期刊
DEPRESSION AND ANXIETY
卷 26, 期 9, 页码 864-870出版社
WILEY
DOI: 10.1002/da.20567
关键词
social anxiety disorder; social phobia; marijuana; cannabis; expectancies
资金
- National Institute of Drug Abuse [F31 DA12457-01]
Background: Individuals with social anxiety disorder (SAD) appear particularly vulnerable to marijuana-related problems. Yet, mechanisms underlying this association are unclear. Methods: This study examined the role of marijuana effect expectancies in the relation between SAD and marijuana problems among 107 marijuana users (43.0% female), 26.2% of whom met Diagnostic and Statistical Manual for Mental Disorders-Fourth Edition criteria for SAD. Anxiety and mood disorders were determined during clinical interviews using the Anxiety Disorders Interview Schedule-IV-L (ADIS-IV). Results: Analyses (including sex, marijuana use frequency, major depressive disorder, and other anxiety disorders) suggest that SAD was the only disorder significantly associated with past 3-month marijuana problems. Compared to those without SAD, individuals with SAD were more likely to endorse the following marijuana expectancies: cognitive/behavioral impairment and global negative expectancies. Importantly, these expectancies mediated the relations between SAD status and marijuana problems. Conclusions: These data support the contention that SAD is uniquely related to marijuana problems and provide insight into mechanisms underlying this vulnerability. Depression and Anxiety 26:864-870, 2009. Published 2009 Wiley-Liss, Inc.(dagger)
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