Anxiety Sensitivity and Distress Intolerance as Predictors of Cannabis Dependence Symptoms, Problems, and Craving: The Mediating Role of Coping Motives
Anxiety Sensitivity and Distress Intolerance as Predictors of Cannabis Dependence Symptoms, Problems, and Craving: The Mediating Role of Coping Motives
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DOI：
10.15288/jsad.2016.77.889
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发表时间：
2016-11-01
影响因子：
3.4
通讯作者：
Zvolensky, Michael J.
中科院分区：
文献类型：
--
作者：
Farris, Samantha G.;Metrik, Jane;Zvolensky, Michael J.
目的：对焦虑相关感觉的恐惧反应（焦虑敏感性）和无法忍受痛苦的心理或生理状态（痛苦不耐受性）的倾向与情感性精神病理学和大麻使用障碍之间的共病有关。精神脆弱的大麻使用者可能特别倾向于使用大麻来科普痛苦，这可能导致并维持其有问题的使用（例如，依赖，渴望）。目前的研究测试了焦虑敏感性和痛苦不容忍的综合模型，作为大麻依赖症状和问题数量的预测因子，以及剥夺大麻后大麻渴望的严重程度，以及大麻应对动机的中介作用。方法：参与者（n = 103;平均年龄= 21.2岁，SD = 4.3; 35.9%为女性）为非寻求治疗的频繁大麻使用者。数据是跨部门的。通过自我报告评估焦虑敏感性，通过自我报告和屏气持续时间评估痛苦不耐受性。结果如下：更大的痛苦不耐受，而不是屏气时间或焦虑敏感性，与更多的大麻依赖症状和问题以及大麻渴望升高有关。这些关系是由大麻应对动机介导的。结论：研究结果提供了与大麻问题的情感脆弱性和维护相关的病因机制的特异性。知觉的痛苦不容忍似乎是唯一相关的适应不良的应对动机的大麻使用，这可能是有意义的针对性的干预措施，情绪脆弱的大麻用户。
Objective: The tendency to react with fear to anxiety related sensations (anxiety sensitivity) and the inability to tolerate distressing psychological or physiological states (distress intolerance) are implicated in the comorbidity between affective psychopathology and cannabis use disorders. Emotionally vulnerable cannabis users may be particularly apt to use cannabis to cope with distress, which may both lead to and maintain its problematic use (e.g., dependence, craving). The current study tested a comprehensive model of anxiety sensitivity and distress intolerance as predictors of the number of cannabis dependence symptoms and problems, and severity of cannabis craving following deprivation from cannabis, and the mediating role of cannabis coping motives. Method: Participants (n = 103; mean age = 21.2 years, SD = 4.3; 35.9% female) were non treatment-seeking frequent cannabis users. Data were cross-sectional in nature. Anxiety sensitivity was assessed via self-report, and distress intolerance was assessed via both self-report and breath-holding duration. Results: Greater perceived distress intolerance, but not breath-holding duration or anxiety sensitivity, was associated with a greater number of cannabis dependence symptoms and problems and elevated cannabis craving. These relations were mediated by cannabis coping motives. Conclusions: Findings provide specificity for the etiologic mechanisms related to emotional vulnerability and maintenance of cannabis problems. Perceived distress intolerance appears to be uniquely related to maladaptive coping motives for cannabis use, which could be meaningfully targeted in interventions for emotionally vulnerable cannabis users.