Abstract
Anxiety sensitivity (AS), hopelessness (H), sensation seeking (SS), and impulsivity (IMP) are traits implicated in substance misuse risk. Protective behavioral strategies for marijuana (PBS-M) are behaviors that decrease adverse effects of cannabis use. We hypothesized H, SS, and IMP would be associated with increased adverse cannabis outcomes via decreased PBS-M use, whereas AS would be indirectly associated with decreased cannabis outcomes via increased PBS-M use, and directly associated with increased cannabis-related problems. Analyses were conducted on data from N = 520 past six-month cannabis-using university students who completed measures of personality, PBS-M, cannabis use frequency, and cannabis-related problems. H and IMP were associated with more frequent and problematic cannabis use via decreased PBS-M use. AS was associated with less frequent and problematic cannabis use via increased PBS-M use. PBS-M may prove a useful intervention target to mitigate risk for frequent and problematic cannabis use in university students high on H or IMP.
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References
Abramson, L. Y., Metalsky, G. I., & Alloy, L. B. (1989). Hopelessness depression: A theory-based subtype of depression. Psychological Review, 96(2), 358–372. https://doi.org/10.1037/0033-295X.96.2.358.
Adamson, S. J., Kay-Lambkin, F. J., Baker, A. L., Lewin, T. J., Thornton, L., Kelly, B. J., & Sellman, J. D. (2010). An improved brief measure of cannabis misuse: The Cannabis Use disorders Identification Test-revised (CUDIT-R). Drug and Alcohol Dependence, 110, 137–143. https://doi.org/10.1016/j.drugalcdep.2010.02.017.
Afzali, M. H., Stewart, S. H., Seguin, J., & Conrod, P. (2020). The network constellation of personality and substance use: Evolution from early to late adolescence. European Journal of Personality, 34(6), 1109–1119. https://doi.org/10.1002/per.2245.
American Psychological Association (2020). Publication manual of the American Psychological Association (7th ed.). https://doi.org/10.1037/0000165-000.
Becker, M. P., Collins, P. F., & Luciana, M. (2014). Neurocognition in college-aged daily marijuana users. Journal of Clinical and Experimental Neuropsychology, 36(4), 379–398. https://doi.org/10.1080/13803395.2014.893996.
Bravo, A. J., Prince, M. A., Pearson, M. R., & Marijuana Outcomes Study Team. (2017). Can I use marijuana safely? An examination of distal antecedents, marijuana protective behavioral strategies, and marijuana outcomes. Journal of Studies on Alcohol and Drugs, 78(2), 203–212. https://doi.org/10.15288/jsad.2017.78.203.
Chinneck, A., Thompson, K., Mahu, I. T., Davis-MacNevin, P., Dobson, K., & Stewart, S. H. (2018). Personality and prescription drug use/misuse among first year undergraduates. Addictive Behaviors, 87, 122–130. https://doi.org/10.1016/j.addbeh.2018.07.001.
Conrod, P. J. (2016). Personality-targeted interventions for substance use and misuse. Current Addiction Reports, 3(4), 426–436. https://doi.org/10.1007/s40429-016-0127-6.
Conrod, P. J., Pihl, R. O., Stewart, S. H., & Dongier, M. (2000). Validation of a system of classifying female substance abusers on the basis of personality and motivational risk factors for substance abuse. Psychology of Addictive Behaviors, 14(3), 243–256. https://doi.org/10.1037/0893-164X.14.3.243.
DeWolfe, C. E. J., Watt, M. C., Romero-Sanchiz, P., & Stewart, S. H. (2020). Gender differences in physical activity are partially explained by anxiety sensitivity in post-secondary students. Journal of American College Health, 68(3), 219–222. https://doi.org/10.1080/07448481.2018.1549048.
Fischer, B., Russell, C., Sabioni, P., van den Brink, W., Le Foll, B., Hall, W., Rehm, J., & Room, R. (2017). Lower-risk cannabis use guidelines: A comprehensive update of evidence and recommendations. American Journal of Public Health, 107(8), e1–e12. https://doi.org/10.2105/AJPH.2017.303818.
Galbraith, T., & Conner, B. T. (2015). Religiosity as a moderator of the relation between sensation seeking and substance use for college-aged individuals. Psychology of Addictive Behaviors, 29(1), 168–175. https://doi.org/10.1037/adb0000037.
