一般人口的娱乐大麻使用和睡眠:系统性审查和元分析
Fangxiang Mao1, Sanne J W Hoepel2, Mina Shahisavandi3
1Department of Epidemiology, Erasmus MC University Medical Center, Rotterdam, Zuid-Holland, the Netherlands; The Generation R Study Group, Erasmus MC University Medical Center, Rotterdam, Zuid-Holland, the Netherlands.
Sleep medicine reviews
|November 4, 2025
概括
在观察性研究中,娱乐性大麻使用,特别是当前使用,与睡眠质量差,失眠和睡眠时间改变有关. 然而,实验研究没有发现这种关联,这表明当前研究中的潜在偏见.
科学领域:
- 睡眠科学 睡眠科学
- 大麻研究 大麻研究
- 公共卫生 公共卫生
背景情况:
- 大麻经常被事地用于改善睡眠.
- 娱乐大麻使用对一般人群睡眠的影响尚不清楚.
研究的目的:
- 系统地审查和元分析娱乐大麻使用 (当前和终身) 与各种睡眠参数之间的关联.
- 为了区分观察和实验研究设计之间的发现.
主要方法:
- 从六个数据库中对120项研究进行了系统审查和元分析.
- 包括观察性和实验性研究,但不包括药用大麻或临床样本.
- 定义当前使用 (一个月内) 和终身使用 (过去一年/终身).
主要成果:
- 观察性研究:目前的娱乐大麻使用与睡眠质量差,睡眠时间短/长,失眠症状和晚期时间型相关.
- 终身使用显示与失眠和时间型有类似的关联.
- 在当前或终身使用中,没有发现白天嗜睡的相关性.
- 在男性和年轻用户中,这种关联更为强烈.
- 实验研究:大麻使用与睡眠质量或持续时间之间没有显著的关联.
结论:
- 观察数据表明,娱乐大麻使用与睡眠不佳有关,但研究结果可能受到偏差的影响.
- 实验证据不支持这些关联,突出了差异.
- 需要进一步的精心设计的研究,整合观察和实验方法,以澄清大麻和睡眠之间的关系.
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