Suppr超能文献

大麻与精神病:神经生物学。

Cannabis and psychosis: Neurobiology.

机构信息

Department of Psychiatry, Elgin Early Intervention Program for Psychosis, University of Western Ontario, London, Ontario, Canada ; Mental Health Resource Foundation, Mumbai, Maharashtra, India.

Department of Psychology, University of Toronto, St. George, Toronto, Canada.

出版信息

Indian J Psychiatry. 2014 Jan;56(1):8-16. doi: 10.4103/0019-5545.124708.

Abstract

Cannabis is a known risk factor for schizophrenia, although the exact neurobiological process through which the effects on psychosis occur is not well-understood. In this review, we attempt to develop and discuss a possible pathway for the development of psychosis. We examine the neurobiological changes due to cannabis to see if these changes are similar to those seen in schizophrenic patients the findings show similarities; however, these mere similarities cannot establish a 'cause-effect' relationship as a number of people with similar changes do not develop schizophrenia. Therefore, the 'transition-to-psychosis' due to cannabis, despite being a strong risk factor, remains uncertain based upon neurobiological changes. It appears that other multiple factors might be involved in these processes which are beyond neurobiological factors. Major advances have been made in understanding the underpinning of marijuana dependence, and the role of the cannabinoid system, which is a major area for targeting medications to treat marijuana withdrawal and dependence, as well as other addictions is of now, it is clear that some of the similarities in the neurobiology of cannabis and schizophrenia may indicate a mechanism for the development of psychosis, but its trajectories are undetermined.

摘要

大麻是精神分裂症的已知风险因素,尽管其导致精神病发作的确切神经生物学过程尚未得到很好的理解。在这篇综述中,我们试图提出并讨论精神分裂症发展的可能途径。我们检查了大麻引起的神经生物学变化,以观察这些变化是否与精神分裂症患者的变化相似;然而,这些相似之处并不能确立“因果关系”,因为许多有类似变化的人并没有发展为精神分裂症。因此,尽管大麻是一个很强的风险因素,但由于神经生物学变化,“向精神病的转变”仍然不确定。似乎还有其他多种因素可能参与了这些过程,而这些因素超出了神经生物学因素的范围。在理解大麻依赖的基础以及大麻素系统的作用方面已经取得了重大进展,大麻素系统是针对药物治疗大麻戒断和依赖以及其他成瘾的主要靶点,目前,大麻和精神分裂症的神经生物学相似性可能表明精神分裂症发展的机制,但它的轨迹尚未确定。

相似文献

1
Cannabis and psychosis: Neurobiology.
Indian J Psychiatry. 2014 Jan;56(1):8-16. doi: 10.4103/0019-5545.124708.
2
Pathways to psychosis in cannabis abuse.
Clin Schizophr Relat Psychoses. 2015 Apr;9(1):30-5. doi: 10.3371/CSRP.SHJO.030813.
3
Adolescent brain maturation, the endogenous cannabinoid system and the neurobiology of cannabis-induced schizophrenia.
Prog Neurobiol. 2010 Nov;92(3):370-85. doi: 10.1016/j.pneurobio.2010.06.010. Epub 2010 Jul 16.
4
Cannabis consumption and psychosis or schizophrenia development.
Int J Soc Psychiatry. 2018 Nov;64(7):690-704. doi: 10.1177/0020764018801690.
5
Pathways from cannabis to psychosis: a review of the evidence.
Front Psychiatry. 2013 Oct 14;4:128. doi: 10.3389/fpsyt.2013.00128.
6
[Does the use of cannabis increase the risk for psychosis and the development of schizophrenia?].
Laeknabladid. 2014 Sep;100(9):443-51. doi: 10.17992/lbl.2014.09.556.
7
Role of cannabis and endocannabinoids in the genesis of schizophrenia.
Psychopharmacology (Berl). 2009 Nov;206(4):531-49. doi: 10.1007/s00213-009-1612-6. Epub 2009 Jul 24.
8
Marijuana neurobiology and treatment.
Subst Abus. 2008;29(3):17-29. doi: 10.1080/08897070802218166.
9
Gene-environment interplay between cannabis and psychosis.
Schizophr Bull. 2008 Nov;34(6):1111-21. doi: 10.1093/schbul/sbn108. Epub 2008 Aug 22.
10
Interpreting the association between cannabis use and increased risk for schizophrenia.
Dialogues Clin Neurosci. 2005;7(1):81-5. doi: 10.31887/DCNS.2005.7.1/mweiser.

