Bidirectional associations between sleep and cannabis and alcohol (co-)use in daily life.

IF 3 Q2 SUBSTANCE ABUSE
Alcohol (Hanover, York County, Pa.) Pub Date : 2024-11-01 Epub Date: 2024-10-08 DOI:10.1111/acer.15448
Andrea M Wycoff, Mary Beth Miller, Timothy J Trull
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引用次数: 0

Abstract

Background: Poor sleep is common in the context of cannabis use, but experimental and daily-life studies provide mixed evidence for whether cannabis use helps or disturbs same-night sleep. Despite a high prevalence of co-use of alcohol and cannabis, most studies of cannabis use and sleep do not consider alcohol use. We sought to add to this literature by examining associations between cannabis and sleep in the context of alcohol co-use and to examine these associations bidirectionally using ecological momentary assessment.

Methods: Participants were 88 adults reporting cannabis use at least 3×/week and simultaneous alcohol and cannabis use at least 2×/week. For 14 days, participants completed morning surveys assessing hours slept and perceived sleep quality from the night before. In morning surveys, random surveys, and substance-specific surveys, participants also reported on alcohol and cannabis craving, use, and amounts.

Results: Primary results from multilevel models demonstrated that cannabis use was not independently associated with sleep (duration or quality). However, cannabis use attenuated alcohol's negative effects on sleep quality.

Conclusions: Results question the utility of cannabis use to improve sleep but highlight the attenuated negative effects of alcohol as a potential reinforcer of alcohol-cannabis co-use. Future work should continue to consider polysubstance use and integrate additional self-report and objective measures of sleep health to further clarify how cannabis use affects sleep.

睡眠与日常生活中大麻和酒精(共同)使用之间的双向联系。
背景:在使用大麻的情况下,睡眠不佳是很常见的现象,但实验研究和日常生活研究提供的关于使用大麻是有助于还是干扰当晚睡眠的证据不一。尽管同时使用酒精和大麻的情况很普遍,但大多数关于使用大麻和睡眠的研究都没有考虑到酒精的使用。我们试图通过研究在同时使用酒精的情况下大麻与睡眠之间的关联,并使用生态瞬间评估双向研究这些关联,从而为这些文献提供补充:参与者为 88 名成年人,他们报告大麻使用至少 3 次/周,酒精和大麻同时使用至少 2 次/周。在 14 天的时间里,参与者完成了早晨调查,评估前一晚的睡眠时间和感知睡眠质量。在晨间调查、随机调查和特定物质调查中,参与者还报告了对酒精和大麻的渴望、使用情况和数量:多层次模型的主要结果表明,使用大麻与睡眠(持续时间或质量)并无独立关联。然而,使用大麻减轻了酒精对睡眠质量的负面影响:结论:研究结果对使用大麻改善睡眠的效用提出了质疑,但强调了酒精作为酒精和大麻共同使用的潜在强化剂所减弱的负面影响。未来的工作应继续考虑多种药物的使用,并整合更多的睡眠健康自我报告和客观测量方法,以进一步阐明使用大麻对睡眠的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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CiteScore
5.40
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