Neuropsychiatrie,
Journal Year:
2022,
Volume and Issue:
37(4), P. 175 - 195
Published: July 28, 2022
Zusammenfassung
Fragestellung
Cannabis
ist
die,
von
österreichischen
Jugendlichen
am
häufigsten
konsumierte,
illegalisierte
Droge.
Aufgrund
der,
in
den
letzten
Jahren
erfolgten
schrittweise
Entkriminalisierung
bis
hin
zur
Legalisierung
vielen
europäischen
Ländern
möchte
die
ÖGKJP
auf
ausgewogene
und
wissenschaftlich
basierte
Art
Weise
Stellung
komplexen
Thematik
des
Cannabisge-
Missbrauchs
bei
beziehen.
Methodik
Die
Medline
mit
jeweils
dem
spezifischen
Unterthema
angepassten
Suchen
aktuelle
Studien
durchsucht.
Weiters
wurden
aus
anerkannten
Kompendien
zitiert.
Ergebnisse
Während
gelegentlicher
Freizeitkonsum
Erwachsenen
abgeschlossener
Hirnreifung
ohne
Risikoprofil
für
psychische
Störungen
relativ
harmlos
sein
dürfte,
können
frühzeitigem
Konsumbeginn
regelmäßigem
Konsum
sowie
zunehmend
verfügbaren,
hochpotenten
Cannabis-Sorten
zu
expliziten
zum
Teil
irreversiblen
neurokognitiven
Hirnfunktionsstörungen
führen.
Schlussfolgerung
Eine
gesetzliche
Freigabe
Cannabis-Konsums
Jugendliche
aufgrund
der
Risken
erwartenden
Schäden
im
Bereich
Gehirnentwicklung
abzulehnen.
Zugleich
gilt
es
aber,
vernünftige
Regelungen
etablieren,
Tatsache,
dass
über
30
%
aller
gelegentlich
konsumieren,
adäquat
begegnen
kann.
Wir
sprechen
uns
hier
auch
klar
dafür
aus,
Cannabiskonsumenten
nicht
kriminalisieren
gefährdeten
suchtkranken
benötigte
Unterstützung
zukommen
lassen.
Frontiers in Neuroimaging,
Journal Year:
2023,
Volume and Issue:
2
Published: March 7, 2023
Cannabis
is
the
most
widely
used
regulated
substance
by
youth
and
adults.
use
has
been
associated
with
psychosocial
problems,
which
have
partly
ascribed
to
neurobiological
changes.
Emerging
evidence
date
from
diffusion-MRI
studies
shows
that
cannabis
users
compared
controls
show
poorer
integrity
of
white
matter
fibre
tracts,
structurally
connect
distinct
brain
regions
facilitate
neural
communication.
However,
recent
thus
far
yet
be
integrated.
Therefore,
it
unclear
if
differences
in
are
evident
consistently
selected
locations,
specific
metrics,
whether
these
metrics
exposure
levels.We
systematically
reviewed
results
imaging
between
controls.
We
also
examined
associations
other
behavioral
variables
due
changes
matter.
Our
review
was
pre-registered
PROSPERO
(ID:
258250;
https://www.crd.york.ac.uk/prospero/).We
identified
30
including
1,457
1,441
aged
16-to-45
years.
All
but
6
reported
group
integrity.
The
consistent
were
lower
fractional
anisotropy
within
arcuate/superior
longitudinal
fasciculus
(7
studies),
corpus
callosum
(6
studies)
as
well
higher
mean
diffusivity
trace
(4
studies).
Differences
onset
especially
(3
studies).The
mechanisms
underscoring
unclear,
they
may
include
effects
during
youth,
neurotoxic
or
neuro
adaptations
regular
tetrahydrocannabinol
(THC),
exerts
its
binding
receptors,
a
vulnerability
predating
use.
Future
multimodal
neuroimaging
studies,
recently
developed
advanced
can
track
over
time
define
precision
when
region
commence
users,
cessation
recovers
differences.www.crd.york.ac.uk/prospero/,
identifier:
258250.
Addiction Biology,
Journal Year:
2021,
Volume and Issue:
27(1)
Published: Aug. 17, 2021
Despite
the
significant
societal
and
personal
burden
of
cannabis
use,
impact
long-term
use
Cannabis
Use
Disorder
(CUD)
on
white
matter
microstructure
is
still
unclear.
