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Obsessive-Compulsive Symptoms and Cannabis Misuse: The Explanatory Role of Cannabis Use Motives
Journal of Dual Diagnosis ( IF 2.324 ) Pub Date : 2020-08-07
Jafar Bakhshaie, Eric A. Storch, Nhan Tran, Michael J. Zvolensky

Objective

The purpose of the present investigation was to examine the unique explanatory role of cannabis use motives above the effects of each other, for the relationship between obsessive-compulsive symptomatology and different aspects of cannabis misuse among young adults. The transitional years of young adulthood are characterized by new opportunities for experimentation as well as novel external stressors. Collectively, this makes this developmental epoch a sensitive time for manifestations of cannabis misuse. Methods: Bivariate correlations were conducted to examine the association between obsessive-compulsive symptomatology and risky cannabis use, cannabis use problems, and the average quantity of cannabis used per occasion among a young ethno-racially diverse sample of college students with the past year history of cannabis use (N = 177, 68.95% female, Mage = 21.51, SD = 4.24). Next, multiple mediation analyses were conducted to examine the unique explanatory role of cannabis use motives (e.g., enhancement, conformity, coping, social, and expansion) for the association between the obsessive-compulsive symptoms and cannabis misuse variables which showed significant correlation with these symptoms at the bivariate level. Results: Obsessive-compulsive symptoms were significantly correlated with risky cannabis use (r = .19; p = .02), but not cannabis use problems or the average quantity of cannabis used per occasion. Conducting the multiple mediation for the relationship with the significant bivariate correlation, coping motives significantly explained the relationship between obsessive-compulsive symptoms and risky cannabis use (b = 0.04, SE = 0.02, 95% Bootstrapped CI [0.003, 0.10], Completely Standardized Indirect Effects = 0.07), after controlling for the variance accounted for by problematic alcohol use and smoking status. This indirect effect was not significant after adding anxiety and depressive symptoms as covariates to the model. Conclusions: These findings are discussed in terms of the development of specialized treatments to specifically target cannabis use coping motives among individuals with comorbid obsessive-compulsive disorder and cannabis misuse.



中文翻译:

强迫症和大麻滥用:大麻使用动机的解释性作用

目的

本研究的目的是检验强迫症的症状与年轻人中大麻滥用的不同方面之间的关系,探讨大麻使用动机在彼此影响之上的独特解释作用。年轻人成年的过渡期以新的实验机会和新颖的外部压力为特征。总体而言,这使这一发展时期成为滥用大麻现象的敏感时期。方法:进行了双变量相关性研究,以调查强迫症的症状学与高风险大麻使用,大麻使用问题以及在过去一年有大麻使用历史的年轻种族差异样本的大学生中每次使用大麻的平均量之间的关系。 (N  = 177,女性占68.95%,M年龄= 21.51,SD  = 4.24)。接下来,进行了多种调解分析,以检验大麻使用动机(例如,增强,顺应,应对,社交和扩展)的独特解释作用,用于强迫症和大麻滥用变量之间的关联,这些变量与大麻滥用变量之间存在显着相关性。二元水平的症状。结果:强迫症与危险的大麻使用显着相关(r  = .19;p  = .02),但与大麻使用问题或每次使用大麻的平均数量无关。对具有显着双变量相关性的关系进行多重调解,应对动机显着说明了强迫症与大麻使用风险之间的关系(b  = 0.04,SE  = 0.02,95%自举CI [0.003,0.10],完全标准化间接在控制了因有问题的饮酒和吸烟状况造成的差异之后,效果= 0.07)。在模型中添加焦虑和抑郁症状作为协变量后,这种间接作用并不明显。结论:这些发现是根据专门治疗针对患有并发强迫症和大麻滥用的个体中针对大麻使用的应对动机的发展进行讨论的。

更新日期:2020-08-08
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