Cannabis use and psychosis: a review of reviews.

Journal: European archives of psychiatry and clinical neuroscience

Volume: 270

Issue: 4

Year of Publication: 2020

Affiliated Institutions:  Department of Psychiatry and Psychotherapy, Klinikum der Universität München, Nussbaumstrasse , , Munich, Germany. Alkomiet.Hasan@med.uni-muenchen.de. Department of Psychiatry and Psychotherapy, Klinikum der Universität München, Nussbaumstrasse , , Munich, Germany. Centre for Youth Substance Abuse Research, The University of Queensland, Brisbane, Queensland, Australia. University of Agriculture, Martin-Luther-University, Morogoro, Tanzania. Brain and Mind Centre, The University of Sydney, Sydney, Australia.

Abstract summary 

We conducted a systematic review of meta-analyses and systematic reviews to evaluate the impact of cannabis use on the onset and course of psychoses. Following a systematic literature search of five data bases (2005-2016) and consecutive structured evaluation, we were able to include 26 systematic reviews and meta-analyses. The methodological quality of the included publications were in the range of high and poor. The scientific literature indicates that psychotic illness arises more frequently in cannabis users compared to non-users, cannabis use is associated with a dose-dependent risk of developing psychotic illness, and cannabis users have an earlier onset of psychotic illness compared to non-users. Cannabis use was also associated with increased relapse rates, more hospitalizations and pronounced positive symptoms in psychotic patients. We make recommendations about the type of research that is required to better characterize the relationship between cannabis use and the development and outcomes of psychosis.

Authors & Co-authors:  Hasan Alkomiet A von Keller Rupert R Friemel Chris Maria CM Hall Wayne W Schneider Miriam M Koethe Dagmar D Leweke F Markus FM Strube Wolfgang W Hoch Eva E

Study Outcome 

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Statistics
Citations : 
Authors :  9
Identifiers
Doi : 10.1007/s00406-019-01068-z
SSN : 1433-8491
Study Population
Male,Female
Mesh Terms
Humans
Other Terms
CBD;Cannabinoids;Cannabis;Evidence-based medicine;Psychosis;Schizophrenia;THC
Study Design
Study Approach
,Systemic Review
Country of Study
Publication Country
Germany