Cannabis and mental health

Cannabis (Marijuana) use and brain functioning

By R. Ryan S Patel DO, FAPA OSU-CCS Psychiatrist

Many young people use marijuana for a variety of reasons.

While de-criminalized in many states, the use of cannabis is not without risks. For example, a previous post discussed the negative impact of cannabis on PTSD.

A recent study looked at impact of cannabis use and intelligence.

What were the findings? (1)

  • 1037 individuals born in New Zealand were periodically assessed between ages 7 and 45 years for cannabis use and dependence and with intelligence quotient (IQ) testing (1).
  • At age 45 years, the mean decline in IQ points from childhood to adulthood was greater among long-term users of cannabis (5.5 points) compared with nonusers of cannabis (0.7 points) (1)
  • Deficits were noted in processing speed, learning, and memory among adults with long-term cannabis use relative to their childhood assessments (1).

Are there studies on frequency of cannabis use and brain functioning? (2)

  • The use of cannabis 4 or more times per month may impair brain functioning (2).
  • In this small study, students suing cannabis demonstrated poorer verbal learning (p<.01), verbal working memory (p<.05), and attention accuracy (p<.01) compared to non users (2).
  • This might translate to more time studying or less information learned, mistakes, more frustration and angst with school work; and poor academic performance.

Other thoughts:

  • Some people may report cannabis use helping with anxiety, depression, or insomnia when it may just be masking the withdrawal symptoms caused by previous cannabis use.
  • Research shows an association between cannabis use and several medical, cognitive, functional, and psychosocial problems(3).
  • Short-term risks of cannabis use include impaired short-term memory motor dis-coordination, altered judgment, paranoia, and psychosis (4).
  • Other long-term effects of cannabis use include addiction, poor educational outcomes, diminished quality of life, increased risk psychotic disorders, injuries, motor vehicle collisions, and suicide (4,5).
  • Further research is needed on the risk and benefits of specific types and amount cannabis and mental health.
  • It is possible that illegally obtained cannabis may have other harmful substances added to it.

What are some useful resources regarding cannabis?

Treatment Facilities in the Columbus, Ohio area:

 

If you would like to be notified about future posts on strategies to improve your mental health, enter your email above.

Resources for mental health support can be found here.

Disclaimer: This article is intended to be informative only. It is advised that you check with your own physician/mental health provider before implementing any changes. With this article, the author is not rendering medical advice, nor diagnosing, prescribing, or treating any condition, or injury; and therefore claims no responsibility to any person or entity for any liability, loss, or injury caused directly or indirectly as a result of the use, application, or interpretation of the material presented.

References:

  1. Meier MH, et. al. Long-Term Cannabis Use and Cognitive Reserves and Hippocampal Volume in Midlife. Am J Psychiatry. 2022 May;179(5):362-374. doi: 10.1176/appi.ajp.2021.21060664. Epub 2022 Mar 8. PMID: 35255711; PMCID: PMC9426660.
  2. Hanson KL, et al. Longitudinal study of cognition among adolescent marijuana users over three weeks of abstinence. Addict Behav. 2010 November ; 35(11): 970–976. doi:10.1016/j.addbeh.2010.06.012.
  3. Crean  RD , Tapert SF , Minassian  A , Macdonald  K , Crane  NA , Mason  BJ .  Effects of chronic, heavy cannabis use on executive functions.  J Addict Med. 2011;5(1):9-15. doi:1097/ADM.0b013e31820cdd57
  4. Volkow  ND , Baler RD , Compton  WM , Weiss  SRB .  Adverse health effects of marijuana use.  N Engl J Med. 2014;370(23):2219-2227. doi:1056/NEJMra1402309
  5. Carvalho  AF , Stubbs B , Vancampfort  D ,  et al.  Cannabis use and suicide attempts among 86,254 adolescents aged 12-15 years from 21 low- and middle-income countries.  Eur Psychiatry. 2019;56:8-13. doi:1016/j.eurpsy.2018.10.006

Cannabis (marijuana) and suicidal ideation

A previous post discussed cannabis (marijuana) use and Memory and academic performance and symptoms of depression and anxiety from cannabis withdrawal.

This post talks about a study looking at cannabis use and suicidal ideation.

What was the study (1)?

Dr Han and colleagues looked at data from 281 650 adult participants in the 2008-2019 National Surveys of Drug Use and Health data.

What were some study results (1)?

  • Past-year Cannabis use disorder, daily cannabis use, and nondaily cannabis use were associated with a higher prevalence of past-year suicidal ideation, plan, and attempt in both sexes (eg, among individuals without Major depressive episode.)
  • The prevalence of suicidal ideation for those with vs without Cannabis use disorder was 13.9% vs 3.5% among women and 9.9% vs 3.0% among men; P < .001).
  • Suicide plan among those with Cannabis use disorder and major depressive episode was 52% higher for women [23.7%] than men [15.6%]; P < .001).

