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Cannabis use for sleep aid among high school students: Concurrent and prospective associations with substance use and sleep problems
Addictive Behaviors ( IF 4.4 ) Pub Date : 2022-07-16 , DOI: 10.1016/j.addbeh.2022.107427
Patricia A Goodhines 1 , Amelia V Wedel 1 , Fatima Dobani 1 , Michelle J Zaso 2 , Les A Gellis 1 , Aesoon Park 1
Affiliation  

Introduction

Adolescents are at risk for both sleep problems and cannabis use. Despite emerging evidence for college students’ self-medication with cannabis to help sleep, generalizability to earlier developmental stages remains unknown. This study remedied this literature gap by characterizing high school students’ cannabis sleep aid use in terms of psychosocial correlates and prospective associations with substance use and sleep.

Methods

Data were drawn from a longitudinal urban adolescent health behavior study, Project Teen, including 407 9th-11th graders (Year 1 Mage = 16.00 [SD = 1.08, range = 13–19]; 58% female; 41% Black, 22% White, 18% Asian, 17% multiracial, 2% Native Hawaiian or other Pacific Islander, 1% American Indian or Alaska Native; 12% Hispanic/Latinx). Students completed two web-based surveys (Minterval = 388.89 days [SD = 27.34]) assessing substance use and sleep at Year 1 (Y1) and Year 2 (Y2).

Results

Students reporting lifetime cannabis sleep aid use (8%) endorsed greater depression and anxiety symptoms at Y1, as well as greater cannabis, alcohol, and cigarette use (but not insomnia symptoms or sleep durations) at Y1 and Y2, compared to non-using peers. Over one year, cannabis sleep aid use was associated with increased cannabis dependence symptoms among students using cannabis, past-2-week binge drinking among students using alcohol, and lifetime cigarette use. However, cannabis sleep aid use was not prospectively associated with changes in insomnia symptoms or sleep durations.

Conclusions

Although replication is needed, cannabis sleep aid use among high school students may be associated with exacerbated cannabis dependence symptoms and increased binge drinking and cigarette use over time, without the intended sleep benefit.



中文翻译:

高中生使用大麻辅助睡眠:与物质使用和睡眠问题的同时和前瞻性关联

介绍

青少年面临睡眠问题和吸食大麻的风险。尽管有越来越多的证据表明大学生使用大麻自我药疗来帮助睡眠,但其对早期发育阶段的普遍性仍然未知。这项研究通过心理社会相关性以及与物质使用和睡眠的前瞻性关联来描述高中生大麻助眠剂的使用,从而弥补了这一文献空白。

方法

数据取自 一项纵向城市青少年健康行为研究“青少年项目”,包括 407 名 9 至 11 年级 学生 (一年级年龄=  16.00 [ SD  = 1.08,范围 = 13–19];58% 为女性;41% 为黑人,22%白人、18% 亚洲人、17% 多种族、 2% 夏威夷原住民或其他太平洋岛民、1% 美洲印第安人或阿拉斯加原住民;12% 西班牙裔/拉丁裔)。学生完成了两项基于网络的调查(M间隔 = 388.89 天 [ SD  = 27.34]),评估 第一年 (Y1) 和第二年 (Y2) 的物质使用和睡眠情况。

结果

报告终生使用大麻助眠剂的学生 (8%) 表示,与不使用大麻相比,他们在第一年有更严重的抑郁和焦虑症状,以及在第一年和第二年更多地使用大麻、酒精和香烟(但不是失眠症状或睡眠持续时间)同行。在一年多的时间里,大麻助眠剂的使用与使用大麻的学生的大麻依赖症状增加、使用酒精的学生过去两周的酗酒以及终生吸烟有关。然而,大麻助眠剂的使用与失眠症状或睡眠持续时间的变化没有前瞻性关联。

结论

尽管需要复制,但高中生使用大麻助眠可能会加剧大麻依赖症状,并随着时间的推移增加酗酒和吸烟,而不会带来预期的睡眠益处。

更新日期:2022-07-21
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