问题性大麻使用和依恋不安全作为抑郁症的共同预测因素:横截面和纵向模型
Or Gliksberg1, Dvora Shmulewitz1, Vera Skvirsky1
1Israel Center for Addiction and Mental Health (ICAMH), Jerusalem, Israel; Department of Psychology, The Hebrew University of Jerusalem, Jerusalem, Israel.
Addictive behaviors
|January 10, 2026
概括
在有问题的大麻使用者中,依恋不安全会增加抑郁症的风险. 较高的依恋焦虑加剧了大麻与抑郁症的联系,随着时间的推移,焦虑和避免的结合加剧了结果.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 以前的研究表明,大麻使用,抑郁症和依恋不安全感之间存在联系.
- 这些关联通常使用有限的双变量方法进行检查.
研究的目的:
- 调查问题性大麻使用,抑郁和依恋不安全之间的横截面和纵向关联.
- 确定问题性大麻使用是否有助于抑郁,以及依恋不安全是否加剧了这种关系.
主要方法:
- 在两个时间点 (T1和T2) 收集了1,745名犹太以色列成年人的数据.
- 评估问题性大麻使用 (ASSIST),抑郁症 (PHQ-9) 和依恋不安全感 (ECR).
- 采用横截面和纵向模型,包括对终身大麻使用者的亚样本分析.
主要成果:
- 在这两个时间点,依恋焦虑显著缓解了大麻与抑郁症的关联,焦虑水平较高的关联更强.
- 纵向分析揭示了三向相互作用:依恋焦虑和回避程度较高的个体表现出抑郁症的最大增加.
- 在某些情况下,避免依恋缓冲了大麻使用对抑郁症的负面影响.
结论:
- 依恋的不安全感作为关键的脆弱性因素,加剧了有问题的大麻使用的抑郁影响.
- 临床干预应解决物质使用和依恋相关的脆弱性,包括情绪失调.
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