Marco Catherine A, Detherage John Paul, LaFountain Ashley, Hanna Megan, Anderson Justin, Rhee Rachel, Ziegman Jacqueline, Mann Dennis
Department of Emergency Medicine Wright State University Boonshoft School of Medicine Dayton Ohio.
Wright State University Boonshoft School of Medicine Dayton Ohio.
J Am Coll Emerg Physicians Open. 2020 Mar 8;1(3):281-286. doi: 10.1002/emp2.12025. eCollection 2020 Jun.
Marijuana is a commonly used drug in the United States. Many states have legalized the recreational use of marijuana. The effects of marijuana on mental health are unknown.
In this prospective survey study, eligible participants included ED patients age 18 and older, who had ever used recreational marijuana. A survey instrument was developed, piloted, and revised. Data collected included reasons for marijuana use, marijuana's perceived effectiveness, and history of mental health conditions, including depression, anxiety, and suicidal thoughts.
Among 303 participants (86% response rate), the median age of first marijuana use was 16 ([IQR 14, 19], range 6-65). The most commonly cited reasons for marijuana use included recreational use (70%; n = 211), to treat anxiety (30%; n = 89), to treat pain (25%; n = 74), and to treat depression (17%; n = 51). Mental health issues were common in the study population. A majority of patients reported anxiety in the last 30 days (59%; n = 176), and a significant minority of patients reported serious depression in the last 30 days (46%; n = 137). Some patients reported suicidal thoughts in the last 30 days (9%; n = 29). Participants who used marijuana more frequently reported more days of anxiety (median 15.5, compared to 1; = 0.001). Among participants with mental health conditions, most began using marijuana before the onset of the mental health conditions (77%, n = 167). Earlier age of starting to use marijuana was correlated with higher number of years of anxiety or tension in lifetime (r = -0.11, = 0.05, n = 301). Perceived effects of marijuana use on mental health were variable. Most participants stated that marijuana improved their mental health (62%; n = 163), and some reported that marijuana did not improve their mental health (37%; n = 98).
Many ED patients have used marijuana, either currently or in the past. Mental health conditions are also common, including anxiety, depression, and suicidal thoughts. Most participants reported marijuana use starting at an age under 18. Marijuana use preceded the onset of mental health conditions in the majority of participants.
大麻在美国是一种常用药物。许多州已将大麻的娱乐性使用合法化。大麻对心理健康的影响尚不清楚。
在这项前瞻性调查研究中，符合条件的参与者包括18岁及以上曾使用过大麻用于娱乐目的的急诊患者。开发了一种调查工具，进行了预试验并修订。收集的数据包括使用大麻的原因、大麻的感知有效性以及心理健康状况的历史，包括抑郁、焦虑和自杀念头。
在303名参与者中（应答率86%），首次使用大麻的中位年龄为16岁（[四分位间距14, 19]，范围6 - 65岁）。使用大麻最常被提及的原因包括娱乐性使用（70%；n = 211）、治疗焦虑（30%；n = 89）、治疗疼痛（25%；n = 74）以及治疗抑郁（17%；n = 51）。心理健康问题在研究人群中很常见。大多数患者报告在过去30天内有焦虑（59%；n = 176），少数患者报告在过去30天内有严重抑郁（46%；n = 137）。一些患者报告在过去30天内有自杀念头（9%；n = 29）。更频繁使用大麻的参与者报告焦虑天数更多（中位值15.5天，相比1天；P = 0.001）。在有心理健康状况的参与者中，大多数在心理健康状况出现之前就开始使用大麻（77%，n = 167）。开始使用大麻的年龄越早，与一生中焦虑或紧张的年数越多相关（r = -0.11，P = 0.05，n = 301）。大麻使用对心理健康的感知影响各不相同。大多数参与者表示大麻改善了他们的心理健康（62%；n = 163），一些人报告大麻没有改善他们的心理健康（37%；n = 98）。
许多急诊患者目前或过去曾使用过大麻。心理健康状况也很常见，包括焦虑、抑郁和自杀念头。大多数参与者报告在18岁以下开始使用大麻。在大多数参与者中，大麻使用先于心理健康状况的出现。
