Afifi Shrief Y, Alghamdi Abdulkhaliq S S, Sallam Ahmed, Almuqahwi Mohammed S A, Al-Sayegh Ibrahim A, Alzahrani Farah M O, Al-Zain Al-Dain Amerah N, Al-Zain Al-Deen Afrah N, ALabdulhadi Abeer A, Ali Moatazbellah I
Neuropsychiatry Department, Okasha Institute of Psychiatry, Ain Shams University, Cairo, Egypt.
Department of Addiction, Erada Complex and Mental Health in Dammam, Easter Health Cluster, Dammam, Saudi Arabia.
Front Psychiatry. 2025 Aug 22;16:1621261. doi: 10.3389/fpsyt.2025.1621261. eCollection 2025.
Methamphetamine use disorder (MUD) is linked to a variety of cognitive and neuropsychiatric deficits. One of the illegal substances that is most frequently abused is cannabis. The general consensus is that both recreational cannabis and methamphetamine use result in a wide spectrum of severe cognitive impairments, although there have been questions raised regarding conclusions derived from published material. The purpose of this work is to describe how cannabis and methamphetamine use disorder affects human cognition in a group of Saudi patients.
A cross-sectional observational study has been done at Erada Complex and Mental Health, Dammam, KSA. The study included three groups: the first group consisted of individuals who have methamphetamine use disorder, the second group included individuals with disorders related to cannabis use disorder, and the third group comprised healthy persons as a control group. The patients' demographic information has been gathered. Urine toxicological testing for cannabis and methamphetamine has been used to evaluate recent drug use. We employed SCID-I [a semi-structured interview to diagnose mental illnesses using the standards set out in the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV)] to rule out other mental illnesses and confirm cannabis and methamphetamine use disorder. At the time of interview, all individuals underwent cognitive evaluations using standardized neuropsychological tests for screening by MoCA, followed by Wechsler Memory Scale and Stroop's test for executive function.
A significant difference could be seen in all aspects of cognitive functions among patients and controls upon application of MoCA, Wechsler Memory Scale, and Stroop tests. On the other hand, there was statistical significance in most of the features among patients with either methamphetamine or cannabis use disorder using the same scales.
Cognitive functions were affected in the studied group of Saudi patients who suffer from cannabis and methamphetamine use disorder compared to the control group, with those who were diagnosed with methamphetamine use disorder having greater effects on cognitive functions than those who were diagnosed with cannabis use disorder.
甲基苯丙胺使用障碍(MUD)与多种认知和神经精神缺陷有关。大麻是最常被滥用的非法物质之一。普遍的共识是,娱乐性大麻和甲基苯丙胺的使用都会导致广泛的严重认知障碍,尽管对于已发表材料得出的结论存在疑问。这项工作的目的是描述大麻和甲基苯丙胺使用障碍如何影响一组沙特患者的人类认知。
在沙特阿拉伯达曼的埃拉达综合心理健康中心进行了一项横断面观察性研究。该研究包括三组:第一组由患有甲基苯丙胺使用障碍的个体组成,第二组包括患有大麻使用障碍相关疾病的个体,第三组为健康人作为对照组。收集了患者的人口统计学信息。使用大麻和甲基苯丙胺的尿液毒理学检测来评估近期药物使用情况。我们采用SCID-I[一种使用《精神障碍诊断与统计手册》第四版(DSM-IV)中规定的标准诊断精神疾病的半结构化访谈]来排除其他精神疾病,并确认大麻和甲基苯丙胺使用障碍。在访谈时,所有个体都使用标准化神经心理学测试进行认知评估,首先通过蒙特利尔认知评估量表(MoCA)进行筛查,然后使用韦氏记忆量表和斯特鲁普测试进行执行功能评估。
应用MoCA、韦氏记忆量表和斯特鲁普测试后,患者和对照组在认知功能的各个方面都存在显著差异。另一方面,使用相同量表时,患有甲基苯丙胺或大麻使用障碍的患者在大多数特征上具有统计学意义。
与对照组相比,患有大麻和甲基苯丙胺使用障碍的沙特患者研究组的认知功能受到影响,被诊断为甲基苯丙胺使用障碍的患者对认知功能的影响比被诊断为大麻使用障碍的患者更大。