For better or for worse? A pre-post exploration of the impact of the COVID-19 lockdown on cannabis users.

For better or for worse? A pre-post exploration of the impact of the COVID-19 lockdown on cannabis users.
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DOI:
10.1111/add.15387
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发表时间:
2021-08
期刊:
Addiction (Abingdon, England)
影响因子:
--
通讯作者:
Kroon E
Kroon E
中科院分区:
其他
文献类型:
--
作者:
Cousijn J;Kuhns L;Larsen H;Kroon E

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旨在限制2019年冠状病毒病(COVID-19)感染和死亡人数的封锁措施给日常生活带来了巨大的社会心理压力。我们的目的是调查荷兰封锁对大麻使用和大麻使用障碍(CUD)的影响,并调查封锁期间精神健康和经历的社会心理压力源变化的关系。探索性纵向基线、封锁前和封锁期间调查研究。荷兰,2019年1月至2020年5月在线。社区样本为120名每月至每日吸食大麻的人,参照组为63名不吸食大麻的对照组。从基线到封锁前到封锁后,大麻使用和CUD症状严重程度的变化。从封锁前到封锁后大麻使用动机、心理健康、社会关系质量和工作状况的变化。在大麻使用者中,禁闭与大麻使用量增加有关(B = 1.92, 95% CI 0.23-3.61, p = 0.027),但与CUD症状严重程度无关。大麻使用者经历了30%的失业和孤独感的增加(p < 0.001, BF10= 100),而与伴侣(p = 0.005, BF10=8.21)和家庭联系(p < 0.001, BF10= 19.73)的改善,大麻使用者和对照组之间没有差异。总体而言,心理健康问题(所有p 's > 0.277,所有BF10< 0.139)没有变化,但个体差异显著,封锁前大麻使用的严重程度、与COVID-19相关的担忧、焦虑的变化、扩张动机、社会动机和家庭联系都与大麻使用或CUD变化的差异独特相关。虽然在2019冠状病毒病封锁期间,荷兰每日大麻使用者的大麻使用量在群体层面有所增加,但封锁的头几个月对大麻使用障碍严重程度和精神健康的影响在每日大麻使用者个人之间存在显著差异。
Lockdown measures aimed at limiting the number of infections and deaths from the coronavirus disease 2019 (COVID-19) have introduced substantial psychosocial stressors in everyday life. We aimed to investigate the influence of the Dutch lockdown on cannabis use and cannabis use disorder (CUD) and investigate relations with change in mental wellbeing and experienced psychosocial stressors during the lockdown. Explorative longitudinal baseline-, pre- and during lockdown survey study. The Netherlands, online between January 2019 and May 2020. Community sample of 120 monthly to daily cannabis users and reference group of 63 non-using controls. Change in cannabis use and CUD symptom severity from baseline to pre-lockdown to post-lockdown. Change in cannabis use motives, mental health, quality of social relationships and job status from pre-lockdown to post-lockdown. In cannabis users, lockdown related to increased cannabis use (B = 1.92, 95% CI 0.23–3.61, p = 0.027), but not CUD symptom severity. Cannabis users experienced 30% job loss and increased loneliness (p < 0.001, BF10 > 100), while contact with partners (p = 0.005, BF10=8.21) and families improved (p < 0.001, BF10 = 19.73), with no differences between cannabis users and control. Generally, mental health problems (all p’s > 0.277, all BF10< 0.139) did not change but individual differences were significant and severity of cannabis use pre-lockdown, COVID-19 related worries, change in anxiety, expansion motives, social motives and family contact all uniquely related to variance in change in cannabis use or CUD. While cannabis use among daily cannabis users in The Netherlands increased at the group level during the period of COVID-19 lockdown, the effect of the first months of lockdown on cannabis use disorder severity and mental wellbeing varied significantly among individual daily cannabis users.
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