Maynard Madison, Paulson Daniel, Dunn Michael, Dvorak Robert D
Department of Psychology, University of Central Florida.
Cannabis. 2023 Jul 5;6(2):22-29. doi: 10.26828/cannabis/2023/000153. eCollection 2023.
Cannabis is increasingly accessible and use is increasing rapidly among older adults as laws change and cannabis becomes more frequently prescribed in healthcare settings. Past research identified cognitive effects of cannabis use among adolescents and young adults that can persist for several weeks after intoxication, though little is known about how these effects generalize to older adults. Participants ( = 1348) were drawn from the Health and Retirement Study (HRS) and were categorized as current occasional users (up to once/week in the past year, = 36), current frequent users (once per week or more in the past year, = 92), past users ( = 334), and non-users ( = 886). Participant ages ranged from 50 to 98 ( = 67.25, = 10.68). Uncontrolled, one-way ANOVAs and controlled ANCOVAs were used to examine between-group differences on immediate and delayed wordlist memory and working memory (serial sevens). When controlling for age, gender, education, and minority status, current frequent users demonstrated significantly worse immediate memory performance compared to past and non-users. However, this difference could have been the result of acute, residual effects of past-month cannabis use among current users. In controlled analyses, there were no differences between groups on delayed or working memory. Findings indicate that greater than weekly cannabis use may result in attentional and short-term memory deficits. Further, these effects may be mitigated by sustained abstinence. Limitations including sample size and measures of cannabis use warrant future studies to replicate and build upon these findings.
随着法律的变化以及大麻在医疗环境中开具处方的频率增加,大麻越来越容易获取,老年人对其的使用也在迅速增加。过去的研究确定了青少年和年轻人使用大麻的认知影响,这种影响在中毒后可持续数周,不过对于这些影响如何推广到老年人身上却知之甚少。参与者((n = 1348))来自健康与退休研究(HRS),并被分类为当前偶尔使用者(过去一年中每周使用次数不超过一次,(n(n = 36))、当前频繁使用者(过去一年中每周使用一次或更多次,(n = 92))、过去使用者((n = 334))和非使用者((n = 886))。参与者年龄范围为50至98岁((M = 67.25),(SD = 10.68))。使用无控制的单因素方差分析和有控制的协方差分析来检验组间在即时和延迟单词列表记忆以及工作记忆(连续减7)方面的差异。在控制年龄、性别、教育程度和少数族裔身份后,当前频繁使用者与过去使用者和非使用者相比,即时记忆表现明显更差。然而,这种差异可能是当前使用者过去一个月使用大麻的急性残留效应导致的。在有控制的分析中,组间在延迟记忆或工作记忆方面没有差异。研究结果表明,每周使用大麻超过一次可能会导致注意力和短期记忆缺陷。此外,持续戒断可能会减轻这些影响。包括样本量和大麻使用测量方法在内的局限性需要未来的研究来复制并在此基础上进一步拓展这些发现。