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10.11.2023 | Original Article

Cannabis Coping Motives Might Mediate the Association Between PTSD Symptom Severity and Trauma Cue–Elicited Cannabis Craving

verfasst von: Pars Atasoy, Laura Lambe, Sarah DeGrace, Tessa Cosman, Pablo Romero-Sanchiz, Sherry H. Stewart

Erschienen in: International Journal of Mental Health and Addiction

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Abstract

Conditioned cannabis craving to trauma cues, arising through coping-motivated cannabis use, may contribute to PTSD—cannabis use disorder comorbidity. However, prior work unexpectedly failed to support negative affect–specific coping motives as a mediator of the PTSD symptom severity–trauma cue–elicited cannabis craving association. We re-examined this mediation after combining negative affect–specific with PTSD symptom–specific coping motives. Fifty trauma-exposed cannabis users completed measures of PTSD symptoms, both types of cannabis coping motives, and a standardized interview about their most severe trauma as a cue-reactivity paradigm. Following the interview, participants completed a measure of trauma cue–elicited cannabis craving. The composite cannabis coping motive measure, but neither cannabis coping motive measure alone, mediated association between PTSD symptom severity and trauma cue–elicited craving. Thus, those with more severe PTSD symptoms may be at heightened risk of trauma cue–elicited cannabis craving via their greater tendency to use cannabis to cope with various aversive internal experiences.
Literatur
Zurück zum Zitat DeGrace, S., Romero-Sanchiz, P., Tibbo, P., Barrett, S., Arenella, P., Cosman, T., ... & Stewart, S. H. (2023a). Do trauma cue exposure and/or PTSD symptom severity intensify selective approach bias toward cannabis cues in regular cannabis users with trauma histories?. Behaviour Research and Therapy, 169, 104387. https://​doi.​org/​10.​1016/​j.​brat.​2023.​104387 DeGrace, S., Romero-Sanchiz, P., Tibbo, P., Barrett, S., Arenella, P., Cosman, T., ... & Stewart, S. H. (2023a). Do trauma cue exposure and/or PTSD symptom severity intensify selective approach bias toward cannabis cues in regular cannabis users with trauma histories?. Behaviour Research and Therapy, 169, 104387. https://​doi.​org/​10.​1016/​j.​brat.​2023.​104387
Zurück zum Zitat DeGrace, S., Romero‐Sanchiz, P., Yakovenko, I., Barrett, S. P., Tibbo, P., Cosman, T., Atasoy, P., & Stewart, S. H. (2023b). Do we really need two sessions?: The use of a structured interview as a trauma cue reactivity paradigm. International Journal of Methods in Psychiatric Research, e1979. https://​doi.​org/​10.​1002/​mpr.​1979 DeGrace, S., Romero‐Sanchiz, P., Yakovenko, I., Barrett, S. P., Tibbo, P., Cosman, T., Atasoy, P., & Stewart, S. H. (2023b). Do we really need two sessions?: The use of a structured interview as a trauma cue reactivity paradigm. International Journal of Methods in Psychiatric Research, e1979. https://​doi.​org/​10.​1002/​mpr.​1979
Zurück zum Zitat Hayes, A. F. (2017). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. Guilford. Hayes, A. F. (2017). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. Guilford.
Zurück zum Zitat Institute of Medicine (US) Committee on Military Nutrition Research. (2001). Caffeine for the sustainment of mental task performance: Formulations for military operations. National Academies Press. Institute of Medicine (US) Committee on Military Nutrition Research. (2001). Caffeine for the sustainment of mental task performance: Formulations for military operations. National Academies Press.
Zurück zum Zitat Mowrer, O. H. (1947). On the dual nature of learning: A re-interpretation of "conditioning" and "problem-solving". Harvard Educational Review, 17, 102–148. Mowrer, O. H. (1947). On the dual nature of learning: A re-interpretation of "conditioning" and "problem-solving". Harvard Educational Review, 17, 102–148.
Zurück zum Zitat Sinha, R., & Tuit, K. L. (2012). Imagery script development procedures. Create Space Independent Publishing Platform. Sinha, R., & Tuit, K. L. (2012). Imagery script development procedures. Create Space Independent Publishing Platform.
Zurück zum Zitat Weathers, F. W., Blake, D. D., Schnurr, P. P., Kaloupek, D. G., Marx, B. P., & Keane, T. M. (2013). The Life Events Checklist for DSM-5 (LEC-5). The National Center for PTSD http://​www.​ptsd.​va.​gov Weathers, F. W., Blake, D. D., Schnurr, P. P., Kaloupek, D. G., Marx, B. P., & Keane, T. M. (2013). The Life Events Checklist for DSM-5 (LEC-5). The National Center for PTSD http://​www.​ptsd.​va.​gov
Zurück zum Zitat Yates, A. (1987). Multivariate exploratory data analysis: A perspective on exploratory factor analysis. SUNY Press. Yates, A. (1987). Multivariate exploratory data analysis: A perspective on exploratory factor analysis. SUNY Press.
Metadaten
Titel
Cannabis Coping Motives Might Mediate the Association Between PTSD Symptom Severity and Trauma Cue–Elicited Cannabis Craving
verfasst von
Pars Atasoy
Laura Lambe
Sarah DeGrace
Tessa Cosman
Pablo Romero-Sanchiz
Sherry H. Stewart
Publikationsdatum
10.11.2023
Verlag
Springer US
Erschienen in
International Journal of Mental Health and Addiction
Print ISSN: 1557-1874
Elektronische ISSN: 1557-1882
DOI
https://doi.org/10.1007/s11469-023-01190-z

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