Journal of Psychopharmacology,
Год журнала:
2021,
Номер
35(11), С. 1349 - 1355
Опубликована: Окт. 25, 2021
Background
and
Aims:
Cannabis
is
a
commonly
used
recreational
drug
in
young
adults.
The
worldwide
prevalence
18-
to
25-year-olds
approximately
35%.
Significant
differences
cognitive
performance
have
been
reported
previously
for
groups
of
cannabis
users.
However,
the
are
often
heterogeneous
terms
use.
Here,
we
study
daily
users
with
confirmed
diagnosis
use
disorder
(CUD)
examine
on
measures
memory,
executive
function
risky
decision-making.
Methods:
Forty
adult
diagnosed
CUD
20
healthy
controls
matched
sex
premorbid
intelligence
quotient
(IQ)
were
included.
neuropsychological
battery
implemented
was
designed
measure
multiple
modes
memory
(visual,
episodic
working
memory),
decision-making
other
domains
using
subtests
from
Cambridge
Neuropsychological
Test
Automated
Battery
(CANTAB).
Results:
Our
results
showed
that
perform
significantly
poorer
tasks
visual
compared
controls.
In
addition,
functioning
associated
age
onset.
Conclusions:
Further
research
required
determine
whether
worse
cognition
or
consequence
Chronic
heavy
during
critical
period
brain
development
may
particularly
negative
impact
cognition.
Research
into
persistence
how
they
relate
functional
outcomes
such
as
academic/career
required.
Journal of Clinical Medicine,
Год журнала:
2020,
Номер
10(1), С. 15 - 15
Опубликована: Дек. 23, 2020
Background:
The
landscape
of
attitudes,
legal
status
and
patterns
use
cannabis
is
rapidly
changing
in
the
United
States
elsewhere.
Therefore,
primary
aim
this
narrative
review
to
provide
a
concise
overview
literature
on
comorbidity
disorder
(CUD)
with
other
substance
psychiatric
disorders,
information
accurately
guide
future
directions
for
field.
Methods:
A
PubMed
was
conducted
studies
relating
use,
CUD,
co-occurring
disorder.
To
an
representative
data,
focused
national-level,
population-based
work
from
National
Epidemiologic
Survey
Alcohol
Related
Conditions
(NESARC)
Drug
Use
Health
(NSDUH)
surveys.
Considering
laws,
recent
(past
five-year)
were
addressed.
Results:
strong
body
shows
associations
between
CUD
drug
psychosis,
mood
anxiety
personality
disorders.
strongest
evidence
potential
causal
relationship
exists
psychotic
While
some
directionality
results
are
inconsistent.
Studies
have
established
higher
rates
among
those
but
little
about
specifics
understood.
Conclusions:
Although
general
population
increasingly
perceives
be
harmless
substance,
empirical
that
associated
both
comorbid
illness.
However,
there
mixed
regarding
role
etiology,
course,
prognosis
across
all
categories
Future
research
should
expand
existing
representative,
longitudinal
order
better
understand
acute
long-term
effects
Addiction,
Год журнала:
2021,
Номер
117(6), С. 1510 - 1517
Опубликована: Сен. 30, 2021
Abstract
Background
The
lack
of
an
agreed
international
minimum
approach
to
measuring
cannabis
use
hinders
the
integration
multidisciplinary
evidence
on
psychosocial,
neurocognitive,
clinical
and
public
health
consequences
use.
Methods
A
group
25
expert
researchers
convened
discuss
a
framework
for
standards
measure
globally
in
diverse
settings.
Results
expert‐based
consensus
upon
three‐layered
hierarchical
framework.
Each
layer—universal
measures,
detailed
self‐report
biological
measures—reflected
different
research
priorities
standards,
costs
ease
implementation.
Additional
work
is
needed
develop
valid
precise
assessments.
Conclusions
Consistent
proposed
across
research,
health,
practice
medical
settings
would
facilitate
harmonisation
consumption,
related
harms
approaches
their
mitigation.
