Cannabis use, affect and emotion regulation in daily life: A 3-week experience sampling method study in people who smoke cannabis almost daily

IF 5.9 1区医学 Q1 PSYCHIATRY

Addiction Pub Date : 2026-10-18 Epub Date: 2026-07-07 DOI:10.1111/add.70525

Ana Paula Gonçalves Donate, Janna Cousijn, Emese Kroon, Kristine Rømer Thomsen

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引用次数: 0

Abstract

Background and aims

Although many people who use cannabis report mood-enhancing effects, affective responses are thought to vary within and between individuals. This study examined the bidirectional associations between momentary affect and cannabis use and the potential moderating role of emotion regulation in this.

Design

Intensive longitudinal observational study using experience sampling method (ESM).

Setting

Denmark.

Participants

Adults in Denmark who use cannabis near daily (n = 113; Age: mean = 31.57 years, median = 29 years, standard deviation = 10.28, inter-quartile range = 23–36; 60.2% male).

Method and measurements

Participants completed a baseline survey (substance use and emotion regulation difficulties) and 21 days of experience sampling (three assessments daily; affect and use). We used multilevel models to assess: (1) the associations between positive affect (PA) and negative affect (NA) and subsequent cannabis use, (2) whether cannabis use predicted changes in affect shortly after use (at the same assessment) and (3) whether cannabis use predicted changes in affect at a later moment (at the next assessment). Next, we assessed whether emotion regulation difficulties moderated associations tested in models 1 and 2.

Findings

Higher PA predicted a greater likelihood of cannabis use before the next assessment [odds ratio (OR) = 1.05, 95% confidence interval (CI) = 1.01–1.09], and cannabis use predicted increased PA at the same assessment (b = 0.59, 95% CI = 0.27–0.92), but not at the next assessment. NA was not related to use or vice versa at group level. Emotion regulation difficulties did not statistically significantly moderate the associations between PA or NA and subsequent cannabis use; however, emotion regulation difficulties moderated short-term effects of cannabis use on NA (b = −0.014, 95% CI = −0.027 to −0.002), with individuals with higher emotion regulation difficulties showing lower NA shortly after use compared with non-use moments.

Conclusions

Within individuals who use cannabis near daily, relatively higher momentary positive affect, but not negative affect, appears to precede and follow cannabis use. Cannabis use appears to be associated with higher positive effect at the time of assessment but does not predict positive affect hours later. Individuals with greater emotion regulation difficulties may experience short-term reductions in negative effect after cannabis use.

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日常生活中大麻的使用、影响和情绪调节：对几乎每天吸食大麻的人进行为期3周的经验抽样方法研究。

背景和目的：尽管许多使用大麻的人报告情绪增强效果，但情感反应被认为在个体内部和个体之间有所不同。本研究考察了瞬间情感与大麻使用之间的双向关联，以及情绪调节在其中的潜在调节作用。设计：采用经验抽样法（ESM）进行深入的纵向观察研究。设置:丹麦。参与者：几乎每天使用大麻的丹麦成年人（n = 113；年龄：平均值= 31.57岁，中位数= 29岁，标准差= 10.28，四分位数间距= 23-36；60.2%男性）。方法和测量：参与者完成了一项基线调查（物质使用和情绪调节困难）和21天的经验抽样（每天三次评估；影响和使用）。我们使用多层模型来评估：(1)积极情绪（PA）和消极情绪（NA）与随后的大麻使用之间的关联，(2)大麻使用是否预测使用后不久的情绪变化（在同一评估中），(3)大麻使用是否预测稍后时刻的情绪变化（在下一次评估中）。接下来，我们评估了情绪调节困难是否调节了模型1和模型2中测试的关联。结果：较高的PA预测下一次评估前使用大麻的可能性更大[比值比(OR) = 1.05, 95%置信区间(CI) = 1.01-1.09]，并且大麻使用预测相同评估时PA增加（b = 0.59, 95% CI = 0.27-0.92），但在下一次评估时则不然。在组水平上NA与用药无关，反之亦然。情绪调节困难没有统计学上显著调节PA或NA与随后使用大麻之间的关联；然而，情绪调节困难缓和了大麻使用对NA的短期影响（b = -0.014, 95% CI = -0.027至-0.002），与未使用大麻的个体相比，情绪调节困难较高的个体在使用大麻后不久的NA较低。结论：在几乎每天使用大麻的个体中，在使用大麻之前和之后出现相对较高的短暂积极影响，而不是消极影响。在评估时，大麻的使用似乎与更高的积极影响有关，但并不能预测数小时后的积极影响。情绪调节困难较大的个体在使用大麻后可能会经历短期的负面影响减少。

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来源期刊

Addiction 医学-精神病学

CiteScore

10.80

自引率

6.70%

发文量

319

审稿时长

3 months

期刊介绍： Addiction publishes peer-reviewed research reports on pharmacological and behavioural addictions, bringing together research conducted within many different disciplines. Its goal is to serve international and interdisciplinary scientific and clinical communication, to strengthen links between science and policy, and to stimulate and enhance the quality of debate. We seek submissions that are not only technically competent but are also original and contain information or ideas of fresh interest to our international readership. We seek to serve low- and middle-income (LAMI) countries as well as more economically developed countries. Addiction’s scope spans human experimental, epidemiological, social science, historical, clinical and policy research relating to addiction, primarily but not exclusively in the areas of psychoactive substance use and/or gambling. In addition to original research, the journal features editorials, commentaries, reviews, letters, and book reviews.