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[与大麻相关、由大麻诱发及伴发的精神障碍]

[Related, induced and associated psychiatric disorders to cannabis].

作者信息

Laqueille Xavier

机构信息

Service de santé mentale et de thérapeutique, centre hospitalier Sainte-Anne, 75014 Paris.

出版信息

Rev Prat. 2005 Jan 15;55(1):30-4.

Abstract

Cannabis disorders, according to the DSM-IV and the ICD-10 criteria, include cannabis intoxication, cannabis abuse, cannabis dependence, and cannabis-related disorders (anxiety disorders, psychotic disorders, cannabis intoxication delirium). Although cannabis withdrawal syndrome has clinical importance, it is not included in these classifications. The amotivational syndrome remains controversial. The psychiatric disorders related to cannabis use are anxiety disorders, depressive disorders and psychotic disorders. Cannabis use could be closely linked with the neurobiology of schizophrenia. As the other psychoactive substances, cannabis use worsens the psychiatric outcomes and is associated with poorer treatment compliance.

摘要

根据《精神疾病诊断与统计手册第四版》(DSM-IV)和《国际疾病分类第十版》(ICD-10)标准,大麻相关障碍包括大麻中毒、大麻滥用、大麻依赖以及与大麻有关的障碍(焦虑症、精神障碍、大麻中毒性谵妄)。尽管大麻戒断综合征具有临床重要性,但未被纳入这些分类中。动机缺乏综合征仍存在争议。与大麻使用相关的精神障碍包括焦虑症、抑郁症和精神障碍。大麻使用可能与精神分裂症的神经生物学密切相关。与其他精神活性物质一样,大麻使用会使精神疾病预后恶化,并与较差的治疗依从性相关。

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