JAMA Network Open,
Год журнала:
2022,
Номер
5(3), С. e222106 - e222106
Опубликована: Март 18, 2022
Despite
the
legalization
and
widespread
use
of
cannabis
products
for
a
variety
medical
concerns
in
US,
there
is
not
yet
strong
clinical
literature
to
support
such
use.
The
risks
benefits
obtaining
marijuana
card
common
outcomes
are
largely
unknown.
Psychological Medicine,
Год журнала:
2021,
Номер
51(3), С. 353 - 364
Опубликована: Фев. 1, 2021
Abstract
Cannabis
is
the
most
widely
used
illicit
drug
worldwide,
and
it
estimated
that
up
to
30%
of
people
who
use
cannabis
will
develop
a
disorder
(CUD).
Demand
for
treatment
CUD
increasing
in
almost
every
region
world
highly
comorbid
with
mental
disorders,
where
sustained
can
reduce
compliance
increase
risk
relapse.
In
this
narrative
review,
we
outline
evidence
psychosocial
pharmacological
strategies
CUD,
both
alone
when
psychosis,
anxiety
or
depression.
Psychosocial
treatments
such
as
cognitive
behavioural
therapy,
motivational
enhancement
therapy
contingency
management
are
currently
effective
strategy
treating
but
limited
benefit
psychosis.
Pharmacological
targeting
endocannabinoid
system
have
potential
withdrawal
CUD.
Mental
health
comorbidities
including
anxiety,
depression
psychosis
hinder
should
be
addressed
provision
clinical
decision
making
global
burden
CUDs.
Antipsychotic
medication
may
decrease
craving
well
psychotic
symptoms
patients
Targeted
feasible.
Abstract
Background
Cannabis
use
disorder
(CUD)
is
increasingly
common
and
contributes
to
a
range
of
health
social
problems.
Cannabidiol
(CBD)
non-intoxicating
cannabinoid
recognised
for
its
anticonvulsant,
anxiolytic
antipsychotic
effects
with
no
habit-forming
qualities.
Results
from
Phase
IIa
randomised
clinical
trial
suggest
that
treatment
CBD
four
weeks
reduced
non-prescribed
cannabis
in
people
CUD.
This
study
examines
the
efficacy,
safety
quality
life
longer-term
patients
moderate-to-severe
Methods/Design
A
phase
III
multi-site,
randomised,
double-blinded,
placebo
controlled
parallel
design
12-week
course
placebo,
follow-up
at
24
after
enrolment.
Two
hundred
fifty
adults
CUD
(target
20%
Aboriginal),
significant
medical,
psychiatric
or
other
substance
disorders
seven
drug
alcohol
clinics
across
NSW
VIC,
Australia
will
be
enrolled.
Participants
administered
daily
dose
either
4
mL
(100
mg/mL)
dispensed
every
3-weeks.
All
participants
receive
four-sessions
Cognitive
Behavioural
Therapy
(CBT)
based
counselling.
Primary
endpoints
are
self-reported
days
analysis
metabolites
urine.
Secondary
include
severity
CUD,
withdrawal
severity,
cravings,
quantity
use,
motivation
stop
abstinence,
medication
safety,
life,
physical/mental
health,
cognitive
functioning,
patient
satisfaction.
Qualitative
research
interviews
conducted
Aboriginal
explore
their
perspectives
on
treatment.
Discussion
Current
psychosocial
behavioural
treatments
indicate
over
80%
relapse
within
1–6
months
Pharmacological
highly
effective
but
there
approved
pharmacological
promising
candidate
due
potential
efficacy
this
indication
excellent
profile.
The
anxiolytic,
neuroprotective
may
have
added
benefits
by
reducing
many
mental
impairments
reported
regular
use.
Trial
registration
Australian
New
Zealand
Clinical
Registry:
ACTRN12623000526673
(Registered
19
May
2023).