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Cannabis abuse and the course of recent-onset schizophrenic disorders.
Linszen, D H; Dingemans, P M; Lenior, M E.
Afiliación
  • Linszen DH; Psychiatric Center, Academic Medical Center, Amsterdam, The Netherlands.
Arch Gen Psychiatry ; 51(4): 273-9, 1994 Apr.
Article en En | MEDLINE | ID: mdl-8161287
OBJECTIVE: We sought to examine the relation between cannabis abuse and the symptomatic course of recent-onset schizophrenia and related disorders. DESIGN: A prospective cohort study over a year using monthly Brief Psychiatric Rating Scale assessments. PARTICIPANTS: Cannabis-abusing patients (n = 24) were compared with nonabusers (n = 69). Eleven patients were mild and 13 were heavy cannabis-abusing patients. RESULTS: Significantly more and earlier psychotic relapses occurred in the cannabis-abusing group (P = .03). This association became stronger when mild and heavy cannabis abuse were distinguished (P = .002). No confounding effect of other variables, eg, other street drugs, was found. In all but one patient, cannabis abuse preceded the onset of the first psychotic symptoms for at least 1 year. CONCLUSIONS: Cannabis abuse and particularly heavy abuse can be considered a stressor eliciting relapse in patients with schizophrenia and related disorders and possibly a premorbid precipitant.
Asunto(s)
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Esquizofrenia / Abuso de Marihuana Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adolescent / Adult / Female / Humans / Male Idioma: En Revista: Arch Gen Psychiatry Año: 1994 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Estados Unidos
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Esquizofrenia / Abuso de Marihuana Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adolescent / Adult / Female / Humans / Male Idioma: En Revista: Arch Gen Psychiatry Año: 1994 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Estados Unidos