Obsessive-Compulsive Symptoms and Cannabis Misuse: The Explanatory Role of Cannabis Use Motives.

IF 1.5 4区 医学 Q3 PSYCHIATRY
Journal of Dual Diagnosis Pub Date : 2020-10-01 Epub Date: 2020-08-07 DOI:10.1080/15504263.2020.1786616
Jafar Bakhshaie, Eric A Storch, Nhan Tran, Michael J Zvolensky
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引用次数: 6

Abstract

Objective: The purpose of the present investigation was to examine the unique explanatory role of cannabis use motives above the effects of each other, for the relationship between obsessive-compulsive symptomatology and different aspects of cannabis misuse among young adults. The transitional years of young adulthood are characterized by new opportunities for experimentation as well as novel external stressors. Collectively, this makes this developmental epoch a sensitive time for manifestations of cannabis misuse. Methods: Bivariate correlations were conducted to examine the association between obsessive-compulsive symptomatology and risky cannabis use, cannabis use problems, and the average quantity of cannabis used per occasion among a young ethno-racially diverse sample of college students with the past year history of cannabis use (N = 177, 68.95% female, Mage = 21.51, SD = 4.24). Next, multiple mediation analyses were conducted to examine the unique explanatory role of cannabis use motives (e.g., enhancement, conformity, coping, social, and expansion) for the association between the obsessive-compulsive symptoms and cannabis misuse variables which showed significant correlation with these symptoms at the bivariate level. Results: Obsessive-compulsive symptoms were significantly correlated with risky cannabis use (r = .19; p = .02), but not cannabis use problems or the average quantity of cannabis used per occasion. Conducting the multiple mediation for the relationship with the significant bivariate correlation, coping motives significantly explained the relationship between obsessive-compulsive symptoms and risky cannabis use (b = 0.04, SE = 0.02, 95% Bootstrapped CI [0.003, 0.10], Completely Standardized Indirect Effects = 0.07), after controlling for the variance accounted for by problematic alcohol use and smoking status. This indirect effect was not significant after adding anxiety and depressive symptoms as covariates to the model. Conclusions: These findings are discussed in terms of the development of specialized treatments to specifically target cannabis use coping motives among individuals with comorbid obsessive-compulsive disorder and cannabis misuse.

强迫症状与大麻滥用:大麻使用动机的解释作用。
目的:本研究的目的是探讨大麻使用动机对青少年大麻滥用不同方面与强迫症症状之间的关系的独特解释作用。青年成年的过渡时期的特点是新的实验机会以及新的外部压力。总的来说,这使得这个发展时期成为大麻滥用表现的敏感时期。方法:采用双变量相关分析,对过去一年有大麻使用史的年轻大学生(N = 177,女性68.95%,Mage = 21.51, SD = 4.24)进行强迫症症状与大麻危险使用、大麻使用问题和每次平均大麻使用量的相关性研究。接下来,我们进行了多重中介分析,以检验大麻使用动机(如增强、从众、应对、社交和扩张)对强迫症症状和大麻滥用变量之间的关联的独特解释作用,这些变量在双变量水平上显示出与这些症状的显著相关性。结果:强迫症状与大麻使用风险显著相关(r = 0.19;P = .02),但不包括大麻使用问题或每次使用大麻的平均数量。对具有显著双变量相关的关系进行多重中介,在控制问题酒精使用和吸烟状况造成的方差后,应对动机显著解释了强迫症状与危险大麻使用之间的关系(b = 0.04, SE = 0.02, 95% bootstrap CI[0.003, 0.10],完全标准化间接效应= 0.07)。在模型中加入焦虑和抑郁症状作为协变量后,这种间接效应不显著。结论:这些发现是在开发专门的治疗方法来专门针对大麻使用应对动机的强迫症和大麻滥用合并症的个体进行讨论。
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
CiteScore
4.90
自引率
13.60%
发文量
20
期刊介绍: Journal of Dual Diagnosis is a quarterly, international publication that focuses on the full spectrum of complexities regarding dual diagnosis. The co-occurrence of mental health and substance use disorders, or “dual diagnosis,” is one of the quintessential issues in behavioral health. Why do such high rates of co-occurrence exist? What does it tell us about risk profiles? How do these linked disorders affect people, their families, and the communities in which they live? What are the natural paths to recovery? What specific treatments are most helpful and how can new ones be developed? How can we enhance the implementation of evidence-based practices at clinical, administrative, and policy levels? How can we help clients to learn active recovery skills and adopt needed supports, clinicians to master new interventions, programs to implement effective services, and communities to foster healthy adjustment? The Journal addresses each of these perplexing challenges.
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