The current findings identify cognitive/motivational factors implicated in more frequent cannabis use and in cannabis-related impairment, which may be essential to inform efforts to further refine prevention and treatment efforts.