Bomfim Ana Julia de Lima, Zuze Stefany Mirrelle Fávero, Fabrício Daiene de Morais, Pessoa Rebeca Mendes de Paula, Crippa José Alexandre S, Chagas Marcos Hortes N
Department of Neurosciences and Behavioral Sciences, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.
Research Group on Mental Health, Cognition and Aging, Federal University of São Carlos, São Carlos, São Paulo, Brazil.
Cannabis Cannabinoid Res. 2023 Dec;8(6):955-973. doi: 10.1089/can.2023.0086. Epub 2023 Oct 4.
The effects of cannabidiol (CBD) on cognition has been investigated in recent years to determine the therapeutic potential of this cannabinoid for a broad gamut of medical conditions, including neuropsychiatric disorders. The aim of the present study was to perform a systematic review of studies that analyzed the effects of the acute and chronic administration of CBD on cognition in humans and animals both to assess the cognitive safety of CBD and to determine a beneficial potential of CBD on cognition. The PubMed, Web of Science, PsycINFO, and Scopus databases were searched in December of 2022 for relevant articles using the following combinations of keywords: ("cannabidiol" OR "CBD") AND ("cognition" OR "processing cognitive" OR "memory" OR "language" OR "attention" OR "executive function" OR "social cognition" OR "perceptual motor ability" OR "processing speed"). Fifty-nine articles were included in the present review (36 preclinical and 23 clinical trials). CBD seems not to have any negative effect on cognitive processing in rats. The clinical trials confirmed these findings in humans. One study found that repeated dosing with CBD may improve cognitive in people who use cannabis heavily but not individuals with neuropsychiatric disorders. Considering the context of neuropsychiatric disorders in animal models, CBD seems to reverse the harm caused by the experimental paradigms, such that the performance of these animals becomes similar to that of control animals. The results demonstrate that the chronic and acute administration of CBD seems not to impair cognition in humans without neuropsychiatric disorders. In addition, preclinical studies report promising results regarding the effects of CBD on the cognitive processing of animals. Future double-blind, placebo-controlled, randomized clinical trials with larger, less selective samples, with standardized tests, and using different doses of CBD in outpatients are of particular interest to elucidate the cognitive effects of CBD.
近年来,人们对大麻二酚(CBD)对认知的影响进行了研究,以确定这种大麻素对包括神经精神疾病在内的广泛医学病症的治疗潜力。本研究的目的是对分析CBD急性和慢性给药对人类和动物认知影响的研究进行系统综述,以评估CBD的认知安全性,并确定CBD对认知的有益潜力。2022年12月,在PubMed、科学网、PsycINFO和Scopus数据库中使用以下关键词组合搜索相关文章:(“大麻二酚”或“CBD”)以及(“认知”或“认知加工”或“记忆”或“语言”或“注意力”或“执行功能”或“社会认知”或“感知运动能力”或“加工速度”)。本综述纳入了59篇文章(36篇临床前研究和23篇临床试验)。CBD似乎对大鼠的认知加工没有任何负面影响。临床试验在人类中证实了这些发现。一项研究发现,对大量使用大麻的人重复给药CBD可能会改善其认知能力,但对患有神经精神疾病的个体则不然。考虑到动物模型中神经精神疾病的背景,CBD似乎可以逆转实验范式造成的损害,使这些动物的表现变得与对照动物相似。结果表明,对于没有神经精神疾病的人,CBD的慢性和急性给药似乎不会损害其认知。此外,临床前研究报告了关于CBD对动物认知加工影响的有前景的结果。未来进行双盲、安慰剂对照、随机临床试验,采用更大、选择性更低的样本,使用标准化测试,并在门诊患者中使用不同剂量的CBD,对于阐明CBD的认知作用特别有意义。