在一项大麻干预试验中,青少年和年轻人使用大麻与睡眠之间的动态关联。

IF 3.5 2区 心理学 Q1 FAMILY STUDIES
Jamie E. Parnes, Kirstyn N. Smith-LeCavalier, Samuel N. Meisel, Robert Miranda Jr.
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引用次数: 0

摘要

改善对青少年和青壮年的大麻治疗是一项公共卫生优先事项。睡眠困难可能会成为治疗障碍,因为AYA可能会使用大麻作为助眠剂,而停止可能会导致与戒断相关的睡眠问题。虽然研究已经确定了大麻使用、CUD和睡眠之间的联系,但很少有研究在AYA治疗期间检查这些联系,也没有研究进行日水平分析。目前的研究检查了在AYA反刍刍病治疗期间大麻使用和睡眠困难之间的日水平、时间关联。2009 - 2012年,AYA (N = 65, 51%女性,15-24岁,57%白人)在接受认知行为治疗加动机增强治疗的同时完成了一项为期42天的生态瞬时评估研究。每天,参与者报告大麻使用量、睡眠持续时间和睡眠问题。我们使用时变效应模型来检查大麻使用、睡眠持续时间和睡眠困难之间的日间关联在治疗过程中是如何变化的,以及CUD严重程度是否缓和了这些关联。在治疗的第一周,大麻克数与重度反刍反刍患儿睡眠时间延长和轻度反刍反刍反刍患儿睡眠时间缩短有关。在第二周,无论CUD的严重程度如何,更多的大麻克与更短的睡眠时间有关。此外,在最初的两周内,大麻克与减少睡眠问题有关。除此之外,大麻的使用与睡眠持续时间和睡眠问题无关。研究结果表明,治疗AYA反刍病的临床医生应该在治疗早期提供更好的睡眠管理技能。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Dynamic associations between cannabis use and sleep in adolescents and young adults during a cannabis intervention trial

Dynamic associations between cannabis use and sleep in adolescents and young adults during a cannabis intervention trial

Improving cannabis treatment for adolescents and young adults (AYA) is a public health priority. Sleep difficulties may serve as a treatment barrier, as AYA may use cannabis as a sleep aid and cessation may induce withdrawal-related sleep problems. While research has identified associations between cannabis use, CUD, and sleep, few studies have examined these associations during AYA treatment, and no studies have conducted day-level analyses. The present study examined day-level, temporal associations between cannabis use and sleep difficulties during AYA CUD treatment. From 2009 to 2012, AYA (N = 65, 51% female, 15–24 years, 57% White) completed a 42-day ecological momentary assessment study while receiving cognitive behavioral therapy plus motivational enhancement therapy. Each day, participants reported on cannabis use quantity, sleep duration, and trouble sleeping. We used time-varying effect modeling to examine how day-level associations between cannabis use, sleep duration, and trouble sleeping changed across treatment, and if CUD severity moderated these associations. During the first week of treatment, cannabis grams were related to longer sleep among AYA with severe CUD and shorter sleep among AYA with mild CUD. During the second week, greater cannabis grams related to shorter sleep duration, regardless of CUD severity. Additionally, during these first 2 weeks, cannabis grams were related to reduced trouble sleeping. Cannabis use was otherwise unassociated with sleep duration and trouble. Findings suggest clinicians treating AYA CUD should provide greater sleep management skills early in treatment.

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来源期刊
CiteScore
6.90
自引率
8.30%
发文量
97
期刊介绍: Multidisciplinary and international in scope, the Journal of Research on Adolescence (JRA) significantly advances knowledge in the field of adolescent research. Employing a diverse array of methodologies, this compelling journal publishes original research and integrative reviews of the highest level of scholarship. Featured studies include both quantitative and qualitative methodologies applied to cognitive, physical, emotional, and social development and behavior. Articles pertinent to the variety of developmental patterns inherent throughout adolescence are featured, including cross-national and cross-cultural studies. Attention is given to normative patterns of behavior as well as individual differences rooted in personal or social and cultural factors.
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