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Medical use of cannabis and psychedelics in treating symptoms of mental disorders among military and veteran populations: A systematic review

Hou-Yu Zhao, Kun Liang, Yiqun Fang

Theoretical and Natural Science March 5, 2024 DOI: 10.54254/2753-8818/32/20240910 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Systematic review Randomized Peer reviewed
Sample size 8
Population Military personnel and veterans
Interventions cannabis psychedelics
Topics Cannabis
Keywords Medline Population Randomized controlled trial Systematic review Military personnel Clinical psychology Environmental health
Key findings Most of the eight included studies reported positive results for cannabis and psychedelics in treating mental disorder symptoms in military populations, but detailed information on side effects and long-term follow-up was limited.

Abstract

Military personnel and veterans experience distinct trauma exposures, resulting in totally different mental disorder prevalence, comorbidities, and treatment responses compared to the general population. The medical use of psychoactive substances as novel strategies for specific mental health conditions within military contexts is being investigated, while their therapeutic efficacy and safety remain uncertain. This systematic review aims to summarize the available evidence for the medical use of these substances, mainly cannabis and psychedelics, in treating symptoms of mental disorders in military populations. A systematic search was conducted in Medline, PubMed, and Web of Science databases from inception until May 16th, 2023, following PRISMA guidelines. References of relevant papers and high-quality reviews were also hand-searched. The included studies were randomized controlled trials, self-controlled trials, and case reports that explored the use of cannabis or psychedelics for the treatment of mental disorders in military and veteran populations. Two independent reviewers screened all studies and performed data extraction. Eight studies were included, with five focused on cannabis and three on psychedelics. Most of the studies reported positive results, but detailed information on side effects and long-term follow-up was limited. In conclusion, the potential benefits yet the lack of high-quality RCTs underscore the need for more rigorous research in this field.

Comparable studies

Other systematic reviews and meta-analyses on cannabis, most cited first.

Study Year Design Participants
Effects of cannabis use on outcomes of psychotic disorders: systematic review People with psychotic disorders, as examined in 13 longitudinal studies 2008 Systematic review
The Impact of Cannabis Use on Cognitive Functioning in Patients With Schizophrenia: A Meta-analysis of Existing Findings and New Data in a First-Episode Sample Patients with established schizophrenia (meta-analysis: 572) and patients with... 2010 Meta-analysis and cross-sectional observational study n = 700
Medicinal cannabis for psychiatric disorders: a clinically-focused systematic review 2020 Systematic review
Neuroimaging in cannabis use: a systematic review of the literature Cannabis users and controls in neuroimaging studies 2009 Systematic review
Human Laboratory Studies on Cannabinoids and Psychosis. Healthy human subjects and individuals with schizophrenia 2016 Systematic review

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