大麻和焦虑:一个批判性回顾
Alexander Beletsky1, Cherry Liu1, Bryson Lochte2
1Riverside Community Hospital (RCH), San Diego, CA, USA.
Medical cannabis and cannabinoids
|February 26, 2024
概括
焦虑可能会导致个人使用大麻进行自我治疗,而不是使用大麻引起焦虑症. 这一系统性审查表明,自我治疗是大麻与焦虑联系的最合理的解释.
科学领域:
- 精神病学是一个精神病学.
- 神经科学是一个神经科学.
- 公共卫生 公共卫生
背景情况:
- 大麻使用与焦虑症有关,但因果关系尚不清楚.
- 大麻可以产生降低焦虑和引起焦虑的效果.
- 了解大麻使用 (CU) 和焦虑症 (AD) 之间的关联对于公共卫生和临床实践至关重要.
研究的目的:
- 系统地审查有关大麻使用/疾病和焦虑之间的关系的文献.
- 调查潜在的因果途径,包括因果关系,共同因子理论和自我治疗假设.
主要方法:
- 对已发表的文献进行了批判性的系统审查.
- 搜索包括 MEDLINE 使用与焦虑和大麻相关的术语.
- 研究包括病例报告,综述,观察性,临床前和临床研究.
主要成果:
- 分析表明,大麻使用 (OR=1.24) 或大麻使用障碍 (OR=1.68) 与焦虑之间存在相关性.
- PATH分析支持自我治疗假设作为最好的解释模型.
- 因果解释被认为不太合理,对共同因子或相互反理论的支持有限.
结论:
- 大麻和焦虑之间的联系最好解释为焦虑症患者使用大麻进行自我治疗.
- 使用大麻导致焦虑障碍的直接因果关系不太可能.
- 需要进一步的研究才能充分阐明大麻使用和焦虑之间的复杂相互作用.
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