用药治疗阿片类药物使用障碍的人群中的大麻使用:使用的相关性,模式和动机
Sarah E Leyde1, Joseph O Merrill1, Anna J Treadway2
1Department of Medicine, University of Washington School of Medicine, Seattle, WA, USA.
Substance use & addiction journal
|February 14, 2026
概括
在服用阿片类药物使用障碍 (MOUD) 药物的患者中,经常使用大麻是常见的. 这种使用与焦虑,恶心和低就业率有关,但不是MOUD结果.
科学领域:
- 成 药物 药物 药物 药物
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
背景情况:
- 大麻使用在接受阿片类药物使用障碍 (MOUD) 药物治疗的患者中普遍存在.
- 在这个人群中,与频繁使用大麻相关的因素尚不清楚.
- 了解这些因素对于综合护理至关重要.
研究的目的:
- 描述MOUD治疗的个体中大麻使用的相关性,模式和动机.
- 为了确定与频繁使用大麻 (≥3天/周) 相关的因素.
- 探索大麻使用的原因,包括症状管理和娱乐目的.
主要方法:
- 一项随机试验 (n=303) 将经常使用大麻的人与不经常使用/不使用的人进行比较.
- 评估了人口和临床特征.
- 一个频繁使用者的子样本完成了一项关于使用模式,动机和症状管理的调查.
主要成果:
- 27%的参与者经常使用大麻 (≥3天/周).
- 经常使用大麻与焦虑,恶心和就业率下降有关.
- 个人使用大麻用于症状管理 (压力,焦虑,疼痛,PTSD) 和娱乐; 52%希望减少使用.
结论:
- 在MOUD患者中,经常使用大麻与焦虑,恶心和低就业率有关.
- 在MOUD结果 (物质使用,保留) 中没有发现显著差异.
- 需要更多地关注对焦虑和疼痛等并发疾病的查和治疗.
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