Department of Neuropsychology and Psychopharmacology, Maastricht University, Maastricht, The Netherlands.
PLoS One. 2013;8(1):e53127. doi: 10.1371/journal.pone.0053127. Epub 2013 Jan 2.
The present study assessed psychomotor function in chronic, daily cannabis smokers during 3 weeks continuously monitored abstinence on a secure research unit. We hypothesized that psychomotor performance would improve during abstinence of chronic, daily cannabis smokers.
METHODOLOGY/PRINCIPAL FINDINGS: Performance on the critical tracking (CTT) and divided attention (DAT) tasks was assessed in 19 male chronic, daily cannabis smokers at baseline and after 8, 14-16 and 21-23 days of continuously monitored abstinence. Psychomotor performance was compared to a control group of non-intoxicated occasional drug users. Critical frequency (λ(c)) of the CTT and tracking error and control losses of the DAT were the primary outcome measures. Results showed that chronic cannabis smokers' performance on the CTT (p<0.001) and the DAT (p<0.001) was impaired during baseline relative to the comparison group. Psychomotor performance in the chronic cannabis smokers improved over 3 weeks of abstinence, but did not recover to equivalent control group performance.
CONCLUSIONS/SIGNIFICANCE: Sustained cannabis abstinence moderately improved critical tracking and divided attention performance in chronic, daily cannabis smokers, but impairment was still observable compared to controls after 3 weeks of abstinence. Between group differences, however, need to be interpreted with caution as chronic smokers and controls were not matched for education, social economic status, life style and race.
本研究评估了在安全研究单位连续监测 3 周禁欲期间慢性每日吸食大麻者的精神运动功能。我们假设,在慢性每日吸食大麻者禁欲期间,精神运动表现会有所改善。
方法/主要发现:19 名男性慢性每日吸食大麻者在基线时和连续监测禁欲 8、14-16 和 21-23 天后,分别在关键跟踪(CTT)和分散注意(DAT)任务上进行了评估。将精神运动表现与非中毒偶尔吸毒者的对照组进行了比较。CTT 的临界频率(λ(c))和 DAT 的跟踪误差和控制损失是主要的结果测量指标。结果表明,与对照组相比,慢性大麻吸烟者在基线时的 CTT(p<0.001)和 DAT(p<0.001)表现受损。慢性大麻吸烟者在 3 周的禁欲期间,精神运动表现逐渐改善,但与对照组相比,仍未恢复到同等水平。
结论/意义:在慢性每日吸食大麻者中,持续的大麻禁欲可适度改善关键跟踪和分散注意力的表现,但在 3 周的禁欲后,与对照组相比,仍能观察到损伤。然而,由于慢性吸烟者和对照组在教育、社会经济地位、生活方式和种族方面没有匹配,因此需要谨慎解释组间差异。