概念化药用大麻的有问题的使用:开发和初步验证简短的查问卷问卷
Daniel Feingold1, Or Gliksberg2, Silviu Brill3
1Psychology Department, Achva Academic College, Israel.
Addictive behaviors
|August 11, 2024
概括
有问题的医用大麻 (MC) 使用是由负面后果来定义的,而不仅仅是依赖. 一个新的八项尺度,药用大麻负面后果尺度 (MCNCS),可靠地识别了慢性疼痛患者的这种有问题的使用.
科学领域:
- 医学研究 医学研究
- 心理学 心理学 心理学
- 药理学 药理学是指药理学的学科.
背景情况:
- 在全球范围内,治疗慢性疼痛的医用大麻 (MC) 使用量正在上升.
- 缺乏问题性MC使用的明确定义,由于潜在的身体依赖而没有病理,与非医疗背景不同.
研究的目的:
- 为了概念化有问题的MC使用.
- 开发一个简短,有效的问卷,用于识别和量化有问题的MC使用.
主要方法:
- 内容验证使用了问题性物质使用的广泛定义,从阿片类药物和娱乐大麻工具中调整项目,以及患者访谈.
- 390名使用MC的慢性疼痛患者完成了最初的36项清单和临床结果问卷.
- 一个多组测量不变性策略将列表改进到八个项目,对酒精问题和抑郁症进行验证.
主要成果:
- 最后的八项量表,即医用大麻负面影响量表 (MCNCS),显示出极好的内部一致性 (α = 0.929).
- 大多数MNCS与焦虑和低生活质量有显著的相关性.
- 这些项目主要反映了MC使用的负面生理,社会,情感和功能后果.
结论:
- 问题性MC使用的特点是不良后果.
- 在临床和研究环境中,MCNCS是评估有问题的MC使用的可靠和有效的简短措施.
相关概念视频
Surveys
Often, psychologists develop surveys as a means of gathering data. Surveys are lists of questions to be answered by research participants, and can be delivered as paper-and-pencil questionnaires, administered electronically, or conducted verbally. Generally, the survey itself can be completed in a short time, and the ease of administering a survey makes it easy to collect data from a large number of people.
Analgesia and Pain Management
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
Opioid Analgesics: Morphine and Other Natural Cogeners
Opioids are a class of drugs that mimic endogenous opioid peptides and act on opioid receptors, and help in pain relief. These compounds are classified as natural, synthetic, or semi-synthetic. Natural opioids, like morphine, codeine, and thebaine, are derived from the opium poppy plant (Papaver somniferum or Papaver album) and are termed opiates. Synthetic opioids are artificial, while semi-synthetic opioids combine natural and synthetic compounds. Morphine, a prototypical opioid, possesses a...
Opioid Analgesics: Synthetic and Semisynthetic Opioids
Synthetic and semisynthetic opioids are pivotal in pain management and tackling opioid addiction. Semisynthetic opioids, including morphinans (morphine derivatives), oxycodone, oxymorphone, hydrocodone, and hydromorphone, have improved pharmacokinetic profiles compared to morphine. Additionally, heroin and 6-MAM (6-Monoacetylmorphine) show better CNS penetration than morphine due to heightened lipid solubility. Hydromorphone, a potent opioid, undergoes hepatic metabolism to form the active...


