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斑秃患者的大麻使用情况:一项横断面调查研究。

Cannabis Use among Patients with Alopecia Areata: A Cross-Sectional Survey Study.

作者信息

Han Jane J, Faletsky Adam, Mostaghimi Arash, Huang Kathie P

机构信息

Department of Dermatology, Brigham and Women's Hospital, Boston, MA, USA.

Stritch School of Medicine, Loyola University Chicago, Maywood, IL, USA.

出版信息

Int J Trichology. 2022 Jan-Feb;14(1):21-24. doi: 10.4103/ijt.ijt_96_21. Epub 2022 Feb 1.

DOI:10.4103/ijt.ijt_96_21
PMID:35300098
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8923141/
Abstract

IMPORTANCE

Little is known about cannabis use among patients with alopecia areata (AA). These patients often experience significant psychosocial burden and may seek alternative therapies beyond that of traditional medical treatments, such as cannabis.

OBJECTIVE

To characterize cannabis use among patients with AA.

DESIGN

This was a cross-sectional study conducted from March 9, 2021, to March 22, 2021, using a web-based survey distributed to adult patients with AA using the National AA Foundation's email listserv and social media platforms.

RESULTS

1,087 participants completed the survey (completion rate: 88.1%). Most participants were female ( = 870, 83.3%) and Caucasian ( = 771, 73.8%), with a mean age of 47.6 ± 15.5 years. 65.9% ( = 689) of participants with AA had a history of cannabis use and among those, 51.8% ( = 357) were current cannabis users. The most common reason for cannabis use among current users was for AA-related symptoms ( = 199, 55.7%), with the greatest perceived improvement in symptoms of stress ( = 261, 73.1%) and anxiety, sadness, and depression ( = 234, 65.6%). 80.4% ( = 287) indicated that cannabis had no impact on their hair loss.

CONCLUSION

Cannabis use is common among patients with AA and is often used to alleviate the psychosocial symptoms related to AA, despite the lack of perceived improvement in hair regrowth.

摘要

重要性

斑秃(AA)患者使用大麻的情况鲜为人知。这些患者常承受巨大的心理社会负担,可能会寻求传统医学治疗之外的替代疗法,比如大麻。

目的

描述AA患者使用大麻的情况。

设计

这是一项横断面研究,于2021年3月9日至2021年3月22日进行,通过基于网络的调查,利用国家AA基金会的电子邮件列表和社交媒体平台分发给成年AA患者。

结果

1087名参与者完成了调查(完成率:88.1%)。大多数参与者为女性(n = 870,83.3%)和白种人(n = 771,73.8%),平均年龄为47.6±15.5岁。65.9%(n = 689)的AA患者有使用大麻的历史,其中51.8%(n = 357)为当前大麻使用者。当前使用者使用大麻的最常见原因是与AA相关的症状(n = 199,55.7%),压力症状(n = 261,73.1%)以及焦虑、悲伤和抑郁症状(n = 234,65.6%)的改善最为明显。80.4%(n = 287)表示大麻对他们的脱发没有影响。

结论

AA患者中使用大麻很常见,并且通常用于缓解与AA相关的心理社会症状,尽管在促进头发生长方面未见明显改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a52/8923141/a0a6ccaf7db8/IJT-14-21-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a52/8923141/a0a6ccaf7db8/IJT-14-21-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a52/8923141/a0a6ccaf7db8/IJT-14-21-g001.jpg

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本文引用的文献

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2
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J Investig Dermatol Symp Proc. 2020 Nov;20(1):S62-S68. doi: 10.1016/j.jisp.2020.05.007.
3
Medical Use of Cannabis in 2019.2019年大麻的医疗用途。
Eur J Med Res. 2024 Apr 1;29(1):211. doi: 10.1186/s40001-024-01803-w.
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Physician values in alopecia areata treatment decision-making: A qualitative assessment.斑秃治疗决策中的医生价值观:一项定性评估。
JAAD Int. 2022 Dec 30;11:14-23. doi: 10.1016/j.jdin.2022.11.010. eCollection 2023 Jun.
JAMA. 2019 Sep 10;322(10):974-975. doi: 10.1001/jama.2019.11868.
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Patient-reported use of medical cannabis for pain, anxiety, and depression symptoms: Systematic review and meta-analysis.患者报告医用大麻用于缓解疼痛、焦虑和抑郁症状的使用情况:系统评价和荟萃分析。
Soc Sci Med. 2019 Jul;233:181-192. doi: 10.1016/j.socscimed.2019.06.005. Epub 2019 Jun 8.
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Association between alopecia areata, anxiety, and depression: A systematic review and meta-analysis.斑秃、焦虑和抑郁之间的关联:一项系统评价与荟萃分析。
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