Griffith, S. D., Shiffman, S., & Heitjan, D. F. (2009). A method comparison study of timeline followback and ecological momentary assessment of daily cigarette consumption. Nicotine and Tobacco Research, 11(11), 1368–1373. https://doi.org/10.1093/ntr/ntp150.
Hayes, A. F. (2017). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach (2nd ed.). Guilford Press.
Joiner, T. E. J., Steer, R. A., Abramson, L. Y., Alloy, L. B., Metalsky, G. I., & Schmidt, N. B. (2001). Hopelessness depression as a distinct dimension of depressive symptoms among clinical and non-clinical samples. Behaviour Research and Therapy, 39(5), 523–536. https://doi.org/10.1016/S0005-7967(00)00024-3.
Joiner, T. E. Jr., Wingate, L. R., & Otamendi, A. (2005). An interpersonal addendum to the hopelessness theory of depression: Hopelessness as a stress and depression generator. Journal of Social and Clinical Psychology, 24(5), 649–664. https://doi.org/10.1521/jscp.2005.24.5.649.
Jordan, H. R., Madson, M. B., Bravo, A. J., Pearson, M. R., & Protective Strategies Study Team. (2020). Post-traumatic stress and marijuana outcomes: The mediating role of marijuana protective behavioral strategies. Substance Abuse, 41(3), 375–381. https://doi.org/10.1080/08897077.2019.1635965.
Khoury, J. M. B., Watt, M. C., & MacLean, K. (2021). Anxiety sensitivity mediates relations between mental distress symptoms and medical care utilization during COVID-19 pandemic. International Journal of Cognitive Therapy, 14, 515–536. https://doi.org/10.1007/s41811-021-00113-x.
Krank, M., Stewart, S. H., O’Connor, R., Woicik, P. B., Wall, A. M., & Conrod, P. J. (2011). Structural, concurrent, and predictive validity of the Substance Use Risk Profile Scale in early adolescence. Addictive Behaviors, 36, 37–46. https://doi.org/10.1016/j.addbeh.2010.08.010.
Lammers, J., Kuntsche, E., Engels, R. C. M. E., Wiers, R. W., & Kleinjan, M. (2013). Mediational relations of substance use risk profiles, alcohol-related outcomes, and drinking motives among young adolescents in the Netherlands. Drug and Alcohol Dependence, 133(2), 571–579. https://doi.org/10.1016/j.drugalcdep.2013.07.030.
Linden, A. N., Lau-Barraco, C., & Milletich, R. J. (2013). The role of protective behavioral strategies and anxiety in problematic drinking among college students. Journal of Studies on Alcohol and Drugs, 74(3), 413–422. https://doi.org/10.15288/jsad.2013.74.413.
Little, R. J. A. (1988). A test of missing completely at random for multivariate data with missing values. Journal of the American Statistical Association, 83(404), 1198–1202. https://doi.org/10.1080/01621459.1988.10478722.
Loewenthal, K. M. (1996). An introduction to psychological tests and scales. UCL Press Limited.
Loewenthal, K. M., & Lewis, C. A. (2018). An introduction to psychological tests and scales (3rd ed.). Routledge.
Loverock, A., Yakovenko, I., & Wild, T. C. (2021). Cannabis norm perceptions among Canadian university students. Addictive Behaviors, 112, Article 106567. https://doi.org/10.1016/j.addbeh.2020.106567.
Loxton, N. J., Bunker, R. J., Dingle, G. A., & Wong, V. (2015). Drinking not thinking: A prospective study of personality traits and drinking motives on alcohol consumption across the first year of university. Personality and Individual Differences, 79, 134–139. https://doi.org/10.1016/j.paid.2015.02.010.
Mackinnon, S. P., & Firth, S. (2018). The effect of question structure on self-reported drinking: Ascending versus descending order effects. Journal of Research in Personality, 73, 21–26. https://doi.org/10.1016/j.jrp.2017.10.004.
Mahu, I. T., Doucet, C., O’Leary-Barrett, M., & Conrod, P. J. (2015). Can cannabis use be prevented by targeting personality risk in schools? Twenty-four-month outcome of the adventure trial on cannabis use: A cluster-randomized controlled trial. Addiction, 110, 1625–1633. https://doi.org/10.1111/add.12991.
