长期重度大麻使用者寻求治疗的认知功能
Nadia Solowij1, Robert S Stephens, Roger A Roffman
1National Drug and Alcohol Research Centre, University of New South Wales, Sydney, NSW 2052, Australia. n.solowij@unsw.edu.au
JAMA
|March 7, 2002
概括
长期使用大麻会显著损害记忆力和注意力,使用多年后,缺陷会恶化. 这些认知障碍甚至在戒断一段时间后仍然存在.
科学领域:
- 神经科学是一个神经科学.
- 心理学 心理学 心理学
背景情况:
- 认知障碍与长期使用大麻有关,但具体的促成因素和缺陷的持续性尚不清楚.
- 了解这些影响对于寻求大麻依赖治疗的人来说至关重要.
研究的目的:
- 调查大麻使用时间如何影响因大麻依赖而接受治疗的个体的特定认知功能.
- 为了区分长期用户,短期用户和非用户之间的认知表现.
主要方法:
- 一项多站点,回顾性,横截面研究,涉及102名近日大麻使用者和33名非使用者对照.
- 神经心理测试评估了注意力,记忆力和执行功能在中位数为17小时的戒断期后.
- 参与者被分为长期 (平均23.9年) 和短期 (平均10.2年) 大麻使用组.
主要成果:
- 与短期使用者和对照者相比,长期使用大麻的人在记忆和注意力方面表现明显差.
- 在长期使用者中观察到学习,记忆和检索方面的特定缺陷.
- 两组使用者都表现出时间估计受损,性能通常与大麻使用的持续时间相关.
结论:
- 长期,大量使用大麻会导致记忆和注意力的持续损害.
- 这些认知缺陷随着经常使用大麻的持续时间的增加而恶化,并且在中毒后持续存在.
- 研究结果强调了长期使用大麻对认知健康的持久影响.
相关概念视频
Drug Dependence
1.9K
Medications are typically administered to achieve therapeutic effects. Some drugs can modify an individual's mood and perception, frequently resulting in various enjoyable experiences. However, this can result in drug dependency, a condition marked by continuous drug use despite potential negative consequences. Drug dependency primarily falls into two categories: psychological and physical dependence. Psychological dependence occurs when the pleasurable feelings induced by the drug...
1.9K
CNS Depressants: Alcohol and Nicotine
1.7K
Ethanol, a clear colorless alcohol, has been consumed by humans for millennia, but its effects on the body are far from benign. At lower doses, it induces decreased inhibitions and loquaciousness, leading to its social appeal. However, it can cause severe consequences at higher doses, such as coma and respiratory depression, due to its zero-order elimination kinetics. Chronic ethanol abuse wreaks havoc on multiple organ systems, particularly the CNS and the liver. Abrupt cessation of ethanol...
1.7K
CNS Stimulants: Cocaine, Amphetamines and Cannabinoids
1.5K
CNS stimulants, such as cocaine, amphetamines, and cannabinoids, have varying structures and mechanisms of action that lead to different therapeutic effects and side effects. Cocaine, with its molecular formula C17H21NO4, is a tropane alkaloid and a tertiary amino compound. It has two chemical forms: the hydrochloride salt and the "freebase." The former is in powder form, while the latter involves removing the hydrochloride salt to create a form that can be smoked. Cocaine exerts its...
1.5K
Cognitive Enhancers: Cholinesterase Inhibitors and NMDA Receptor Antagonists
932
Cognitive enhancers, also known as "smart drugs," are substances used to enhance memory, mental alertness, and concentration. These can be natural or synthetic and improve cognition in conditions like Alzheimer's disease (AD) and other neurodegenerative diseases. Some common examples include caffeine, amphetamines, methylphenidate, modafinil, arecoline, donepezil, vortioxetine, and piracetam. These enhancers work on the principle of synaptic plasticity and altered circuit function.
932
Psychosis: Goals of Pharmacotherapy
711
Antipsychotic drugs are a crucial treatment method for acute and chronic psychoses, bipolar illness, and behavioral disorders. The selection of these drugs depends on several factors, including the state of the disease, clinical judgment, possible drug interactions, and the patient's sensitivity to adverse effects. In immediate scenarios, such as delirium and dementia, short-term treatment with low doses of high-potency typical or atypical agents can effectively manage symptom exacerbation.
711
Substance Use Disorders Affecting Sleep
615
Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
Understanding the concepts of physical dependence,...
Understanding the concepts of physical dependence,...
615


