Curtis L, Rey-Bellet P, Merlo M C G
Département de psychiatrie, Programme JADE, Genève.
Rev Med Suisse. 2006 Sep 20;2(79):2099-100, 2102-3.
Cannabis is abused by a progressively larger and younger proportion of our population. For the clinician, this can raise the question of what the relationship between cannabis and psychosis is. For the patient who is already psychotic, this relationship is most certainly adverse; cannabis worsens the symptoms and prognosis of a psychosis. What may be of even greater concern is the growing evidence that cannabis may cause psychosis in healthy individuals. Many studies now show a robust and consistent association between cannabis consumption and the ulterior development of psychosis. Furthermore, our better understanding of cannabis biology allows the proposal of a plausible hypothetical model, based notably on possible interactions between cannabis and dopaminergic neurotransmission.
大麻在我们人口中被滥用的比例越来越大,且使用者越来越年轻。对于临床医生而言,这可能会引发大麻与精神病之间关系的问题。对于已经患有精神病的患者来说,这种关系肯定是不利的;大麻会使精神病的症状恶化并影响预后。甚至更令人担忧的是,越来越多的证据表明大麻可能会在健康个体中引发精神病。现在许多研究表明,大麻消费与精神病的后续发展之间存在着强烈且一致的关联。此外,我们对大麻生物学的深入了解,使得我们能够提出一个合理的假设模型,该模型尤其基于大麻与多巴胺能神经传递之间可能的相互作用。