Impulsivity traits moderate the longitudinal association between mental health and hazardous cannabis use in emerging adults

IF 3 3区医学 Q2 SUBSTANCE ABUSE

Drug and alcohol review Pub Date : 2025-03-24 DOI:10.1111/dar.14047

Alba González-Roz, Yasmina Castaño, Roberto Secades-Villa, Tim Janssen, Guillermo Vallejo-Seco, Carlos Blanco

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引用次数: 0

Abstract

Introduction

The aim of this study was to examine longitudinal changes in past-month cannabis use and hazardous cannabis use over 1 year in emerging adults and to examine the prospective associations between changes in depression, anxiety, stress and hazardous cannabis use, using age, sex and impulsivity as potential moderators.

Methods

Participants were 2762 college students (aged 18–25) who were surveyed three times over the course of a year (T1: September–November 2021; T2: March–May 2022; and T3: September–November 2022). Structural equation modelling and semi-parametric mixed-effects repeated measures models were used to examine the prospective associations between depression, anxiety, stress and hazardous cannabis use, moderated by time-variant (impulsivity trait and age) and time-invariant (sex at birth) variables.

Results

The prevalence of past-month cannabis use was 11.5% at T1, 3.5% at T2 and 9.1% at T3. Autoregressive effects suggested that participants with elevated symptoms of depression, anxiety and stress at T2 tended to inform on similar impairment at T3. Cross-lagged relationships were found for anxiety at T2 and hazardous cannabis use at T3, and for hazardous cannabis use at T2 and stress at T3. Increases in emotional variables were indirectly associated with a higher risk of hazardous cannabis use through impulsivity traits.

Discussion and Conclusions

Cannabis users reported more problems in the face of worsened mental health and negative/positive urgency. Effective interventions should be framed under a transdiagnostic approach that targets emotional regulation.

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冲动特征缓和了新兴成人心理健康和危险大麻使用之间的纵向关联。

简介：本研究的目的是研究新兴成年人在过去一个月的大麻使用和1年内的危险大麻使用的纵向变化，并研究抑郁、焦虑、压力和危险大麻使用之间的变化的前瞻性关联，使用年龄、性别和冲动作为潜在的调节因子。方法：参与者为2762名年龄在18-25岁的大学生，他们在一年的时间里接受了三次调查(T1: 2021年9月至11月；T2: 2022年3月- 5月；T3: 2022年9月至11月)。使用结构方程模型和半参数混合效应重复测量模型来检查抑郁、焦虑、压力和危险大麻使用之间的前瞻性关联，并受到时变（冲动特征和年龄）和时变（出生性别）变量的调节。结果：过去一个月的大麻使用率在T1为11.5%，在T2为3.5%，在T3为9.1%。自回归效应表明，在T2时抑郁、焦虑和压力症状升高的参与者在T3时倾向于报告类似的损伤。在T2的焦虑和T3的危险大麻使用之间存在交叉滞后关系，在T2的危险大麻使用和T3的压力之间存在交叉滞后关系。情绪变量的增加与冲动特征导致的危险大麻使用风险的增加间接相关。讨论和结论：面对心理健康恶化和消极/积极的紧迫感，大麻使用者报告了更多的问题。有效的干预应该在针对情绪调节的跨诊断方法下进行。

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

Drug and alcohol review SUBSTANCE ABUSE-

CiteScore

4.80

自引率

10.50%

发文量

151

期刊介绍： Drug and Alcohol Review is an international meeting ground for the views, expertise and experience of all those involved in studying alcohol, tobacco and drug problems. Contributors to the Journal examine and report on alcohol and drug use from a wide range of clinical, biomedical, epidemiological, psychological and sociological perspectives. Drug and Alcohol Review particularly encourages the submission of papers which have a harm reduction perspective. However, all philosophies will find a place in the Journal: the principal criterion for publication of papers is their quality.