健康状况对抑郁症状与吸食大麻之间关系的调节作用

Alexandra Blair, Ashley Clawson, Natalie Keirns, Larry Mullins, John Chaney
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引用次数: 0

摘要

目的:大学生吸食大麻的情况越来越多。有关吸食大麻风险因素的信息很少。与自我药疗假说一致的是,出现抑郁症状和患有慢性疾病(CMC)与年轻人吸食大麻有关。具有这两种风险因素的人吸食大麻的风险可能更高。本研究探讨了抑郁症状、慢性病状况和吸食大麻之间的横截面关联,并确定了慢性病状况对抑郁症状和吸食大麻的调节作用。研究方法大学生(N = 3 742)自我报告了抑郁症状、CMC状态以及生前和当前吸食大麻的情况(即大麻蒸发器;使用大麻的电子尼古丁设备)。数据收集时间为 2017 年秋季至 2021 年春季。样本主要为女性(70.9%)和白人(75.4%)。使用了回归分析。结果显示抑郁症状的加重与吸食大麻的可能性增加有关。拥有 CMC 与终生吸食大麻史有关。CMC 状态可调节抑郁症状与终生吸食大麻之间的关系。抑郁症状仅是无 CMC 大学生吸食大麻的风险因素,而不是有 CMC 大学生吸食大麻的风险因素。结论:需要采取干预措施,教授应对抑郁症状的适应方法以及在大学中管理 CMC 的潜在需求。无论是否有 CMC,都需要针对大学生的综合计划来支持那些合并有抑郁症和吸食大麻的人。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Moderating Role of Health Status on the Association Between Depressive Symptoms and Cannabis Vaping
Objective: Cannabis vaping is increasing among college students. There is little information on risk factors for vaping cannabis. Consistent with the self-medication hypothesis, experiencing depressive symptoms and having a chronic medical condition (CMC) are associated with cannabis use among young adults. Individuals who experience both risk factors may be at higher risk for cannabis vaping. This study examined cross-sectional associations between depressive symptoms, CMC status, and cannabis vaping, and identified the moderating role of CMC status on depressive symptoms and cannabis vaping. Method: College students (N = 3,742) self-reported on depressive symptoms, CMC status, and lifetime and current cannabis vaping (i.e., cannabis vaporizers; electronic nicotine devices to use cannabis). Data were collected Fall 2017 until Spring 2021. The sample was predominantly female (70.9%) and White (75.4%). Regression analyses were used. Results: Greater depressive symptoms were related to increased likelihood of cannabis vaping across outcomes. Having a CMC was related to lifetime history of cannabis vaporizing. CMC status moderated the associations between depressive symptoms and lifetime cannabis vaporizing. Depressive symptoms were only a risk factor for cannabis vaporizing among college students without a CMC, not those with a CMC. Conclusions: Interventions that teach adaptive ways of coping with depressive symptoms and the potential demands of managing a CMC in college are needed. Comprehensive programs for college students, with and without CMCs, are needed to support those with comorbid depression and cannabis vaping use.
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