Previous
studies
show
inconsistent
findings,
in
part
due
to
heterogeneity
methodology,
variable
severity
potential
confounding
effects
other
mental
health
issues
substance
use.
The
goal
this
diffusion
tensor
imaging
(DTI)
study
was
compare
whole-brain
between
39
near
daily
users
28
controls
closely
matched
age,
sex,
alcohol
cigarette
health.
Within
group
users,
associations
recent
dependence
severity,
age
onset
duration
weekly
were
investigated.
White
did
not
differ
covary
with
or
Earlier
related
lower
fractional
anisotropy
(FA)
various
sections
right
inferior
longitudinal
fasciculus
uncinate
fasciculus.
These
findings
suggest
that
near-daily
does
necessarily
affect
microstructure,
but
vulnerability
may
be
higher
during
adolescence.
underscore
importance
sample
composition
warrant
further
investigate
moderating
role
brain.
Biological Psychiatry Global Open Science,
Journal Year:
2023,
Volume and Issue:
4(1), P. 11 - 18
Published: Sept. 30, 2023
Cannabis
is
the
most
used
federally
illicit
substance
among
pregnant
people
in
United
States.
Yet,
emerging
preclinical
data
show
that
a
significant
portion
of
cannabis
constituents,
such
as
Δ-9-tetrahydrocannabinol
(THC)
and
its
bioactive
metabolites,
readily
cross
placenta
accumulate
fetal
brain,
disrupting
neurodevelopment.
Recent
research
using
Adolescent
Brain
Cognitive
DevelopmentSM
Study
(ABCD
®)
cohort
have
linked
prenatal
exposure
(PCE)
to
greater
neurobehavioral
problems
lower
total
gray
white
matter
volume
children.
Here,
we
examined
impact
PCE
on
frontolimbic
pathways
are
critical
for
cognitive-
emotion-related
functioning,
high
density
cannabinoid
receptors,
susceptible
during
other
periods
rapid
neurodevelopment
(e.g.,
adolescence).
This
study
included
11,530
children
(M±SD
age=118.99±7.49
months;
47%
female)
from
ABCD
®
cohort.
Linear
mixed-effects
models
were
examine
effects
caregiver-reported
fractional
anisotropy
(FA)
ten
(five
per
hemisphere).
was
associated
with
FA
right
(β=-0.005,
p<0.001)
left
fornix
(β=-0.003,
p=0.007),
these
results
remained
after
adjusting
variety
covariates,
multiple
comparisons,
all
fibers,
quality-control
only.
In
sum,
demonstrated
small,
yet
reliable,
integrity
childhood,
particularly
fornix,
which
plays
crucial
role
emotion-
memory-related
processes.
Future
studies
needed
understand
impacts
small
changes
brain
structure
or
function
risk
problems.
Oxford University Press eBooks,
Journal Year:
2023,
Volume and Issue:
unknown
Published: Dec. 7, 2023
Abstract
Visions
of
Cannabis
Control
documents
the
history
cannabis
policy
and
role
racism,
labelling,
stigmatization.
The
book
argues
that
these
problems
stem
from
failure
to
properly
frame
prohibition
as
result
moral
panics
have
been
instigated,
perpetuated,
sustained
in
ways
are
difficult
dislodge.
Stan
Cohen
argued
reforms
designed
replace
carceral
tendencies
within
correctional
institutions
often
extend
such
approaches
into
our
communities.
idea
criminal
justice
reproduce
what
they
were
intended
disrupt
is
depressing
provocative.
It
remains
relevant
revolution
currently
underway
around
world.
Racial
disparities
arrests
persist,
exacerbated
by
laws
make
it
legal
possess
but
illegal
consume
anywhere
your
home.
Too
often,
liberalization
comes
at
cost
expanding
paternalistic
public
health
models
abstention-based
diversion
programs.
Finally,
goal
dismantling
disrupting
illicit
markets
has
undermined
onerous
regulations,
anemic
marketing
efforts,
promote
consumer-centered
approaches.
Emphasizing
goals
ahead
market
conditions
complicates
an
industry.
To
understand
future
policy,
examines
experience
six
countries
several
US
states
through
lens
criminological
theory,
recent
research,
practice.
presents
options
guide
responsible
regulation
extensive
research
practice,
finally
concluding
sustaining
reform
will
require
ensuring
those
affected
policies
consulted,
respected,
included.
