Cannabis-Related Problems and Social Anxiety: The Mediational Role of Post-Event Processing

Ecker, Anthony H.; Buckner, Julia D.

doi:10.1080/10826084.2017.1322984

Cited by 15 publications

(14 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Consistent with previous work from the alcohol literature (Bravo et al, 2017;Bravo, Pilatti, et al, 2018), elevated depressive symptoms were associated with higher problem-focused thoughts which, in turn, were associated with greater coping motives that were tied to greater marijuana involvement. These results add to the growing body of research highlighting the mediational role of cognitive variables in the relationship between internalizing symptoms and cannabis disorders in college students (Ecker & Buckner, 2018) and adolescents (Adrian et al, 2014).…”

Section: Discussionmentioning

confidence: 52%

Depressive symptoms, ruminative thinking, marijuana use motives, and marijuana outcomes: A multiple mediation model among college students in five countries

Bravo

Sotelo

Pilatti

et al. 2019

Drug and Alcohol Dependence

View full text Add to dashboard Cite

Background: Previous studies have evidenced that rumination and drinking motives may mediate the association between depressive symptoms and alcohol outcomes. The present study cross-culturally examined whether a similar mediation model may extend to marijuana. Specifically, we tested distinct rumination facets (problem-focused thoughts, counterfactual thinking, repetitive thoughts, and anticipatory thoughts) and marijuana use motives (social, coping, expansion, conformity, enhancement) as double-mediators of the paths from depressive symptoms to marijuana outcomes (use and consequences). Method:A comprehensive mediation path model was tested in a cross-sectional sample of college student marijuana users (n = 1,175) from five countries (U.S., Argentina, Uruguay, Spain, Netherlands). Multi-group models were tested to determine if the proposed mediational model was invariant across sex and different cultures/countries. Results: Depressive symptoms and marijuana outcomes were indirectly associated through ruminative thinking and marijuana motives. Specifically, higher depressive symptoms were associated with higher problem-focused thoughts; which in turn were associated with: a) higher endorsement of coping motives which in turn was associated with higher marijuana use and related consequences and b) lower endorsement of enhancement motives which in turn was associated with lower marijuana use and related consequences. The multi-group analyses showed that the model was invariant across sex and the five countries. Conclusions: The present research supports the existence of a universal (i.e., cross-national invariant) negative affect regulation pathway to marijuana use/misuse similar to those previously found with alcohol. Additional research is needed to confirm the role of enhancement motives in the associations of depression, rumination and marijuana outcomes.

show abstract

Section: Discussionmentioning

confidence: 52%

Depressive symptoms, ruminative thinking, marijuana use motives, and marijuana outcomes: A multiple mediation model among college students in five countries

Bravo

Sotelo

Pilatti

et al. 2019

Drug and Alcohol Dependence

View full text Add to dashboard Cite

show abstract

“…It is widely understood that the use of addictive substances impacts mental health adversely. Cannabis use has been linked with numerous adverse mental health outcomes including reduced educational achievement [ 1 , 2 ], increased criminal involvement [ 3 ], reduced accomplishment of adult goals (education, employment, stable long term relationships) [ 4 ], depression [ 5 – 7 ] bipolar disorder [ 8 – 10 ], anxiety [ 7 , 11 – 13 ], suicidality [ 7 , 10 , 14 , 15 ], schizophrenia, psychosis [ 16 – 23 ] and other drug use [ 24 ].…”

Section: Introductionmentioning

confidence: 99%

Co-occurrence across time and space of drug- and cannabinoid- exposure and adverse mental health outcomes in the National Survey of Drug Use and Health: combined geotemporospatial and causal inference analysis

