大麻使用特征、冲动和正念之间的联系

Sam Feck, R. Houston
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引用次数: 0

摘要

冲动被认为是大麻使用和大麻相关问题的一个因素。然而,冲动是一个多方面的结构。最近在物质使用方面的工作使用了UPPS-P冲动行为问卷(UPPS-P),该问卷旨在评估冲动的五个方面。对冲动性和大麻使用特征的这些方面的研究有些不一致,但通常表明,感觉寻求和缺乏预谋可能与大麻使用有关,而负面紧迫性可能与大麻相关问题有关。此外,大量文献表明,正念,即以非评判、非反应和宽容的方式将注意力集中在当前时刻的能力,在药物使用者中会下降。然而,关于正念和大麻使用特征的文献相对不一致。因此,当前研究的目的是复制和扩展先前关于冲动、正念和大麻使用之间关系的研究。社区成人样本(N = 289,137名女性)完成了一项在线调查,包括简短的UPPS-P (SUPPS-P)冲动问卷,正念注意意识量表(MAAS)以及关于大麻使用和大麻相关问题的问题。对全部样本进行的逻辑回归显示,SUPPS-P缺乏预谋和MAAS总分以及酒精消费量是大麻使用者状态(即过去30天内的使用情况)的显著正预测因子。缺乏预谋的发现与先前的研究是一致的,但是增加正念和大麻使用者状态之间的联系是出乎意料的。使用大麻的心态和身体环境可能会对主观体验产生影响,因此,使用者可能正在寻求与总体幸福感相关的效果,类似于迷幻药使用研究中看到的效果。在过去30天内报告使用大麻的大麻使用者的子样本中(n = 87),冲动方面或正念与大麻使用频率之间没有显着关联。冲动或正念变量没有成为大麻使用者相关问题的重要预测因素;尽管,与先前的研究一致,与SUPPS-P负性急迫性的关联接近显著性。与酒精有关的问题也与大麻有关的问题有关。这些发现扩展了以前的文献,并对识别问题/无序使用的风险以及改进问题大麻使用的干预和治疗方法具有影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Associations between Cannabis Use Characteristics, Impulsivity, and Mindfulness
Impulsivity has been implicated as a factor in cannabis use and cannabis-related problems. However, impulsivity is a multi-faceted construct. Recent work in substance use has used the UPPS-P Impulsive Behavior Questionnaire (UPPS-P), which is designed to assess five facets of impulsivity. Research examining these facets of impulsivity and cannabis use characteristics is somewhat inconsistent, but generally has suggested that Sensation Seeking and Lack of Premeditation may be related to cannabis use and Negative Urgency may be associated with cannabis-related problems. In addition, a substantial literature exists suggesting that mindfulness, the ability to focus one’s attention on the present moment in a non-judgmental, non-reactive, and tolerant manner, is decreased in substance users. However, the literature specific to mindfulness and cannabis use characteristics is relatively inconsistent. Thus, the aim of the current study was to replicate and extend prior research on the associations between impulsivity, mindfulness, and cannabis use. A community sample of adults (N = 289, 137 female) completed an online survey that included the Short UPPS-P (SUPPS-P) impulsiveness questionnaire, Mindfulness Attention Awareness Scale (MAAS), and questions about cannabis use and cannabis-related problems. A logistic regression in the full sample revealed that SUPPS-P Lack of Premeditation and MAAS total scores, as well as alcohol consumption, were significant positive predictors of cannabis user status (i.e., use in the past 30 days). The Lack of Premeditation finding is consistent with prior studies, but the association between increased mindfulness and cannabis user status was unexpected. It’s possible that the mind set and physical setting in which cannabis is used has influence on the subjective experience, and thus, users may be seeking effects relevant for an overall sense of well-being similar to that seen in research on psychedelic drug use. In the subsample of cannabis users that reported use in the past 30 days (n = 87), no significant associations were revealed between impulsivity facets or mindfulness and cannabis use frequency. No impulsivity or mindfulness variables emerged as significant predictors of cannabis-related problems in users; although, consistent with prior studies, the association with SUPPS-P Negative Urgency approached significance. Alcohol-related problems were associated with cannabis-related problems as well. These findings extend the previous literature and have implications in identifying risk for problematic/disordered use as well as improving upon interventions and treatment approaches for problematic cannabis use.
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