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大麻二酚作为焦虑症的一种潜在治疗方法。

Cannabidiol as a Potential Treatment for Anxiety Disorders.

作者信息

Blessing Esther M, Steenkamp Maria M, Manzanares Jorge, Marmar Charles R

机构信息

New York University School of Medicine, New York, NY, USA.

Instituto de Neurociencias de Alicante, Universidad Miguel Hernández and Consejo Superior de Investigaciones Científicas, Alicante, Spain.

出版信息

Neurotherapeutics. 2015 Oct;12(4):825-36. doi: 10.1007/s13311-015-0387-1.

Abstract

Cannabidiol (CBD), a Cannabis sativa constituent, is a pharmacologically broad-spectrum drug that in recent years has drawn increasing interest as a treatment for a range of neuropsychiatric disorders. The purpose of the current review is to determine CBD's potential as a treatment for anxiety-related disorders, by assessing evidence from preclinical, human experimental, clinical, and epidemiological studies. We found that existing preclinical evidence strongly supports CBD as a treatment for generalized anxiety disorder, panic disorder, social anxiety disorder, obsessive-compulsive disorder, and post-traumatic stress disorder when administered acutely; however, few studies have investigated chronic CBD dosing. Likewise, evidence from human studies supports an anxiolytic role of CBD, but is currently limited to acute dosing, also with few studies in clinical populations. Overall, current evidence indicates CBD has considerable potential as a treatment for multiple anxiety disorders, with need for further study of chronic and therapeutic effects in relevant clinical populations.

摘要

大麻二酚(CBD)是大麻的一种成分,是一种具有广泛药理作用的药物,近年来作为一系列神经精神疾病的治疗方法越来越受到关注。本综述的目的是通过评估临床前、人体实验、临床和流行病学研究的证据,确定CBD作为焦虑相关疾病治疗方法的潜力。我们发现,现有的临床前证据有力地支持CBD在急性给药时可用于治疗广泛性焦虑症、恐慌症、社交焦虑症、强迫症和创伤后应激障碍;然而,很少有研究调查长期服用CBD的情况。同样,人体研究的证据支持CBD具有抗焦虑作用,但目前仅限于急性给药,且针对临床人群的研究也很少。总体而言,目前的证据表明CBD作为多种焦虑症的治疗方法具有相当大的潜力,需要进一步研究其在相关临床人群中的长期和治疗效果。

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