Scoping Review of Cannabis-Reduction Psychosocial Interventions and Reasons for Use among Young Adults with Psychosis.

IF 1.5 4区医学 Q3 PSYCHIATRY

Journal of Dual Diagnosis Pub Date : 2023-04-01 Epub Date: 2023-06-30 DOI:10.1080/15504263.2023.2226024

Ryan Petros, Denise D Walker, Adam Pierce, Maria Monroe-DeVita

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引用次数: 2

Abstract

Objective: No evidence-based intervention effectively reduces cannabis use in young adults with psychosis (YAP). To generate hypotheses about why, a scoping review was conducted to synthesize evidence about motivations for cannabis use and reduction/cessation for YAP and the psychosocial interventions trialed to identify possible gaps between motivations and interventive strategies. Methods: A systematic literature search was conducted in December, 2022. Reviews of titles and abstracts (N = 3,216) and full-texts (n = 136) resulted in 46 articles. Results: YAP use cannabis for pleasure, to reduce dysphoria, and for social and recreational reasons; motivations for cessation include insight about cannabis-psychosis interactions, incompatibility with goals and social roles, and support from social networks. Interventions with at least minimal evidence of efficacy include motivational interviewing, cognitive-behavioral strategies, and family skills training. Conclusions: Authors recommend additional research on mechanisms of change and motivational enhancement therapy, behavioral activation, and family-based skills interventions matched to YAP motivations for use/cessation.

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减少大麻的心理社会干预措施的范围综述以及在患有精神病的年轻人中使用的原因。

目的：没有循证干预措施能有效减少患有精神病的年轻人（YAP）对大麻的使用。为了产生关于原因的假设，进行了一项范围界定审查，以综合有关大麻使用动机和减少/停止YAP的证据，以及试验的心理社会干预措施，以确定动机和干预策略之间可能存在的差距。方法：于2022年12月进行系统的文献检索。标题和摘要综述（N = 3216）和全文（n = 136）共产生46篇文章。结果：YAP使用大麻是为了娱乐，减少焦虑，以及社交和娱乐原因；戒烟的动机包括对大麻精神病相互作用的了解、与目标和社会角色的不相容性以及来自社交网络的支持。有效性证据最少的干预措施包括动机访谈、认知行为策略和家庭技能培训。结论：作者建议对与YAP使用/停止动机相匹配的改变机制和动机增强治疗、行为激活和基于家庭的技能干预进行进一步研究。

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来源期刊

Journal of Dual Diagnosis Multiple-

CiteScore

4.90

自引率

13.60%

发文量

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.