National Cannabis Prevention and Information Centre, University of New South Wales, Sydney, Australia.
Curr Opin Psychiatry. 2013 Jul;26(4):325-9. doi: 10.1097/YCO.0b013e328361eae5.
The aim of this review was to examine current trends in cannabis use and cannabis use disorder (CUD) among youth, and to investigate recent findings concerning the relationship between cannabis use and mental health concerns, with a focus on how use during adolescence may interact with related mental health disorders.
Current data indicate that cannabis use among adolescents has shown both marginal increases and decreases, depending on global location; however, the profile of cannabinoids in cannabis may now be biased toward those that promote psychotogenic and memory-impairing effects. CUD has been found most prevalent among youth. After controlling for multiple confounders, longitudinal research suggests that cannabis use predicts the development of anxiety disorders, depression, suicidal ideation, certain personality disorders, and interpersonal violence. Further, associations have been found stronger in adolescents relative to adults, and younger age of initiation increases the risk of developing mental health disorders.
Cannabis use among youth remains prevalent, and recent studies are consolidating previous findings that adolescents are especially vulnerable to mental health disorders associated with cannabis. This suggests that cannabis involvement requires increased prominence in research, prevention initiatives, routine screening, and interventions to improve adolescent mental health.
本综述旨在考察目前青少年大麻使用和大麻使用障碍(CUD)的趋势,并研究最近关于大麻使用与心理健康问题之间关系的发现,重点探讨青春期使用大麻如何与相关心理健康障碍相互作用。
目前的数据表明,青少年大麻使用量有所增加或减少,具体取决于全球位置;然而,大麻中的大麻素成分现在可能偏向于那些具有致幻和损害记忆作用的成分。CUD 在青少年中最为普遍。在控制了多个混杂因素后,纵向研究表明,大麻使用预测焦虑障碍、抑郁、自杀意念、某些人格障碍和人际暴力的发展。此外,与成年人相比,青少年的关联更为强烈,而发病年龄越小,患心理健康障碍的风险就越高。
青少年中仍然普遍存在大麻使用,最近的研究巩固了之前的发现,即青少年尤其容易受到与大麻相关的心理健康障碍的影响。这表明,大麻的使用需要在研究、预防措施、常规筛查和改善青少年心理健康的干预措施中得到更多的关注。