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对当前处于戒断期的男性大麻使用者样本的额叶功能评估:与使用时长及其功能结果的相关性。

Assessment of frontal lobe functions in a sample of male cannabis users currently in abstinence: correlations with duration of use and their functional outcomes.

作者信息

Tag-Eldeen El-Shimaa, Fahmy Magda, Anwar Khaled, Ibrahim Omneya

机构信息

Department of Psychiatry and Neurology, Suez Canal University, Ismailia, Egypt.

出版信息

J Cannabis Res. 2024 Aug 21;6(1):34. doi: 10.1186/s42238-024-00244-w.

Abstract

BACKGROUND

Previous research literature reported different results regarding the long-term effects that cannabis use can exert on the frontal lobe neurocognitive functions of its users. Another body of research suggested that cannabis use negatively affects the person's general level of occupational and psychosocial functioning consequently to these alterations. Some other research results did not support these findings. To date, it is still debatable whether chronic cannabis use triggers negative neurocognitive effects in chronic users even after a period of abstinence. Research data exploring consequent adverse outcomes on the general individual occupational and psychosocial functioning is not yet conclusive.

RESULTS

We conducted this study to examine the residual neurocognitive effects of cannabis use, whether it is affected by duration of cannabis use before abstinence, and its relation to individual's global assessment of functioning exhibited in the person's occupational and social life whether it's family or friends. Our sample comprised 80 male participants (18-45 years old) who were grouped into 4 groups (3 groups with different durations of use and a control group), with no significant difference between the four studied groups regarding age, education, and socioeconomic level. The Kruskal Wallis test was used to test the significance of differences in the distribution of total frontal lobe battery results and the general assessment of function scores using GAF scores between study groups. Post hoc testing was performed to adjust for multiple comparisons using Bonferroni method.

CONCLUSION

Data analysis showed that cannabis users experienced general functional disturbances that encompass impairments in social and occupational life aspects. These impairments in function are correlated with the presence of neurocognitive deficits even after a period of abstinence. Both having significant positive correlation with longer duration of cannabis use.

摘要

背景

先前的研究文献报道了关于大麻使用对使用者额叶神经认知功能的长期影响的不同结果。另一项研究表明,由于这些改变,大麻使用会对人的职业和心理社会功能的总体水平产生负面影响。其他一些研究结果并不支持这些发现。迄今为止,即使在一段时间的戒断之后,长期使用大麻是否会在长期使用者中引发负面神经认知效应仍存在争议。探索对个体职业和心理社会功能产生的后续不良后果的研究数据尚无定论。

结果

我们进行了这项研究,以检查大麻使用的残留神经认知效应,它是否受戒断前大麻使用持续时间的影响,以及它与个体在职业和社会生活(无论是家庭还是朋友)中表现出的整体功能评估之间的关系。我们的样本包括80名男性参与者(18 - 45岁),他们被分为4组(3个使用持续时间不同的组和一个对照组),四个研究组在年龄、教育程度和社会经济水平方面没有显著差异。使用Kruskal Wallis检验来检验研究组之间额叶总电池测试结果分布差异的显著性以及使用GAF评分的功能得分总体评估差异的显著性。使用Bonferroni方法进行事后检验以调整多重比较。

结论

数据分析表明,大麻使用者经历了包括社会和职业生活方面受损的一般功能障碍。即使在一段时间的戒断之后,这些功能障碍与神经认知缺陷的存在相关。两者都与更长的大麻使用持续时间呈显著正相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bbc/11337584/d3af021a0cb6/42238_2024_244_Fig1_HTML.jpg

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