评论：法律环境变化下的青少年大麻使用与心理健康
Commentary: Adolescent Marijuana Use and Mental Health Amidst a Changing Legal Climate.
作者信息
Yurasek Ali M, Hadley Wendy
机构信息
School of Public Health, Center for Alcohol and Addiction Studies, Brown University,
Bradley/Hasbro Children's Research Center/Rhode Island Hospital, and The Alpert Medical School of Brown University.
出版信息
J Pediatr Psychol. 2016 Apr;41(3):287-9. doi: 10.1093/jpepsy/jsw005. Epub 2016 Feb 15.
OBJECTIVE
The purpose of this commentary was to briefly summarize the literature on the relationship between adolescent marijuana use and mental health and how policy changes surrounding marijuana decriminalization and legalization might impact this relationship.
METHODS
A comprehensive literature search on adolescent marijuana use, mental health, and the impact of decriminalization and legalization was conducted. Findings are briefly summarized and discussed.
RESULTS
Although there is a great deal of ambiguity regarding the causal direction of marijuana use and mental health problems, what can safely be gleaned from this body of research is that early and frequent use of marijuana during adolescence is associated with the development of more psychiatric-related problems than occasional use or nonuse.
CONCLUSIONS
Until there is greater clarity in this domain, clinicians should continue to screen adolescent patients for marijuana use as well as mental health difficulties, but may need to be more thoughtful about screening among early adolescents, if in fact a shift in the age of marijuana uptake occurs amidst policy changes.
目的
本评论的目的是简要总结关于青少年使用大麻与心理健康之间关系的文献，以及围绕大麻非刑罪化和合法化的政策变化可能如何影响这种关系。
方法
对青少年使用大麻、心理健康以及非刑罪化和合法化的影响进行了全面的文献检索。对研究结果进行了简要总结和讨论。
结果
尽管大麻使用与心理健康问题的因果关系方向存在很大的不确定性，但从这一系列研究中可以确定的是，青少年时期早期频繁使用大麻比偶尔使用或不使用与更多精神相关问题的发生有关。
结论
在该领域有更明确的结论之前，临床医生应继续对青少年患者进行大麻使用和心理健康问题筛查，但如果在政策变化期间大麻使用年龄发生了变化，那么在筛查早期青少年时可能需要更加谨慎。
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