Schémas cognitifs, croyances addictives et défenses dans la consommation et l’addiction au cannabis de jeunes adultes

Theoretical background

Integrating the cognitive approaches based on the model of Beck et al. (1993) information treatment, the Young (1994) model of maladapted schemas, the integrative approach of Plutchik (1995) and the clinical approach based on defense mechanisms (Bond, 1995), this study aimed at investigating: (a) the role of the hyperactivated maladapted schemas, (b) the addictive beliefs, (c) the suractivation of the conscious derives of defensive mechanisms and (d) the relationships between these cognitive and defensive variables, in young people's cannabis intensity addiction.

Method

Forty-four young adults, 25 females and 19 males, have completed a self-reported questionnaire estimating: (a) the intensity of cannabis addiction (Décamps et al., 2008), (b) the Rusinek (2006) adaptation of Young's maladapted schemas and (c) the questionnaire of addictive beliefs of Tison and Hautekeete (1998) and the defensive styles questionnaire of Bond et al. (1983) and Bond (1995). Non-parametric statistical analysis has been conducted on three subject's groups (“non-users”, “users non addicted”, “users-addicted”) to test the implications and the links between hypothesized psychological factors (e.g., schemas, beliefs and defences) in cannabis use intensity.

Results and discussion

The intensity of cannabis addiction is correlated significantly with: (a) an hyperactivation of three maladapted schemas: inadequate autocontrol, dependence and fear of lose the control, (b) a hyperactivation of permissive, anticipatory and relief oriented beliefs and (c) a higher activation of the defence “sublimation” and a lower activation of the “displacement”. “sublimation” is correlated with the global activation of 13 schemas that are correlated with the positive relief-oriented beliefs, which are correlated with the “displacement” defence, which is correlated with the anticipatory beliefs. The results showed that the permissive beliefs have the power to differentiate the “non-consumption”, the “consumption without addiction” and “the addiction” to cannabis. Our interpretation displays that greater attention to the dysfunctional beliefs will be required in future researches and should be essential targets in cognitive therapy of this substance use disorder.     

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