Jamie E Parnes, Wouter J Kiekens, Ethan H Mereish, Kelsey Sawyer, Robert Miranda
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引用次数: 0
摘要
综述目的：在性和性别少数群体（SGM）中，大麻使用和大麻使用障碍（CUD）的比例不成比例地升高。少数压力源（例如，受害，内化耻辱）是SGM大麻和相关结果的有力预测因子。心理中介框架假设应对和情绪调节、社会/人际、认知和SGM群体特定功能的变化解释了少数群体压力和大麻结果之间的关联。本系统综述涵盖了现有的文献评估将少数民族压力与大麻使用和相关结果联系起来的假定机制。最新发现：截至2023年11月，在MEDLINE， Embase, PsycInfo， CINAHL和Web of Science上进行了搜索。我们确定了12篇文章。我们使用心理调解框架中的类别对机制进行分类。几项研究评估了应对和情绪调节机制，最有力地支持大麻应对动机，并初步支持抑郁症状和情绪失调。很少有研究评估社会/人际关系和认知机制，没有发现支持这些机制。最后，初步支持内化的异性恋/自恋歧视是一种群体特异性机制。摘要：本综述的研究结果为心理调解框架提供了一些支持，强调了未来研究测试该框架的方向，并强调了与SGM个体大麻使用和CUD相关的干预目标。
LGBT-THC: A Systematic Review of Psychosocial Mechanisms Linking Minority Stressors and Cannabis Use among Sexual and Gender Minoritized Individuals.
Purpose of review: There are disproportionately elevated rates of cannabis use and cannabis use disorder (CUD) among sexual and gender minoritized (SGM) individuals. Minority stressors (e.g., victimization, internalized stigma) are a robust predictor of SGM cannabis and related outcomes. The psychological mediation framework posits that changes in coping and emotion regulation, social/interpersonal, cognitive, and SGM group-specific functioning explain associations between minority stress and cannabis outcomes. This systematic review covers the extant literature evaluating the putative mechanisms that link minority stress to cannabis use and related outcomes.
Recent findings: Searches were conducted on MEDLINE, Embase, PsycInfo, CINAHL, and Web of Science through November 2023. We identified 12 articles. We sorted mechanisms using categories from the psychological mediation framework. Several studies evaluated coping and emotion regulation mechanisms, with strongest support for cannabis coping motives and preliminary support for depressive symptoms and emotion dysregulation. Few studies evaluated social/interpersonal and cognitive mechanisms, and none found support for these mechanisms. Lastly, there was preliminary support for internalized hetero/cissexism as a group-specific mechanism.
Summary: The findings of this review provide some support for the psychological mediation framework, highlight future directions for research testing this framework, and underscore some targets of intervention related to cannabis use and CUD among SGM individuals.
期刊介绍：
This journal focuses on the prevention, assessment and diagnosis, and treatment of addiction. Designed for physicians and other mental health professionals who need to keep up-to-date with the latest research, Current Addiction Reports offers expert reviews on the most recent and important research in addiction. We accomplish this by appointing leaders in the field to serve as Section Editors in key subject areas and disciplines, such asAlcoholTobaccoStimulants, cannabis, and club drugsBehavioral addictionsGender disparities in addictionComorbid psychiatric disorders and addictionSubstance abuse disorders and HIVSection Editors, in turn, select the most pressing topics as well as experts to evaluate the latest research, report on any controversial discoveries or hypotheses of interest, and ultimately bring readers up-to-date on the topic. Articles represent interdisciplinary endeavors with research from fields such as psychiatry, psychology, pharmacology, epidemiology, and neuroscience.Additionally, an international Editorial Board—representing a range of disciplines within addiction medicine—ensures that the journal content includes current, emerging research and suggests articles of special interest to their country or region.
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