Mahu, I. T., Conrod, P. J., Barrett, S. P., Sako, A., Swansburg, J., Lawrence, M., Laroque, F., Morin, J. F., Chinneck, A., Nogueira-Arjona, R., & Stewart, S. H. (2019). Specificity of personality relationships to particular forms of concurrent substance use among Methadone maintenance therapy clients. Addictive Behaviors, 98, Article 106056. https://doi.org/10.1016/j.addbeh.2019.106056.
Martens, M. P., Martin, J. L., Hatchett, E. S., Fowler, R. M., Karakashian, M. A., & Cimini, M. D. (2008). Protective behavioral strategies and the relationship between depressive symptoms and alcohol-related negative consequences among college students. Journal of Counselling Psychology, 55(4), 535–541. https://doi.org/10.1037/a0013588.
Martens, M. P., Martin, J. L., Littlefield, A. K., Murphy, J. G., & Cimini, M. D. (2011). Changes in protective behavioral strategies and alcohol use among college students. Drug and Alcohol Dependence, 118(2–3), 504–507. https://doi.org/10.1016/j.drugalcdep.2011.04.020.
Maxwell, S. E., Cole, D. A., & Mitchell, M. A. (2011). Bias in cross-sectional analyses of longitudinal mediation: Partial and complete mediation under an autoregressive model. Multivariate Behavioral Research, 46(5), 816–841. https://doi.org/10.1080/00273171.2011.606716.
Neugebauer, R. T., Parnes, J. E., Prince, M. A., Conner, B. T., & Marijuana Outcomes Study Team. (2019). Protective behavioral strategies mediate the relation between sensation seeking and marijuana-related consequences. Substance Use and Misuse, 54(6), 973–979. https://doi.org/10.1080/10826084.2018.1555256.
Nogueira-Arjona, R., Thompson, K., Milios, A., Maloney, A., Krupa, T., Dobson, K. S., Chen, S. P., & Stewart, S. H. (2021). The mediating effects of protective behavioral strategies on the relationship between addiction-prone personality traits and alcohol-related problems among emerging adults. International Journal of Environmental Research and Public Health, 18(4), https://doi.org/10.3390/ijerph18041814. Article 1814.
Otis, E., Yakovenko, I., Sherry, S., Smith, M., Goldstein, A., Ellery, M., Loverock, A., Wild, T. C., Weilgart-Whitehead, B., & Stewart, S. H. (2020). Applicability of the four-factor personality vulnerability model for substance misuse in understanding gambling behaviour and gambling problems. Personality and Individual Differences, 169, 110400. https://doi.org/10.1016/j.paid.2020.110400.
Pedersen, E. R., Hummer, J. F., Rinker, D. V., Traylor, Z. K., & Neighbors, C. (2016). Measuring protective behavioral strategies for marijuana use among young adults. Journal of Studies on Alcohol and Drugs, 77(3), 441–450. https://doi.org/10.15288/jsad.2016.77.441.
Pedersen, E. R., Huang, W., Dvorak, R. D., Prince, M. A., Hummer, J. F., & Marijuana Outcomes Study Team. (2017). The protective behavioral strategies for marijuana scale: Further examination using item response theory. Psychology of Addictive Behaviors, 31(5), 548–559. https://doi.org/10.1037/adb0000271.
Pedersen, E. R., Villarosa-Hurlocker, M. C., & Prince, M. A. (2018). Use of protective behavioral strategies among young adult veteran marijuana users. Cannabis, 1(1), 14–27. https://doi.org/10.26828/cannabis.2018.01.002.
Philips, J. G., & Ogeil, R. P. (2022). Remote detection of cannabis-related impairments in performance? Psychopharmacology (Berl), 239(8), 2527–2536. https://doi.org/10.1007/s00213-022-06145-1.
Phillips, M. M., Phillips, K. T., Lalonde, T. L., & Dykema, K. R. (2014). Feasibility of text messaging for ecological momentary assessment of marijuana use in college students. Psychological Assessment, 26(3), 947–957. https://doi.org/10.1037/a0036612.
Pihl, R. O., & Peterson, J. B. (1995). Alcoholism: The role of different motivational systems. Journal of Psychiatry and Neuroscience, 20(5), 372–396.
Prince, M. A., Carey, K. B., & Maisto, S. A. (2013). Protective behavioral strategies for reducing alcohol involvement: A review of the methodological issues. Addictive Behaviors, 38(7), 2343–2351. https://doi.org/10.1016/j.addbeh.2013.03.010.