What are some caveats?

  • This is just one study and further research is needed.
  • While this study shows correlation between cannabis and suicidal ideation among those with depression, but does not show direct cause and effect.
  • Future research is needed to examine this increase in suicidality and to determine whether it is due to cannabis use or other overlapping risk factors.
  • According to this study, cannabis use can be concerning for suicidal ideation for those with and without major depressive disorder.

Additional information 

Treatment Facilities in the Columbus, Ohio area:

By R. Ryan S Patel DO, FAPA OSU-CCS Psychiatrist

Disclaimer: This article is intended to be informative only. It is advised that you check with your own physician/mental health provider before implementing any changes. With this article, the author is not rendering medical advice, nor diagnosing, prescribing, or treating any condition, or injury; and therefore claims no responsibility to any person or entity for any liability, loss, or injury caused directly or indirectly as a result of the use, application, or interpretation of the material presented.

References:

  1. Han B, Compton WM, Einstein EB, Volkow ND. Associations of Suicidality Trends With Cannabis Use as a Function of Sex and Depression Status. JAMA Netw Open. 2021;4(6):e2113025. doi:10.1001/jamanetworkopen.2021.13025

Marijuana (Cannabis) withdrawal and mental health

By R. Ryan S Patel DO, FAPA OSU-CCS Psychiatrist

During times of stress people may become vulnerable to using cannabis as a way to cope.

Previous posts have discussed the negative impact of cannabis on memory, cognitive performance, and PTSD.

Cannabis withdrawal can cause and worsen a variety of mental health symptoms.

It is important become aware of this connection for mental health.

What are some symptoms of cannabis withdrawal syndrome (CWS)?

CWS involves 3 or more of the following symptoms within 7 days of reduced cannabis use (1):

  • Anxiety
  • Depression
  • Changes in sleep
  • Irritability, anger, or aggression
  • Appetite or weight disturbance
  • Restlessness
  • Somatic symptoms, such as headaches, sweating, nausea, vomiting, or abdominal pain.

How common is cannabis withdrawal syndrome?

A meta-analysis(2) of 47 studies including 23,518 participants, found that the prevalence of cannabis withdrawal syndrome was found to be 47% (2).

What are some factors that were associated with higher cannabis withdrawal syndrome (2)?

Researchers (2) found that Daily cannabis use, concurrent tobacco use, and use of other substances was associated with higher CWS (2).

Other thoughts:

  • It bears repeating that daily users were more likely to have cannabis withdrawal syndrome.
  • Some people may report cannabis use helping with anxiety, depression, or insomnia when it may just be masking the withdrawal symptoms caused by previous cannabis use.
  • Research shows an association between cannabis use and several medical, cognitive, functional, and psychosocial problems(3).
  • Short-term risks of cannabis use include impaired short-term memory motor dis-coordination, altered judgment, paranoia, and psychosis (4).
  • Some long-term effects of cannabis use include addiction, altered brain development, poor educational outcomes, cognitive impairment, diminished quality of life, increased risk psychotic disorders, injuries, motor vehicle collisions, and suicide (4,5).
  • Further research is needed on cannabis and mental health.

If you would like to be notified about future posts on strategies to improve your mental health, enter your email above.

Resources for mental health support can be found here.

Disclaimer: This article is intended to be informative only. It is advised that you check with your own physician/mental health provider before implementing any changes. With this article, the author is not rendering medical advice, nor diagnosing, prescribing, or treating any condition, or injury; and therefore claims no responsibility to any person or entity for any liability, loss, or injury caused directly or indirectly as a result of the use, application, or interpretation of the material presented.

References:

  1. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. American Psychiatric Association Publishing; 2013.
  2. Bahji A, Stephenson C, Tyo R, Hawken ER, Seitz DP. Prevalence of Cannabis Withdrawal Symptoms Among People With Regular or Dependent Use of Cannabinoids: A Systematic Review and Meta-analysis. JAMA Netw Open. 2020;3(4):e202370. doi:10.1001/jamanetworkopen.2020.2370.
  3. Crean  RD , Tapert SF , Minassian  A , Macdonald  K , Crane  NA , Mason  BJ .  Effects of chronic, heavy cannabis use on executive functions.   J Addict Med. 2011;5(1):9-15. doi:1097/ADM.0b013e31820cdd57
  4. Volkow  ND , Baler RD , Compton  WM , Weiss  SRB .  Adverse health effects of marijuana use.   N Engl J Med. 2014;370(23):2219-2227. doi:1056/NEJMra1402309
  5. Carvalho  AF , Stubbs B , Vancampfort  D ,  et al.  Cannabis use and suicide attempts among 86,254 adolescents aged 12-15 years from 21 low- and middle-income countries.   Eur Psychiatry. 2019;56:8-13. doi:1016/j.eurpsy.2018.10.006