药用大麻对心理健康的差异影响:系统性审查
Nora de Bode1, Emese Kroon1, Sharon R Sznitman2
1Neuroscience of Addiction Lab, Center for Substance Use and Addiction Research, Department of Psychology, Education & Child Studies, Erasmus School of Social and Behavioral Sciences, Erasmus University Rotterdam, the Netherlands.
Clinical psychology review
|April 5, 2025
概括
药用大麻可能为一些心理健康状况提供短期缓解症状,但缺乏长期益处的证据. 高剂量的大麻 (CBD) 显示出一些焦虑缓解,而THC可能会导致不良事件.
科学领域:
- 精神病学是一个精神病学.
- 药理学 药理学是指药理学的学科.
- 心理健康研究 心理健康研究
背景情况:
- 全球医用大麻用于心理健康的使用量上升.
- 使用的各种大麻产品 (THC,CBD,组合).
- 需要基于证据的效应理解.
研究的目的:
- 审查医用大麻对DSM-5精神健康诊断的积极和消极影响.
- 总结当前关于有效性和安全性的证据.
- 识别研究中的差距.
主要方法:
- 系统的文献搜索 (PubMed,PsycInfo,Embase,Cochrane图书馆). 这是一个很好的方法.
- 包括来自15个国家的49项受控研究.
- 专注于使用医用大麻的寻求治疗的个人.
主要成果:
- 高剂量的CBD与急性焦虑缓解有关.
- CBD + THC组合有助于大麻戒断和改善睡眠.
- 在试验中,THC与剂量依赖的不良事件和潜在的精神病恶化有关.
- 自然主义研究报告了THC对主观症状的改善.
- 没有研究发现长期的药物效应.
结论:
- 药用大麻可以为特定的心理健康问题提供暂时的症状缓解.
- 风险和不良事件,特别是THC,是普遍存在的.
- 目前的证据不支持长期的治疗效益或治疗方法.
- 需要进一步的研究来澄清不同大麻配方的风险和益处.
相关概念视频
CNS Stimulants: Cocaine, Amphetamines and Cannabinoids
167
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...
167
Hallucinogens and Psychedelics
159
Hallucinogens are psychoactive substances that profoundly alter perceptual experiences, generating unreal visual and sensory images. Often referred to as psychedelic drugs — a term derived from the Greek words "psyche" (mind) and "delos" (revealing) — these substances include marijuana and lysergic acid diethylamide (LSD), among others. These drugs vary in intensity and effects.
Marijuana, derived from the dried leaves and flowers of the hemp plant, contains...
Marijuana, derived from the dried leaves and flowers of the hemp plant, contains...
159
Chemotherapy-Induced Nausea and Vomiting: Cannabinoids
204
Tetrahydrocannabinol (THC) is a phytocannabinoid that primarily interacts with the CB1 receptor, a type of G protein-coupled receptor (GPCR) predominantly in and around the chemoreceptor trigger zone (CTZ) and emetic center. THC also blocks the serotonin receptor activity in the dorsal vagal complex (DVC) by inhibiting serotonin release. THC exerts its anti-emetic effects through these interactions, which are beneficial for patients undergoing chemotherapy.
Two synthetic agonists of THC,...
Two synthetic agonists of THC,...
204
Altered States of Awareness
162
Altered states of consciousness represent significant deviations from one's normal mental state. These deviations can range from subtle changes in awareness to profound transformations in perception, thought processes, and sensory experiences. Altered states of consciousness can be triggered by various factors, including drug use, meditation, hypnosis, illness, or even intense fatigue.
The ingestion of substances like stimulants or hallucinogens leads to chemical alterations in the brain...
The ingestion of substances like stimulants or hallucinogens leads to chemical alterations in the brain...
162
An Overview of Psychoactive Drugs
199
Psychoactive drugs impact brain function, influencing perception, mood, consciousness, cognition, and behavior. These substances are grouped based on their effects and the mechanisms by which they act.
Stimulants such as cocaine, amphetamines, and nicotine enhance brain activity, leading to increased alertness, attention, and energy. These drugs typically raise heart rate, blood pressure, and body temperature. While they can induce feelings of euphoria, their misuse can result in severe health...
Stimulants such as cocaine, amphetamines, and nicotine enhance brain activity, leading to increased alertness, attention, and energy. These drugs typically raise heart rate, blood pressure, and body temperature. While they can induce feelings of euphoria, their misuse can result in severe health...
199
Drug Therapy
40
The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
Antianxiety Medications
40


