ANXIETY SENSITIVITY AND MARIJUANA USE: AN ANALYSIS FROM ECOLOGICAL MOMENTARY ASSESSMENT
ANXIETY SENSITIVITY AND MARIJUANA USE: AN ANALYSIS FROM ECOLOGICAL MOMENTARY ASSESSMENT
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DOI：
10.1002/da.20816
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发表时间：
2011-05-01
影响因子：
7.4
通讯作者：
Schmidt, Norman B.
中科院分区：
文献类型：
--
作者：
Buckner, Julia D.;Zvolensky, Michael J.;Schmidt, Norman B.
背景：理论上，焦虑敏感性（AS；对焦虑和相关身体感觉的恐惧）的认知因素在大麻使用及其疾病中发挥着作用。 AS 的低级方面（身体问题、精神失能问题和社会问题）可能与大麻使用行为有不同的相关性。然而，人们对 AS 方面对大麻使用前因的影响知之甚少。方法：本研究使用生态瞬时评估（EMA），利用关于即兴大麻使用事件的真实世界数据，前瞻性地研究 AS 特定方面、大麻渴望、状态焦虑和自然环境中大麻使用之间的关系。参与者为 49 名当前大麻使用者（38.8% 为女性）。结果：对 AS 精神失能的恐惧与基线时大麻相关问题的严重程度显着增加有关。在 EMA 期间，AS 精神失能和 AS 社会问题与大麻渴望显着相互作用，可以前瞻性地预测随后的大麻使用。具体来说，具有较高渴望和较高 AS 精神失能或 AS 社会问题的人最有可能随后使用大麻。与预测相反，没有 AS 方面显着调节状态焦虑和大麻使用之间的关系。结论：这些发现表明 AS 的各个方面（精神无行为能力和社交恐惧）与大麻渴望相互作用，可以预测大麻的使用。研究结果还表明 AS 各方面与大麻相关行为之间存在差异关系。抑郁与焦虑 28:420-426, 2011。(C) 2011 Wiley-Liu, Inc.
Background: The cognitive factor of Anxiety Sensitivity (AS; the fear of anxiety and related bodily sensations) is theorized to play a role in cannabis use and its disorders. Lower-order facets of AS (physical concerns, mental incapacitation concerns, and social concerns) may be differentially related to cannabis use behavior. However, little is known about the impact of AS facets on the immediate antecedents of cannabis use. Methods: This study used ecological momentary assessment (EMA) to prospectively examine the relations between specific facets of AS, cannabis craving, state anxiety, and cannabis use in the natural environment using real-world data about ad lib cannabis use episodes. Participants were 49 current cannabis users (38.8% female). Results: AS-mental incapacitation fears were related to significantly greater severity of cannabis-related problems at baseline. During the EMA period, AS-mental incapacitation and AS-social concerns significantly interacted with cannabis craving to prospectively predict subsequent cannabis use. Specifically, individuals with higher craving and either higher AS-mental incapacitation or AS-social concerns were the most likely to subsequently use cannabis. In contrast to prediction, no AS facet significantly moderated the relationship between state anxiety and cannabis use. Conclusions: These findings suggest facets of AS (mental incapacitation and social fears) interact with cannabis craving to predict cannabis use. Findings also suggest differential relations between facets of AS and cannabis-related behaviors. Depression and Anxiety 28:420-426, 2011. (C) 2011 Wiley-Liu, Inc.