Momentary mindfulness versus distraction coping messages to reduce cannabis craving among young adults: A microrandomized trial.

IF 3.2 2区心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY

Psychology of Addictive Behaviors Pub Date : 2024-10-17 DOI:10.1037/adb0001029

Catherine Stanger, Molly A B Anderson, Haiyi Xie, Tonychris Nnaka, Alan J Budney, Tianchen Qian, Jamie R T Yap, Inbal Nahum-Shani

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引用次数: 0

Abstract

Objective: Rates of problematic cannabis use among young adults are high and increasing. Craving for cannabis varies throughout the day and is an important risk factor for cannabis use, yet no studies to date have tested interventions offered at the moment craving is experienced in the natural environment.

Method: This study used an efficient and innovative microrandomized trial design to test two distinct types of coping messages (mindfulness strategy vs. distraction strategy) offering brief coping strategies when moderate to severe craving was reported via ecological momentary assessment (EMA).

Results: Young adults who regularly use cannabis (N = 53) were readily engaged in this 4-week intervention, and EMA completion was high throughout, demonstrating excellent feasibility of this approach. However, results indicated that coping messages did not reduce craving at the next EMA relative to control (thank you) messages, with no significant change in efficacy over time. Furthermore, exploratory analyses found that neither mindfulness nor distraction resulted in reduced craving relative to the control message.

Conclusions: Despite this outcome, this method of testing digital interventions targeting momentary risks for substance use such as craving holds promise for rapidly and efficiently screening a wide variety of intervention strategies for inclusion in future just-in-time adaptive interventions. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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瞬间正念与分散注意力的应对信息可减轻年轻人对大麻的渴求：微型随机试验。

目的：青壮年中使用问题大麻的比率很高，而且还在不断上升。对大麻的渴望在一天中各不相同，是吸食大麻的一个重要风险因素，但迄今为止还没有研究测试过在自然环境中出现渴望时提供的干预措施：本研究采用高效、创新的微型随机试验设计，测试两种不同类型的应对信息（正念策略与分散注意力策略），在通过生态瞬间评估（EMA）报告中度至重度渴求时提供简短的应对策略：结果：经常吸食大麻的年轻人（53 人）很乐意参与这项为期 4 周的干预活动，EMA 的完成率一直很高，表明这种方法非常可行。然而，结果表明，与对照组（感谢）信息相比，应对信息并没有降低下一次 EMA 的渴求度，随着时间的推移，效果也没有显著变化。此外，探索性分析还发现，相对于对照组信息，正念和转移注意力都没有降低渴求度：尽管结果如此，但这种针对药物使用瞬间风险（如渴求）的数字干预测试方法有望快速有效地筛选出各种干预策略，以便纳入未来的及时适应性干预中。(PsycInfo Database Record (c) 2024 APA, 版权所有）。

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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来源期刊

Psychology of Addictive Behaviors Multiple-

CiteScore

4.90

自引率

11.80%

发文量

165

期刊介绍： Psychology of Addictive Behaviors publishes peer-reviewed original articles related to the psychological aspects of addictive behaviors. The journal includes articles on the following topics: - alcohol and alcoholism - drug use and abuse - eating disorders - smoking and nicotine addiction, and other excessive behaviors (e.g., gambling) Full-length research reports, literature reviews, brief reports, and comments are published.