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大麻使用的戒断后遗症。

Withdrawal sequelae to cannabis use.

作者信息

Rohr J M, Skowlund S W, Martin T E

出版信息

Int J Addict. 1989 Jul;24(7):627-31. doi: 10.3109/10826088909047302.

DOI:10.3109/10826088909047302
PMID:2599683
Abstract

A specific withdrawal syndrome resulting from the prolonged use of cannabis is presented. It is believed to be an underreported set of symptoms that are now emerging in the United States as a result of the increasing potency of the drug and greater numbers of long-term users. Two case studies are presented which illustrate the cannabis withdrawal syndrome in an otherwise healthy 25-year-old male and an exacerbation of a preexisting affective disorder in a 38-year-old male who prior to his resumption of cannabis use was asymptomatic for 3 years with antidepressant medications. The cannabis withdrawal sequela is presented with a discussion of differential diagnosis and implications for treatment and future research.

摘要

本文介绍了因长期使用大麻而导致的一种特定戒断综合征。据信,这是一组未得到充分报告的症状,由于该药物效力增强以及长期使用者数量增加,目前在美国正逐渐显现出来。文中呈现了两个案例研究,一个说明了一名原本健康的25岁男性的大麻戒断综合征,另一个则展示了一名38岁男性先前存在的情感障碍因重新使用大麻而加重的情况,该男性在恢复使用大麻之前,服用抗抑郁药物3年一直无症状。本文介绍了大麻戒断后遗症,并讨论了鉴别诊断以及对治疗和未来研究的意义。

相似文献

1
Withdrawal sequelae to cannabis use.大麻使用的戒断后遗症。
Int J Addict. 1989 Jul;24(7):627-31. doi: 10.3109/10826088909047302.
2
Cannabis withdrawal among non-treatment-seeking adult cannabis users.未寻求治疗的成年大麻使用者中的大麻戒断情况。
Am J Addict. 2006 Jan-Feb;15(1):8-14. doi: 10.1080/10550490500418997.
3
Psychiatric effects of cannabis.大麻的精神影响。
Br J Psychiatry. 2001 Feb;178:116-22. doi: 10.1192/bjp.178.2.116.
4
Cannabis withdrawal in adolescent treatment seekers.寻求治疗的青少年中的大麻戒断反应。
Drug Alcohol Depend. 2005 May 9;78(2):205-10. doi: 10.1016/j.drugalcdep.2004.11.001. Epub 2004 Dec 18.
5
On psychiatric syndromes associated with cannabis.论与大麻相关的精神综合征
Ala Med. 1984 Aug;54(2):34-6.
6
Manic and psychotic symptoms following risperidone withdrawal in a schizophrenic patient.一名精神分裂症患者停用利培酮后出现的躁狂和精神病性症状。
J Clin Psychiatry. 1998 Nov;59(11):620-1. doi: 10.4088/jcp.v59n1109c.
7
Alternative explanations for withdrawal psychosis.戒断性精神病的其他解释。
Am J Psychiatry. 1984 Sep;141(9):1129-30.
8
Cannabis psychosis following bhang ingestion.食用印度大麻后出现的大麻性精神病。
Br J Addict. 1991 Sep;86(9):1075-81. doi: 10.1111/j.1360-0443.1991.tb01874.x.
9
[Cannabis withdrawal syndrome in patients with cannabis dependence only, and in patients with cannabis and opioid dependence].[仅大麻依赖患者以及大麻和阿片类物质依赖患者中的大麻戒断综合征]
Encephale. 2011 Sep;37(4):266-72. doi: 10.1016/j.encep.2010.12.007. Epub 2011 Feb 5.
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Prospective assessment of cannabis withdrawal in adolescents with cannabis dependence: a pilot study.对大麻依赖青少年的大麻戒断进行前瞻性评估:一项试点研究。
J Am Acad Child Adolesc Psychiatry. 2008 Feb;47(2):174-179. doi: 10.1097/chi.0b013e31815cdd73.

引用本文的文献

1
Psychosis associated with cannabis withdrawal: systematic review and case series.与大麻戒断相关的精神病:系统评价与病例系列
Br J Psychiatry. 2024 Dec 3:1-12. doi: 10.1192/bjp.2024.175.
2
Cannabis use, abuse, and withdrawal: Cannabinergic mechanisms, clinical, and preclinical findings.大麻使用、滥用和戒断:大麻素机制、临床和临床前研究结果。
J Neurochem. 2021 Jun;157(5):1674-1696. doi: 10.1111/jnc.15369. Epub 2021 May 16.
3
Cannabis withdrawal in the United States: results from NESARC.美国的大麻戒断反应:来自全国酒精与相关状况流行病学调查(NESARC)的结果
J Clin Psychiatry. 2008 Sep;69(9):1354-63. doi: 10.4088/jcp.v69n0902. Epub 2008 Sep 9.