Background: The majority of people with cannabis use disorder do not seek treatment. If we were able to gain more insight into different subgroups of cannabis users based on help-seeking preferences, we could use this information to inform the development and promotion of interventions targeted at specific subgroups of cannabis users, to ultimately narrow the treatment gap. Methods: An online survey was conducted among 1,015 Dutch frequent cannabis users (18–72 years) to assess their cannabis use, help-seeking preferences, psychopathology, and psychological distress. Latent class analysis was used to identify classes of cannabis users based on their help-seeking preferences. Differences between the identified classes in terms of sociodemographics, cannabis use, and psychopathology were examined. Results: We identified four classes with distinct preferences for support. Class 1 (“no support/only social,” n = 548) had a low probability of finding any form of support appealing other than social support. Class 2 (“online help,” n = 170) had relatively high probabilities of finding online help appealing. Class 3 (“GP/outpatient,” n = 208) had a relatively high probability of finding support from the general practitioner and outpatient substance use disorder treatment appealing. Class 4 (“all sources,” n = 89) had moderate to high probabilities for all sources of support. In terms of sociodemographics, differences between the classes were found with regard to gender and level of education. The classes were fairly similar with regard to cannabis use, only the “online help” class scored significantly lower on both cannabis use frequency and quantity compared to most of the other classes. In terms of psychopathology, the “GP/outpatient” class and the “all sources” class experienced more cannabis use-related problems and were more likely to report multiple past quit attempts than the “online help” class and the “no support/only social” class. Conclusions: Our study shows that there is a lot of inter-individual variation in how appealing various forms of help are to cannabis users. Our findings emphasize the importance of promoting a variety of treatment modalities for cannabis users, including real-life and digital options, and indicate what might appeal to whom.
Eur Addict Res

中文翻译：

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根据寻求帮助的偏好识别大麻用户的亚组：潜在类别分析

背景：大多数大麻使用障碍患者不寻求治疗。如果我们能够根据寻求帮助的偏好更深入地了解不同的大麻使用者亚群，我们就可以利用这些信息来为针对特定大麻使用者亚群的干预措施的开发和推广提供信息，最终缩小治疗差距。方法：对 1,015 名经常使用大麻的荷兰人（18-72 岁）进行了一项在线调查，以评估他们的大麻使用情况、寻求帮助的偏好、精神病理学和心理困扰。潜在类别分析用于根据寻求帮助的偏好来识别大麻使用者的类别。研究了所确定的类别在社会人口学、大麻使用和精神病理学方面的差异。结果：我们确定了四个具有不同支持偏好的类别。1 类（“没有支持/只有社交”， n = 548）发现除社会支持之外的任何形式的支持的可能性很低。第 2 类（“在线帮助”， n = 170）发现在线帮助具有吸引力的概率相对较高。3 级（“GP/门诊”， n = 208）从全科医生那里获得支持的可能性相对较高，门诊物质使用障碍治疗具有吸引力。第 4 类（“所有来源”， n= 89) 对所有支持来源具有中到高概率。在社会人口学方面，发现班级之间在性别和教育水平方面存在差异。这些课程在大麻使用方面非常相似，只有“在线帮助”课程在大麻使用频率和数量上的得分明显低于其他大多数课程。在精神病理学方面，“全科医生/门诊”班和“所有来源”班经历了更多与大麻使用相关的问题，并且比“在线帮助”班和“不支持/仅支持”班更有可能报告过去多次戒烟尝试社会阶层。结论：我们的研究表明，各种形式的帮助对大麻使用者的吸引力存在很大的个体差异。我们的研究结果强调了为大麻使用者推广各种治疗方式的重要性，包括现实生活和数字选择，并指出什么可能对谁有吸引力。
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