OBJECTIVE This study was designed to test the hypothesis that an Individualized Assessment and Treatment Program (IATP) for cannabis use disorder (CUD) that utilized experience sampling (ES) data to individualize treatment would be more effective at eliciting adaptive coping responses in high-risk situations than a more conventional cognitive-behavioral treatment. It was further expected that increases in momentary adaptive coping, positive affect, and self-efficacy expectancies would mediate the effects of treatment on momentary drug use in the hours following a temptation-to-use episode. METHOD The participants were 198 adults seeking treatment for CUD, randomized to receive either a conventional motivational enhancement + cognitive-behavioral treatment (MET-CBT) with or without contingency management (CM) or an IATP with or without CM. Treatment took place over nine individual sessions, and follow-ups were conducted out to 14 months post-intake. ES data were recorded in all treatments at pretreatment, and at various points during and after treatment. RESULTS Analyses of ES data indicated that the IATP conditions yielded greater increases in use of adaptive coping skills during temptation episodes than did the MET-CBT conditions. Mediation analyses supported the hypothesis that momentary use of coping skills mediates the effects of IATP on use or non-use of marijuana in the hours following a temptation episode. CONCLUSIONS Use of an individualized coping treatment approach results in lower use of marijuana in high-risk situations, and actual utilization of adaptive coping appears to be a mechanism of that effect. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

中文翻译：

---

接受治疗的成年人的瞬间应对和大麻使用：探索治疗机制。

目的 本研究旨在检验这样一个假设，即利用经验抽样 (ES) 数据进行个体化治疗的大麻使用障碍 (CUD) 个体化评估和治疗计划 (IATP) 将更有效地引发高危人群的适应性应对反应。与更传统的认知行为治疗相比。进一步预计，短暂适应性应对、积极情感和自我效能预期的增加将调节治疗对使用诱惑事件后数小时内短暂吸毒的影响。方法 参与者是 198 名寻求 CUD 治疗的成年人，随机接受常规动机增强 + 认知行为治疗 (MET-CBT)，有或没有应急管理 (CM)，或 IATP 有或没有 CM。治疗进行了九次单独的治疗，并在摄入后 14 个月内进行了随访。ES数据记录在治疗前的所有治疗中，以及治疗期间和治疗后的各个时间点。结果 对 ES 数据的分析表明，与 MET-CBT 条件相比，IATP 条件在诱惑发作期间对适应性应对技能的使用产生了更大的增加。中介分析支持这样的假设，即在诱惑事件发生后的几个小时内，暂时使用应对技巧会调节 IATP 对使用或不使用大麻的影响。结论 使用个体化应对治疗方法可降低高风险情况下大麻的使用率，而适应性应对的实际利用似乎是这种效应的一种机制。（PsycInfo 数据库记录 (c) 2021 APA，保留所有权利）。