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<p>The aims of this study were to examine associations between psychological inflexibility and (1) cigarette dependence among individuals who co-use cannabis and combustible cigarettes, and (2) binge drinking among individuals who co-use cannabis and alcohol.&#xa0;Adults attending a medical marijuana dispensary (N = 697) completed a survey examining cannabis use, cigarette smoking, binge drinking, psychological inflexibility, and distress tolerance.&#xa0;Psychological inflexibility was associated with greater cigarette dependence (<i>β</i> = .325, <i>p</i> = .013) and binge drinking (<i>β</i> = .303, <i>p</i> &lt; .001). In linear but not zero-inflated negative binomial models, distress tolerance moderated the relationship between psychological inflexibility and binge drinking frequency (<i>β</i> = .160, <i>p</i> = .003), though not the relationship between psychological inflexibility and cigarette dependence.&#xa0;Findings highlight the role of psychological inflexibility in the use of cigarettes and alcohol among people who co-use cannabis for therapeutic purposes. This population may benefit from interventions aimed at reducing psychological inflexibility and improving distress tolerance.</p>

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Examining the Roles of Psychological Inflexibility and Distress Tolerance on Cigarette Dependence and Binge Drinking among Individuals who Co-use Cannabis for Therapeutic Purposes

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年11月21日

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  • Silvana Agterberg,
  • Mary Barna Bridgeman,
  • Benjamin Billingsley,
  • Rachel L. Rosen,
  • Thomas W. O’Kane,
  • Marc L. Steinberg

摘要

The aims of this study were to examine associations between psychological inflexibility and (1) cigarette dependence among individuals who co-use cannabis and combustible cigarettes, and (2) binge drinking among individuals who co-use cannabis and alcohol. Adults attending a medical marijuana dispensary (N = 697) completed a survey examining cannabis use, cigarette smoking, binge drinking, psychological inflexibility, and distress tolerance. Psychological inflexibility was associated with greater cigarette dependence (β = .325, p = .013) and binge drinking (β = .303, p < .001). In linear but not zero-inflated negative binomial models, distress tolerance moderated the relationship between psychological inflexibility and binge drinking frequency (β = .160, p = .003), though not the relationship between psychological inflexibility and cigarette dependence. Findings highlight the role of psychological inflexibility in the use of cigarettes and alcohol among people who co-use cannabis for therapeutic purposes. This population may benefit from interventions aimed at reducing psychological inflexibility and improving distress tolerance.