Depression and psychosis associated with cannabis abuse in a developing country
In. Maharajh, Hari D. ; Merrick, Joav. Social and cultural psychiatry experience from the Caribbean Region. New York, Nova Science Publishers Inc, 2010. p.257-268, tab, ilus. (Health and human development).
Monography
em En
| MedCarib
| ID: med-17527
Biblioteca responsável:
TT5
Localização: TT5; WM 30.6, S6781 2010
ABSTRACT
Notwithstanding the increase use of cannabis among adolescents in both developing and developed countries, few studies have looked at cannabis use and mood disorders. In a series of case studies, this research project seeks to investigate patterns of clinical presentations seen among cannabis users in psychiatric outpatients in Trinidad. Five clinical patterns of presentations are identified among cannabis users and abusers based on variables of dosing, age of initial use, duration of use, tolerance and reverse tolerance and poly-drug abuse. All patients in these case studies were standardized for method of use and potency of cannabis used. Patients were screened by urine tests to determine co-morbid use of other substances. Other variables such as environmental factors and genetic vulnerability were reviewed as far as possible from historical accounts of family members. The five patterns described are low, controlled use with mild euphoria and heightened awareness, moderate use with mixed depressive symptoms and suicidal behavior, heavy, short term use with manic symptoms, long term incremental use with psychotic symptoms due to the trumping of depressive symptoms and cannabis mixed with other substances resulting in florid psychosis. Mood disorders appear to be a common finding among adolescents using cannabis. Sensitization to symptomatic presentation and early detection of cannabis use in young adolescents are necessary. Further research is needed on the effect of cannabinoids on emotions, behavior and thinking and its relationship to mental disorders. This study is useful as a guideline for the implementation of public health strategies and legislation concerning the use of cannabis in youths.
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Coleções:
01-internacional
Base de dados:
MedCarib
Assunto principal:
Trinidad e Tobago
/
Canabinoides
/
Cannabis
/
Abuso de Maconha
/
Região do Caribe
/
Depressão
Tipo de estudo:
Guideline
/
Prognostic_studies
/
Risk_factors_studies
/
Screening_studies
Limite:
Humans
País/Região como assunto:
Caribe ingles
/
Trinidad y tobago
Idioma:
En
Revista:
Health and human development
Ano de publicação:
2010
Tipo de documento:
Monography
País de publicação:
Estados Unidos