引用本文的文献

1
Exposotypes in psychotic disorders.
Sci Rep. 2025 Aug 8;15(1):29003. doi: 10.1038/s41598-025-14438-6.
2
The Role of Cannabis in the Development of Psychosis.
Turk Psikiyatri Derg. 2024 Fall;35(3):234-244. doi: 10.5080/u27122.
3
Cannabis use and dependence among festival attendees: results from the French OCTOPUS survey.
BMC Public Health. 2024 Apr 9;24(1):992. doi: 10.1186/s12889-024-18496-9.
5
Terminal type-specific cannabinoid CB1 receptor alterations in patients with schizophrenia: A pilot study.
Neurobiol Dis. 2023 Sep;185:106262. doi: 10.1016/j.nbd.2023.106262. Epub 2023 Aug 15.
6
Terminal type-specific cannabinoid CB1 receptor alterations in patients with schizophrenia: a pilot study.
bioRxiv. 2023 Apr 11:2023.04.11.536217. doi: 10.1101/2023.04.11.536217.
7
Cannabis-Impaired driving: ethical considerations for the primary care practitioner.
Ann Med. 2023 Dec;55(1):24-33. doi: 10.1080/07853890.2022.2151716.
9
Levetiracetam-Induced Psychosis in the Setting of Intracranial Cavernomas.
Case Rep Psychiatry. 2022 Mar 21;2022:9114118. doi: 10.1155/2022/9114118. eCollection 2022.
10
A Rare Presentation of Asymptomatic Spontaneous Pneumomediastinum.
Cureus. 2021 Mar 4;13(3):e13695. doi: 10.7759/cureus.13695.

本文引用的文献

1
Cannabis use and cognitive dysfunction.
Indian J Psychiatry. 2011 Jul;53(3):187-91. doi: 10.4103/0019-5545.86796.
2
Cannabis, schizophrenia and other non-affective psychoses: 35 years of follow-up of a population-based cohort.
Psychol Med. 2012 Jun;42(6):1321-8. doi: 10.1017/S0033291711002078. Epub 2011 Oct 17.
3
History of cannabis use is not associated with alterations in striatal dopamine D2/D3 receptor availability.
J Psychopharmacol. 2012 Jan;26(1):144-9. doi: 10.1177/0269881111414090. Epub 2011 Sep 2.
4
Cannabis with high cannabidiol content is associated with fewer psychotic experiences.
Schizophr Res. 2011 Aug;130(1-3):216-21. doi: 10.1016/j.schres.2011.04.017. Epub 2011 May 17.
6
The environment and schizophrenia.
Nature. 2010 Nov 11;468(7321):203-12. doi: 10.1038/nature09563.
7
Adolescent cannabis use and psychosis: epidemiology and neurodevelopmental models.
Br J Pharmacol. 2010 Jun;160(3):511-22. doi: 10.1111/j.1476-5381.2010.00721.x.
8
Does dopamine mediate the psychosis-inducing effects of cannabis? A review and integration of findings across disciplines.
Schizophr Res. 2010 Aug;121(1-3):107-17. doi: 10.1016/j.schres.2010.05.031. Epub 2010 Jun 26.
9
Developmental consequences of perinatal cannabis exposure: behavioral and neuroendocrine effects in adult rodents.
Psychopharmacology (Berl). 2011 Mar;214(1):5-15. doi: 10.1007/s00213-010-1892-x. Epub 2010 Jun 17.
10
Diffusion tensor imaging in the early phase of schizophrenia: what have we learned?
J Psychiatr Res. 2010 Nov;44(15):993-1004. doi: 10.1016/j.jpsychires.2010.05.003. Epub 2010 Jun 15.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验