不良童年经历与有问题的大麻使用:情绪失调和情感冲动的作用

Jenna Vieira, Lindsey Snaychuk, Jana Milicevic, David Hodgins, Will Shead, Matthew T. Keough, Andrew (Hyounsoo) Kim
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引用次数: 0

摘要

有问题地吸食大麻在中学后学生中非常普遍。因此,有必要研究这一人群中与问题性吸食大麻相关的风险因素。本研究调查了情绪失调是否会调节童年不良经历(ACE)与问题性吸食大麻之间的关系,以及情绪冲动(消极和积极的紧迫感)是否会独特地调节这种关系。参与者包括从加拿大五所大学招募的当前大麻使用者(N = 586)。参与者完成了一项在线调查,其中包含对 ACE、情绪失调、消极和积极紧迫感以及问题大麻使用情况的自我报告测量。在大专生样本中,有 36% (n = 213)达到了有问题使用大麻的临界值。调节中介分析显示,ACE 与情绪失调和问题大麻使用呈正相关。在中度和高度(但非低度)的消极紧迫性水平上,以及在中度和高度(但非低度)的积极紧迫性水平上,情绪失调对 ACE 与问题性大麻使用之间的关联也有明显的间接影响。在控制了冲动性的其他方面后,调节中介模型仍然显著。研究结果表明,情绪失调和紧迫感水平的升高是有 ACE 史的大专学生使用问题大麻的重要近端风险因素。虽然鉴于过去发生的 ACE 无法改变,但旨在培养正念和适应性情绪调节技能的干预措施可能有益于降低这些学生在经历情绪困扰时做出冲动行为(如吸食大麻)的可能性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Adverse Childhood Experiences and Problematic Cannabis Use: The Role of Emotion Dysregulation and Affective Impulsivity
Problematic cannabis use is highly prevalent among postsecondary students. Consequently, there is a need to examine risk factors associated with problematic cannabis use in this population. The present study investigated whether emotion dysregulation mediates the relationship between adverse childhood experiences (ACEs) and problematic cannabis use, and whether affective impulsivity (negative and positive urgency) uniquely moderates this relationship. Participants consisted of current cannabis users (N = 586) recruited from five universities across Canada. Participants completed an online survey containing self- report measures of ACEs, emotion dysregulation, negative and positive urgency, and problematic cannabis use. Among the sample of postsecondary students, 36% (n = 213) met the threshold for problematic cannabis use. Moderated-mediation analyses revealed that ACEs were positively associated with emotion dysregulation and problematic cannabis use. There was also a significant indirect effect of emotion dysregulation on the association between ACEs and problematic cannabis use at moderate and high (but not low) levels of negative urgency, and at moderate and high (but not low) levels of positive urgency. The moderated-mediation models remained significant when controlling for other facets of impulsivity. Results suggest that elevated levels of emotion dysregulation and urgency are important proximal risk factors for problematic cannabis use among postsecondary students with a history of ACEs. While ACEs cannot be modified given their occurrence in the past, interventions that aim to build mindfulness and adaptive emotion regulation skills may be beneficial for reducing the likelihood that these students will engage in impulsive behaviors, such as cannabis use, when experiencing emotional distress.
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