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大麻二酚对高特质担忧者的担忧和焦虑的影响:一项双盲、随机、安慰剂对照试验。

The effects of cannabidiol on worry and anxiety among high trait worriers: a double-blind, randomized placebo controlled trial.

机构信息

University of Arkansas, 216 Memorial Hall, Fayetteville, AR, 72701, USA.

University of Mississippi, Oxford, USA.

出版信息

Psychopharmacology (Berl). 2023 Oct;240(10):2147-2161. doi: 10.1007/s00213-023-06437-0. Epub 2023 Aug 8.

Abstract

RATIONALE

Evidence suggests cannabidiol (CBD) displays broad therapeutic potential in the context of anxiety; however, no study has examined the effects of CBD on worry, a defining, cognitive feature of anxiety. Additionally, no study has examined the effects of an acute, single dose of CBD compared to repeated CBD administration.

OBJECTIVES

Within a sample of 63 individuals with elevated trait worry, the current study aimed to assess the effects of an empirically-derived high dose of CBD (i.e., 300mg) compared to a commercially-derived dose of CBD (i.e., 50mg) versus placebo on worry severity and anxiety symptoms after an acute dose and after a 2-week administration period.

RESULTS

Results indicated no effect of acute CBD dosing on worry severity or anxiety symptoms. Repeated CBD administration similarly did not impact worry severity; however, 300mg of CBD reduced anxiety symptoms across the 2-week administration period compared to placebo.

CONCLUSIONS

Taken together, these findings suggest 300mg of oral CBD does not attenuate cognitive symptoms of anxiety (i.e., worry), following both acute and repeated administration. Some evidence for repeated administration of 300mg on physical symptoms of anxiety was obtained. Findings from the current study suggest CBD's modest anxiolytic effects may be specific to the physical aspects of anxious arousal.

摘要

背景

有证据表明,大麻二酚(CBD)在焦虑症的治疗中有广泛的潜在疗效;然而,尚无研究检验 CBD 对担忧(焦虑的一个明确的认知特征)的影响。此外,也没有研究检验与重复 CBD 给药相比,单次急性给予 CBD 的效果。

目的

在一个有高特质性担忧的 63 名个体的样本中,本研究旨在评估与商业来源的 CBD 剂量(即 50mg)相比,一种经验证的高剂量 CBD(即 300mg)对急性剂量和 2 周给药期后担忧严重程度和焦虑症状的影响。

结果

结果表明,急性 CBD 给药对担忧严重程度或焦虑症状没有影响。重复 CBD 给药也没有影响担忧严重程度;然而,与安慰剂相比,300mg CBD 可在 2 周给药期间减少焦虑症状。

结论

总之,这些发现表明,无论是急性给药还是重复给药,口服 300mg CBD 都不会减轻焦虑的认知症状(即担忧)。重复给予 300mg CBD 对焦虑的身体症状有一些证据。目前研究的结果表明,CBD 的适度抗焦虑作用可能特定于焦虑唤醒的身体方面。

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