[Cannabis Use, Emotional Dysregulation, and Impulsivity: An Analytical Cross-Sectional Study].

Felipe Moraga, Alejandra Rojo, Ulises Ríos, Marcelo Arancibia
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Abstract

The relationship between emotional regulation, impulsivity and cannabis use is complex and has been scarcely studied in Chile.

Aim: To analyze the relationship between emotional dysregulation, impulsivity, age of onset and patterns of cannabis use in Chilean adults.

Methods: An analytical cross-sectional study was carried out. The DERS-E (emotional dysregulation) and UPPS-P (impulsivity) scales were applied and sociodemographic variables were collected.

Results: Sixty-four participants (45% female) were included, with an average age of 34.8 ± 10.8 years. Forty-five percent initiated use before the age of 18 years, a group that showed significantly higher levels of emotional dysregulation and total impulsivity. Forty-four percent had regular cannabis use. Thirty-nine percent of regular users showed scores consistent with emotional dysregulation, versus 14% of intermittent users (p= 0.02). The total score and all dimensions of DERS-E were significantly higher in regular users, but there were no differences in impulsivity dimensions according to use pattern. There were significant and positive correlations between DERS-E and UPPS-P dimensions, with the highest magnitude being the correlation between DERS-E total score and the "negative urgency" dimension (r= 0.505).

Conclusions: Cannabis users with early onset and habitual pattern present greater emotional dysregulation. Impulsivity is higher in the group that started use before 18 years of age, but there are no differences according to the pattern of use. Prospective studies should clarify the relationship between emotional dysregulation, impulsivity, and cannabis use. We suggest implementing early therapeutic strategies focused on emotional regulation.

[使用大麻、情绪失调和冲动:分析性横断面研究]。
情绪调节、冲动和大麻使用之间的关系是复杂的,在智利几乎没有研究过。目的:分析智利成人情绪失调、冲动、发病年龄与大麻使用方式的关系。方法:采用分析性横断面研究。采用情绪失调量表(DERS-E)和冲动性量表(UPPS-P),并收集社会人口学变量。结果:纳入64例患者,其中女性45%,平均年龄34.8±10.8岁。45%的人在18岁之前开始使用,这一群体表现出明显更高水平的情绪失调和完全冲动。44%的人经常使用大麻。39%的常规用户表现出与情绪失调一致的得分,而间歇性用户为14% (p= 0.02)。常用者的总得分和各维度均显著高于常用者,但冲动性维度在使用方式上无显著差异。与UPPS-P维度存在显著正相关,其中“负紧急性”维度与DERS-E总分的相关程度最高(r= 0.505)。结论:早发和习惯性大麻使用者表现出更大的情绪失调。在18岁之前开始使用的人群中,冲动性更高,但根据使用模式没有差异。前瞻性研究应阐明情绪失调、冲动和大麻使用之间的关系。我们建议实施以情绪调节为重点的早期治疗策略。
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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