Shollenbarger Skyler, Thomas Alicia M, Wade Natasha E, Gruber Staci A, Tapert Susan F, Filbey Francesca M, Lisdahl Krista M
Psychology Department, University of Wisconsin-Milwaukee, Milwaukee, WI, United States.
Department of Psychiatry, University of California, San Diego, La Jolla, CA, United States.
Front Public Health. 2019 Nov 1;7:311. doi: 10.3389/fpubh.2019.00311. eCollection 2019.
The endocannbinoid system and cannabis exposure has been implicated in emotional processing. The current study examined whether regular cannabis users demonstrated abnormal intrinsic (a.k.a. resting state) frontolimbic connectivity compared to non-users. A secondary aim examined the relationship between cannabis group connectivity differences and self-reported mood and affect symptoms. Participants included 79 cannabis-using and 80 non-using control emerging adults (ages of 18-30), balanced for gender, reading ability, and age. Standard multiple regressions were used to predict if cannabis group status was associated with frontolimbic connectivity after controlling for site, past month alcohol and nicotine use, and days of abstinence from cannabis. After controlling for research site, past month alcohol and nicotine use, and days of abstinence from cannabis, cannabis users demonstrated significantly greater connectivity between left rACC and the following: right rACC ( = 0.001; corrected = 0.05; = 0.55), left amygdala ( = 0.03; corrected = 0.47; = 0.17), and left insula ( = 0.03; corrected = 0.47; = 0.16). Among cannabis users, greater bilateral rACC connectivity was significantly associated with greater subthreshold depressive symptoms ( = 0.02). Cannabis using young adults demonstrated greater connectivity within frontolimbic regions compared to controls. In cannabis users, greater bilateral rACC intrinsic connectivity was associated with greater levels of subthreshold depression symptoms. Current findings suggest that regular cannabis use during adolescence is associated with abnormal frontolimbic connectivity, especially in cognitive control and emotion regulation regions.
内源性大麻素系统与大麻接触已被认为与情绪加工有关。本研究调查了与非使用者相比,经常使用大麻的人是否表现出异常的内在(即静息状态)额边缘叶连接。第二个目的是研究大麻组连接差异与自我报告的情绪和情感症状之间的关系。参与者包括79名使用大麻的新兴成年人和80名不使用大麻的对照新兴成年人(年龄在18 - 30岁之间),在性别、阅读能力和年龄方面保持平衡。在控制了研究地点、过去一个月的酒精和尼古丁使用情况以及大麻戒断天数后,使用标准多元回归来预测大麻组状态是否与额边缘叶连接有关。在控制了研究地点、过去一个月的酒精和尼古丁使用情况以及大麻戒断天数后,大麻使用者在左前扣带回与以下部位之间表现出显著更强的连接:右前扣带回(p = 0.001;校正p = 0.05;r = 0.55)、左杏仁核(p = 0.03;校正p = 0.47;r = 0.17)和左脑岛(p = 0.03;校正p = 0.47;r = 0.16)。在大麻使用者中,更强的双侧前扣带回连接与更严重的阈下抑郁症状显著相关(p = 0.02)。与对照组相比,使用大麻的年轻成年人在额边缘叶区域内表现出更强的连接。在大麻使用者中,更强的双侧前扣带回内在连接与更高水平的阈下抑郁症状相关。目前的研究结果表明,青春期经常使用大麻与异常的额边缘叶连接有关,特别是在认知控制和情绪调节区域。