大麻和多发性硬化症的认知功能:来自大量连续临床样本的研究结果
Anne Kever1,2, Cecilia Meza1,3, Anthony Feinstein1,3
1Division of Neurology, Department of Medicine, Michael's Hospital, University of Toronto, Toronto, Ontario, Canada.
European journal of neurology
|July 5, 2025
概括
多发性硬化 (pwMS) 患者的娱乐大麻使用与认知功能较差有关,特别是处理速度和工作记忆. 这突显了MS患者认知能力下降的潜在风险因素.
科学领域:
- 神经学 神经学
- 神经科学是一个神经科学.
- 药理学 药理学是指药理学的学科.
背景情况:
- 大麻经常被患有多发性硬化症 (pwMS) 的人用于症状管理.
- 关于大麻对MS认知功能的影响的先前研究产生了不一致的结果.
研究的目的:
- 为了研究娱乐大麻使用和客观认知表现之间的关联在pwMS的大型临床队列中.
主要方法:
- 一项涉及847名报告大麻消费的pwMS的横截面研究.
- 认知功能使用MS认知功能的最小评估 (MACFIMS) 电池进行评估.
- 使用MANOVA和多重线性回归来比较用户与非用户之间的认知表现,并确定独立的预测因子.
主要成果:
- 大麻使用显著影响认知表现 (p=0.030),使用者在SDMT表现较差 (p=0.014).
- 控制共变量的回归分析表明,大麻使用独立预测SDMT,PASAT-3和PASAT-2的表现较差 (所有p<0.001).
结论:
- 大麻使用与pwMS中的处理速度和工作记忆减少有关,这表明它是认知障碍的潜在风险因素.
- 鉴于全球大麻的合法化和强度日益增加,这种关联令人担忧.
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