Reiss, S., Peterson, R. A., Gursky, D. M., & McNally, R. J. (1986). Anxiety sensitivity, anxiety frequency, and the prediction of fearfulness. Behaviour Research and Therapy, 24(1), 1–8. https://doi.org/10.1016/0005-7967(86)90143-9.
Schoemann, A. M., Boulton, A. J., & Short, S. D. (2017). Determining power and sample size for simple and complex mediation models. Social Psychological and Personality Science, 8(4), 379–386. https://doi.org/10.1177/1948550617715068.
Schultz, N. R., Bassett, D. T., Messina, B. G., & Correia, C. J. (2019). Evaluation of the psychometric properties of the Cannabis Use disorders Identification Rest - revised among college students. Addictive Behaviors, 95, 11–15. https://doi.org/10.1016/j.addbeh.2019.02.016.
Shiffman, S. (2009). How many cigarettes did you smoke? Assessing cigarette consumption by global report, time-line follow-back, and ecological momentary assessment. Health Psychology, 28(5), 519–526. https://doi.org/10.1037/a0015197.
Sofis, M. J., Borodovsky, J. T., Pike, C. K., Liu, L., Jacobson, N. C., & Budney, A. J. (2021). Sifting through the weeds: Relationships between cannabis use frequency measures and delay discounting. Addictive Behaviors, 112, Article 106573. https://doi.org/10.1016/j.addbeh.2020.106573.
Stea, J. N., Yakovenko, I., & Hodgins, D. C. (2015). Recovery from cannabis use disorders: Abstinence versus moderation and treatment-assisted recovery versus natural recovery. Psychology of Addictive Behaviors, 29(3), 522–531. https://doi.org/10.1037/adb0000097.
Stewart, S. H., Karp, J., Pihl, R. O., & Peterson, R. A. (1997). Anxiety sensitivity and self-reported reasons for drug use. Journal of Substance Abuse, 9(1), 223–240. https://doi.org/10.1016/S0899-3289(97)90018-3.
Stewart, S. H., Morris, E., Mellings, T., & Komar, J. (2006). Relations of social anxiety variables to drinking motives, drinking quantity and frequency, and alcohol-related problems in undergraduates. Journal of Mental Health, 15(6), 671–682. https://doi.org/10.1080/09638230600998904.
Volkow, N. D., Baler, R. D., Compton, W. M., & Weiss, S. R. B. (2014). Adverse health effects of marijuana use. New England Journal of Medicine, 370(23), 2219–2227. https://doi.org/10.1056/NEJMra1402309.
Wanous, J. P., & Reichers, A. E. (1996). Estimating the reliability of a single-item measure. Psychological Reports, 78(2), 631–634. https://doi.org/10.2466/pr0.1996.78.2.631.
Wilkins, L., Rash, J., Fawcett, J., & Harris, N. (2023). Evaluation of the Substane Use Risk Profile Scale (SURPS) in a recreational video game playing population. International Journal of Mental Health and Addiction, 21(2), 944–957.
Woicik, P. A., Stewart, S. H., Pihl, R. O., & Conrod, P. J. (2009). The Substance Use Risk Profile Scale: A scale measuring traits linked to reinforcement-specific substance use profiles. Addictive Behaviors, 34(12), 1042–1055. https://doi.org/10.1016/j.addbeh.2009.07.001.
Zuckerman, M. (1979). Sensation seeking and risk taking. In C. E. Izard (Ed.), Emotions in personality and psychopathology (pp. 161–197). Springer.
Zvolensky, M. J., Rogers, A. H., Manning, K., Hogan, J. B. D., Paulus, D. J., Buckner, J. D., Mayorga, N. A., Hallford, G., & Schmidt, N. B. (2018). Anxiety sensitivity and cannabis problems, perceived barriers for quitting, and fear of quitting. Psychiatry Research, 263, 115–120. https://doi.org/10.1016/j.psychres.2018.03.006.
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Krystal I. Soucy, Sherry H. Stewart, Alexandra Loverock, T. Cameron Wild, and Igor Yakovenko declare that they have no conflict of interest.
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Soucy, K.I., Stewart, S.H., Loverock, A. et al. The Mediating Role of Protective Behavioral Strategies for Marijuana in the Relationship Between Personality and Cannabis Use Outcomes. Int J Ment Health Addiction (2024). https://doi.org/10.1007/s11469-023-01203-x
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DOI: https://doi.org/10.1007/s11469-023-01203-x