Mental and Physical Health-Related Cannabis Motives Mediate the Relationship between Childhood Trauma and Problematic Cannabis Use over Time among Emerging Adult Cannabis Users.
| Autor: | Conn BM; Department of Pediatrics, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.; Division of Adolescent and Young Adult Medicine, Children's Hospital Los Angeles, Los Angeles, California, USA., Brammer WA; Division of Adolescent and Young Adult Medicine, Children's Hospital Los Angeles, Los Angeles, California, USA., Choi S; Division of Adolescent and Young Adult Medicine, Children's Hospital Los Angeles, Los Angeles, California, USA., Fedorova EV; Department of Community Health and Prevention, Dornsife School of Public Health, Drexel University, Philadelphia, Pennsylvania, USA., Ataiants J; Department of Community Health and Prevention, Dornsife School of Public Health, Drexel University, Philadelphia, Pennsylvania, USA., Lankenau SE; Department of Community Health and Prevention, Dornsife School of Public Health, Drexel University, Philadelphia, Pennsylvania, USA., Wong CF; Department of Pediatrics, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.; Division of Adolescent and Young Adult Medicine, Children's Hospital Los Angeles, Los Angeles, California, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Substance use & misuse [Subst Use Misuse] 2024; Vol. 59 (2), pp. 193-207. Date of Electronic Publication: 2023 Dec 28. |
| DOI: | 10.1080/10826084.2023.2267111 |
| Abstrakt: | Background: While growing evidence has identified mental and physical health-related cannabis use motives as significant mechanisms between childhood trauma and problematic cannabis use (PCU) for emerging adults (EA), there is a need to understand the longitudinal stability of these pathways and how they impact PCU as cannabis users age into later adulthood. Methods: The current study extends an analysis examining the impact of childhood trauma (e.g., emotional abuse, sexual abuse) on multiple indicators of PCU through a range of cannabis use motives. 339 medical cannabis patient and non-patient EA users from the Los Angeles area were sampled at baseline (mean age = 21.23; SD = 2.48). The present analysis used four waves of follow-up data collected from 2016 to 2018 (W3, W4) and 2019-2020 (W5, W6). Results: Use of cannabis to cope with nausea, sleep, pain, and emotional distress mediated the relationships between some types of childhood abuse and PCU at W4, though most associations attenuated by later adulthood (W6). Specifically, greater emotional distress and nausea motives were associated with greater PCU in models of emotional abuse and neglect and sexual abuse, with emotional distress continuing to mediate at W6. Conversely, sleep and pain motives were associated with lower PCU in models for emotional neglect. Conclusions: Mental and physical health-related motives reflect potential intervenable factors that predict PCU in emerging adulthood among EA cannabis users with histories of childhood trauma. Results highlight the importance of and value for assessing a wide range of motives and PCU outcomes to target and address areas for intervention. |
| Databáze: | MEDLINE |
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