在患有酒精使用障碍的人群中,CBD减弱了杏仁体对负面情绪刺激的反应 - - 随机对照试验
Marlen Pfisterer1,2, Anton Teetzmann1,2, Sina Vetter1,2
1Department of Addictive Behavior and Addiction Medicine, Central Institute of Mental Health, Medical Faculty Mannheim/Heidelberg University, J5/68159, Mannheim, Germany.
Psychopharmacology
|August 29, 2025
概括
在患有酒精使用障碍 (AUD) 的人群中,大麻素 (CBD) 减少了杏仁体对负面情绪的反应. 这表明CBD可以通过调节情绪处理和减少渴望来帮助治疗AUD.
科学领域:
- 神经成像
- 精神病学
- 药理学
背景情况:
- 负面影响是导致酒精使用障碍 (AUD) 的关键因素,
- 目前的药物不足以解决AUD的负面影响.
- 大麻二醇 (CBD) 显示出对AUD的负面影响及其潜在神经回路的调节潜力.
研究的目的:
- 研究CBD对AUD患者对负面情绪刺激的神经反应的影响.
- 检查CBD对主观酒精渴望的影响.
- 探索CBD血水平,杏仁体反应和酒精渴望之间的关系.
主要方法:
- 一个随机,双盲,安慰剂控制的神经成像试验,涉及28名AUD患者.
- 参与者接受800毫克的口服CBD或安慰剂.
- 在情绪处理任务中测量了杏仁体的血液氧化水平依赖 (BOLD) 反应.
主要成果:
- 与安慰剂相比,CBD显著减弱了双边桃体对愤怒和恐惧的反应.
- 没有观察到CBD对桃体对中性刺激的激活有显著影响.
- 杏仁体对负面刺激的反应与酒精渴望正相关,与CBD血水平负相关.
结论:
- 通过CBD调节杏仁体对负面情绪刺激的反应, 支持其治疗AUD的潜力.
- CBD可能有助于控制与AUD相关的负面情绪状态的渴望和复发风险.
- 需要进一步研究CBD对AUD的治疗潜力.
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