Psychosocial interventions for cannabis use disorder

Gates, Peter; Sabioni, Pamela; Copeland, Jan; Foll, Bernard Le; Gowing, Linda

doi:10.1002/14651858.cd005336.pub4

Cited by 196 publications

(198 citation statements)

References 171 publications

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“…Risk reduction has also been proposed for those users who do not quit [20]. Previous studies indicate that SCs' users do not differ from non-users in treatment outcomes [17], so one option would be to use the most effective treatments for cannabis dependence: motivational therapy combined with cognitive-behavioral therapy plus incentives [54].…”

Section: Discussionmentioning

confidence: 99%

Synthetic cannabinoids: characteristics, use and clinical implications

Hervás¹

2017

Arch Psych Psych

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Synthetic cannabinoids are chemicals that bind to cannabinoid receptors and produce effects similar to those of tetrahydrocannabinol. Although initially designed as possible pharmacological tools, they are currently one of the most important of the so-called new drugs. Some of these cannabinoids are extremely potent and have serious effects on the health of the users who are primarily young people. Its use can affect the behavior unpredictably (many users do not really know what they are consuming), and produce more adverse consequences than marijuana.This article reviews the most important characteristics of these substances, the consequences of their consumption and the clinical implications that derive from it.

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Section: Discussionmentioning

confidence: 99%

Synthetic cannabinoids: characteristics, use and clinical implications

Hervás¹

2017

Arch Psych Psych

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“…El sistema cannabinoide se compone de receptores cannabinoides (tipo 1 y tipo 2) y su unión a sustancias cannabinoides endógenas (endocannabinoides) 4,6,7 ; sin embargo, los cannabinoides provenientes del cannabis (fitocannabinoides) 8,9 y los elaborados artificialmente (exocannabinoides) 10 tienen la capacidad de unirse a estos receptores, activar el sistema y alterarlo a largo plazo.…”

Section: Sistema Cannabinoideunclassified

“…Desde el punto de vista de las ciencias de la salud existe la posibilidad del uso medicinal de Cannabis sativa por medio de su inhalación, el consumo de infusiones y el uso tópico de cremas derivadas 3,4 . No obstante, también se ha visto que siendo una sustancia adictiva 5,6 podría afectar a los individuos consumidores en aspectos como la función normal del sistema nervioso central y el proceso para la utilización de algunos nutrientes.…”

Section: Introductionunclassified

Efectos del consumo de marihuana en adultos sobre la ingesta y el metabolismo de los nutrientes: una revisión

Basto

Poveda

2017

Rev Esp Nutr Hum Diet

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La marihuana es uno de los psicoactivos más consumidos en Colombia y el mundo. Se ha observado que tiene efectos sobre el sistema nervioso central y, en consecuencia, podría afectar al metabolismo y el estado nutricional de los individuos consumidores. Este artículo pretende evaluar si el consumo de marihuana y la activación del sistema cannabinoide tienen la capacidad de activar mecanismos fisiológicos mediante los cuales se afecte la ingesta de alimentos, el metabolismo de los nutrientes y el estado nutricional de los adultos adictos. Como resultado se encuentra que el consumo de la marihuana puede incrementar los estímulos orexigénicos y disminuir los anorexigénicos, incidiendo en el aumento de la ingesta y en cambios sobre la producción de enzimas importantes para el metabolismo de las grasas. Además, influye en la aparición de alteraciones del estado nutricional de los consumidores relacionadas con una disminución del índice de masa corporal (IMC), lo cual contrasta con los resultados observados a nivel de la ingesta, por lo tanto se resalta la importancia de efectuar estudios profundos que expliquen este cuestionamiento. PALABRAS CLAVE Cannabis;Cannabinoides; Estado Nutricional; Dieta. R E S U M E NEfectos del consumo de marihuana en adultos sobre la ingesta y el metabolismo de los nutrientes: una revisión

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“…Although it has been reported that cannabis is the substance associated with the most problems, approximately 85% of these patients also consume one or more other classes of substances. While effective CU treatment programs are now available [2-5], the additional use of other substances, termed polysubstance use (PSU) according to the 10 th revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10) [6], may indicate worse responses to treatment, particularly with illegal substance use. The roles of substance class, variety, and frequency of PSU in predicting CU treatment effectiveness have not been elucidated.…”

Section: Introductionmentioning

confidence: 99%

“…A series of recent reviews and meta-analyses have demonstrated that cognitive-behavioral therapies (CBT), including elements of motivational enhancement (ME) and problem solving are especially effective in reducing the frequency and severity of CU. Furthermore, these treatments are also effective for improving secondary outcomes such as psychosocial functioning [2-5, 16, 17]. However, research has not yet determined whether PSU predicts CU treatment outcomes beyond the pattern of CU.…”

Section: Introductionmentioning

confidence: 99%

Is Cannabis Use Treatment Also Indicated for Patients with Low to Moderate Polysubstance Use

et al. 2018

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Background: Polysubstance use (PSU) is common among patients with cannabis use (CU) and is related to more severe CU problems. However, it is unclear how PSU predicts CU treatment outcomes beyond CU patterns. We examined the frequency, amount, and class of additionally used substances as predictors for primary and secondary outcomes. Methods: We conducted crude and adjusted regression analyses for PSU variables as predictors of remission, abstinence, reduction, and secondary outcomes in 166 help-seeking patients from a randomized clinical trial of CANDIS, a cognitive behavioral treatment program. Results: Patients with recent illegal PSU experienced more difficulties in reducing their CU (B = –1.22, p < 0.001). In contrast, remission rates were slightly higher in patients with a wide variety of last-year-PSU (RD = 0.04, p < 0.001). Amphetamine use predicted poorer outcomes regarding CU-related problems (B = –4.22, p = 0.019), and the use of opiates, inhalants, and dissociative substances predicted poorer physical health outcomes (B = –0.62, p = 0.009; B = –0.96, p = 0.039; B = –1.18, p = 0.007). Conclusions: CU treatment is also effective for patients with moderate PSU. However, treatment effects may be enhanced by addressing specific PSU characteristics as part of a modularized program.

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Psychosocial interventions for cannabis use disorder

Abstract: Analysis 1.14. Comparison 1 Intervention versus inactive control, Outcome 14 Reduction in cannabis-related problems at shortterm follow-up (intervention intensity

Cited by 196 publications

References 171 publications

Synthetic cannabinoids: characteristics, use and clinical implications

Synthetic cannabinoids: characteristics, use and clinical implications

Efectos del consumo de marihuana en adultos sobre la ingesta y el metabolismo de los nutrientes: una revisión

Is Cannabis Use Treatment Also Indicated for Patients with Low to Moderate Polysubstance Use

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