Frontiers in Aging Neuroscience,
Journal Year:
2023,
Volume and Issue:
15
Published: March 22, 2023
Consumption
of
cannabis
is
on
the
rise
as
public
opinion
trends
toward
acceptance
and
its
consequent
legalization.
Specifically,
senior
population
one
demographics
increasing
their
use
fastest,
but
research
aimed
at
understanding
cannabis’
impact
aged
brain
still
scarce.
Aging
characterized
by
many
changes
that
slowly
alter
cognitive
ability.
One
process
greatly
impacted
during
aging
axonal
myelination.
The
slow
degradation
loss
myelin
(i.e.,
demyelination)
in
with
age
has
been
shown
to
associate
decline
and,
furthermore,
a
common
characteristic
numerous
neurological
diseases
experienced
aging.
It
currently
not
known
what
causes
this
age-dependent
degradation,
it
likely
due
confounding
factors
heightened
inflammation,
reduced
blood
flow,
cellular
senescence)
cells
responsible
for
maintaining
overall
homeostasis
integrity.
Importantly,
animal
studies
using
non-human
primates
rodents
have
also
revealed
demyelination
age,
providing
reliable
model
researchers
try
understand
mechanisms
play.
In
rodents,
was
recently
modulate
myelination
process.
Furthermore,
looking
direct
modulatory
microglia,
astrocytes
oligodendrocyte
lineage
hint
potential
prevent
some
more
damaging
activities
performed
these
contribute
However,
focusing
how
impacts
lacking.
Therefore,
review
will
explore
evidence
thus
far
accumulated
show
extrapolate
knowledge
may
mean
brain.
Journal of Neuropsychiatry,
Journal Year:
2022,
Volume and Issue:
34(4), P. 406 - 413
Published: July 25, 2022
This
study
explored
the
differences
in
white
matter
(WM)
microstructural
integrity
and
gray
(GM)
volume
between
cannabis-induced
psychosis
(CIP)
schizophrenia
with
cannabis
use
(SZC).This
cross-sectional
convenience
sampling
involved
three
groups
of
20
participants
each
(CIP,
SZC,
a
control
group
without
substance
use),
matched
on
age,
handedness,
education.
CIP
SZC
were
diagnosed
Psychiatric
Research
Interview
for
Substance
Mental
Disorders.
Diffusion
tensor
kurtosis
imaging
done,
fractional
anisotropy
(FA),
mean
diffusivity,
estimated.
GM
was
measured
voxel-based
morphometry.Group
comparisons
revealed
comparable
age
at
initiation
duration
frequency
groups.
Participants
had
lower
FA
than
controls
anterior
retrolenticular
internal
capsule
limbs,
cingulate
gyrus
hippocampal
formation,
fornix,
superior
fronto-occipital
fasciculus
(all
p<0.05).
left
fornix
right
but
higher
those
corticospinal
tract
On
morphometry,
greater
cerebellar
inferior
frontal
volumes
p<0.05).Widespread
WM
abnormalities
observed
fewer
significant
disruptions
CIP.
Better
some
fiber
tracts
crucial
brain
areas
among
may
have
prevented
transition
to
schizophrenia.
Oxford University Press eBooks,
Journal Year:
2023,
Volume and Issue:
unknown, P. 3 - 30
Published: Dec. 7, 2023
Abstract
This
chapter
introduces
cannabis
as
a
case
study
in
legal,
moral,
and
cultural
renegotiation.
For
century,
prohibition
has
shaped
the
criminological
enterprise
North
America
worldwide.
In
past
decade,
jurisdictions
have
explored
established
new
regimes
law
policy
to
regulate
cannabis.
However,
challenges
remain.
We
introduce
some
fundamental
problems
at
intersection
of
theory
practice.
These
include
racial
disparities
enforcement
rise
diversion
programs
mandated
treatment.
Difficulties
dismantling
illicit
markets
within
that
legalized
also
emerged.
frame
these
based
on
work
Stan
Cohen.
He
argued
criminal
justice
reforms
often
reproduce
what
they
were
intended
disrupt
because
fail
understand
nature
obstacles,
making
them
difficult
dislodge.
The
concludes
by
assessing
different
rights-based
frameworks
guide
future
reform
outlining
book’s
organization.