Reece

Hulse

2020

BMC Public Health

View full text Add to dashboard Cite

Background: Whilst many studies have linked increased drug and cannabis exposure to adverse mental health (MH) outcomes their effects on whole populations and geotemporospatial relationships are not well understood. Methods Ecological cohort study of National Survey of Drug Use and Health (NSDUH) geographically-linked substate-shapefiles 2010–2012 and 2014–2016 supplemented by five-year US American Community Survey. Drugs: cigarettes, alcohol abuse, last-month cannabis use and last-year cocaine use. MH: any mental illness, major depressive illness, serious mental illness and suicidal thinking. Data analysis: two-stage, geotemporospatial, robust generalized linear regression and causal inference methods in R. Results 410,138 NSDUH respondents. Average response rate 76.7%. When drug and sociodemographic variables were combined in geospatial models significant terms including tobacco, alcohol, cannabis exposure and various ethnicities remained in final models for all four major mental health outcomes. Interactive terms including cannabis were related to any mental illness (β-estimate = 1.97 (95%C.I. 1.56–2.37), P < 2.2 × 10− 16), major depressive episode (β-estimate = 2.03 (1.54–2.52), P = 3.6 × 10− 16), serious mental illness (SMI, β-estimate = 2.04 (1.48–2.60), P = 1.0 × 10− 12), suicidal ideation (β-estimate = 1.99 (1.52–2.47), P < 2.2 × 10− 16) and in each case cannabis alone was significantly associated (from β-estimate = − 3.43 (− 4.46 − −2.42), P = 3.4 × 10− 11) with adverse MH outcomes on complex interactive regression surfaces. Geospatial modelling showed a monotonic upward trajectory of SMI which doubled (3.62 to 7.06%) as cannabis use increased. Extrapolated to whole populations cannabis decriminalization (4.26%, (4.18, 4.34%)), Prevalence Ratio (PR) = 1.035(1.034–1.036), attributable fraction in the exposed (AFE) = 3.28%(3.18–3.37%), P < 10− 300) and legalization (4.75% (4.65, 4.84%), PR = 1.155 (1.153–1.158), AFE = 12.91% (12.72–13.10%), P < 10− 300) were associated with increased SMI vs. illegal status (4.26, (4.18–4.33%)). Conclusions Data show all four indices of mental ill-health track cannabis exposure across space and time and are robust to multivariable adjustment for ethnicity, socioeconomics and other drug use. MH deteriorated with cannabis legalization. Cannabis use-MH data are consistent with causal relationships in the forward direction and include dose-response and temporal-sequential relationships. Together with similar international reports and numerous mechanistic studies preventative action to reduce cannabis use is indicated.

show abstract

“…Several studies on the relationship between social anxiety and problematic cannabis use also support this hypothesis. For example, Ecker and Buckner (2017, 2018) suggest that postevent ruminations are an important process for understanding the link between social anxiety and problematic cannabis use, and it has been suggested that a high tendency to be self‐focused is responsible for the emergence of postevent processing (Sluis et al, 2017). Therefore, self‐focused attention is probably an important process in the development and maintenance of problematic cannabis use in socially anxious people.…”

Section: Discussionmentioning

confidence: 99%

“…Subsequent studies have also found a positive association between cannabis use or related problems and RNT (du Pont et al, 2018; Ecker & Buckner, 2017, 2018). For example, Ecker and Buckner (2017, 2018) showed that postevent processing, a specific form of RNT about social situations implicated in the development and maintenance of social anxiety (Sluis et al, 2017), was positively associated cross‐sectionally with cannabis‐related problem severity and experimentally with cannabis use frequency. Overall, these data suggest that different forms of RNT could be a risk factor for problematic cannabis use, although the data are limited.…”

Section: Introductionmentioning

confidence: 94%

Repetitive negative thinking, metacognitive beliefs, and their interaction as possible predictors for problematic cannabis use

Hamonniere

Milan

Varescon

2021

Clin Psychology and Psychoth

View full text Add to dashboard Cite

show abstract

Cannabis-Related Problems and Social Anxiety: The Mediational Role of Post-Event Processing

Cited by 15 publications

References 36 publications

Depressive symptoms, ruminative thinking, marijuana use motives, and marijuana outcomes: A multiple mediation model among college students in five countries

Depressive symptoms, ruminative thinking, marijuana use motives, and marijuana outcomes: A multiple mediation model among college students in five countries

Co-occurrence across time and space of drug- and cannabinoid- exposure and adverse mental health outcomes in the National Survey of Drug Use and Health: combined geotemporospatial and causal inference analysis

Repetitive negative thinking, metacognitive beliefs, and their interaction as possible predictors for problematic cannabis use

Contact Info

Product

Resources

About