在美国年轻的西班牙裔和非西班牙裔黑人中，痛苦耐受性和大麻使用障碍症状之间的联系更强

Q1 Psychology

Addictive Behaviors Reports Pub Date : 2025-05-29 DOI:10.1016/j.abrep.2025.100616

Jessica P. Orea, Haylee K. DeLuca Bishop, Kim Pulvers

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引用次数: 0

摘要

在所有年龄组中，年轻人的大麻使用障碍（CUD）率最高。与CUD相关的一个重要但尚未得到充分研究的行为因素是痛苦耐受性（DT），尽管存在健康差异，但尚不清楚这种关联是否会随着种族/民族的变化而变化。这项研究检验了这样一种假设，即DT和CUD症状之间的关联在非西班牙裔黑人或西班牙裔(未被充分代表的少数民族；URM)，大麻应对动机将调解这种关联。方法过去30天使用大麻的参与者(N = 451；M = 21.3岁；女性占54.8%；33.0%西班牙裔；35.7%（非西班牙裔黑人）于2021年通过在线小组完成了一项横断面调查，其中包括痛苦耐受性、大麻应对动机和CUD症状的测量。对年龄、性别、教育程度、收入和大麻州合法性等协变量的调节、调解和有调节调解进行了检验。结果苦恼不耐受程度越高，CUD症状越严重（b = 1.85, p = 0.000）， URM组的影响比NHW组更强（b = -2.43, p = 0.002）。大麻动机介导痛苦不耐受与CUD症状之间的关联(间接效应：b = 1.069, SE = 0.222, 95% CI(b) =[。]662年,1.520])。不存在有调节的中介作用，表明DT与CUD症状之间的关联不因种族/民族而异（指数= 0.011,SE = 0.491, 95% CI(b) =[-0.916, 1.033]）。结论发展DT可能是预防和治疗CUD的有价值的方法，特别是在来自代表性不足背景的年轻人中。

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Association between distress tolerance and cannabis use disorder symptoms is stronger among U.S. young adults who identify as Hispanic and non-Hispanic Black

Background

Young adults have the highest rates of Cannabis Use Disorder (CUD) among all age groups. One important yet understudied behavioral factor linked with CUD is Distress Tolerance (DT), and it is unknown whether this association varies as a function of race/ethnicity, despite health disparities. This study tests the hypothesis that the association between DT and CUD symptoms will be stronger among young adults who identify as non-Hispanic Black or Hispanic (under-represented minoritized; URM) and that cannabis coping motives will mediate this association.

Method

Participants with past 30 day cannabis use (N = 451; M = 21.3 years; 54.8 % female; 33.0 % Hispanic; 35.7 % non-Hispanic Black) completed a cross-sectional survey administered through an online panel in 2021, which included measures of Distress Tolerance, Cannabis Coping Motives, and CUD symptoms. Moderation, mediation, and moderated mediation with covariates age, gender, education, income, and cannabis state legality were tested.

Results

Greater distress intolerance was associated with higher CUD symptoms (b = 1.85, p = 0.000) and the effect was stronger for URM than NHW individuals (b = -2.43, p = 0.002).

Cannabis motives mediated the association between distress intolerance and CUD symptoms (indirect effect: b = 1.069, SE = 0.222, 95 % CI(b) = [.662, 1.520]). Moderated mediation was not present, indicating that the link between DT and CUD symptoms by coping motives did not vary by race/ethnicity (index = 0.011, SE = 0.491, 95 % CI(b) = [-0.916, 1.033]).

Conclusion

Developing DT may be a valuable approach for preventing and treating CUD, particularly among young adults from underrepresented backgrounds.

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来源期刊

Addictive Behaviors Reports Medicine-Psychiatry and Mental Health

CiteScore

6.80

自引率

0.00%

发文量

审稿时长

71 days

期刊介绍： Addictive Behaviors Reports is an open-access and peer reviewed online-only journal offering an interdisciplinary forum for the publication of research in addictive behaviors. The journal accepts submissions that are scientifically sound on all forms of addictive behavior (alcohol, drugs, gambling, Internet, nicotine and technology) with a primary focus on behavioral and psychosocial research. The emphasis of the journal is primarily empirical. That is, sound experimental design combined with valid, reliable assessment and evaluation procedures are a requisite for acceptance. We are particularly interested in ''non-traditional'', innovative and empirically oriented research such as negative/null data papers, replication studies, case reports on novel treatments, and cross-cultural research. Studies that might encourage new lines of inquiry as well as scholarly commentaries on topical issues, systematic reviews, and mini reviews are also very much encouraged. We also welcome multimedia submissions that incorporate video or audio components to better display methodology or findings.