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Impact of cannabidiol on the acute memory and psychotomimetic effects of smoked cannabis: naturalistic study: naturalistic study [corrected].

Celia J. A. Morgan, Gráinne Schäfer, Tom P. Freeman, Helen Valerie Curran

The British Journal of Psychiatry October 2010 DOI: 10.1192/bjp.bp.110.077503 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Observational cohort Peer reviewed
Sample size 134
Population Cannabis users
Duration 7 days apart testing, acute intoxication session
Measures Prose recall, psychotomimetic symptoms (specific instruments not named)
Topics Cannabis CBD
Key findings Smoking cannabis high in cannabidiol was associated with no memory impairment, while low-cannabidiol cannabis produced marked impairment in prose recall, despite similar THC content. Cannabidiol content did not affect psychotomimetic symptoms, which increased in both groups when intoxicated.

Abstract

The two main constituents of cannabis, cannabidiol and Δ(9)-tetrahydrocannabinol (THC), have opposing effects both pharmacologically and behaviourally when administered in the laboratory. Street cannabis is known to contain varying levels of each cannabinoid. To study how the varying levels of cannabidiol and THC have an impact on the acute effects of the drug in naturalistic settings. Cannabis users (n = 134) were tested 7 days apart on measures of memory and psychotomimetic symptoms, once while they were drug free and once while acutely intoxicated by their own chosen smoked cannabis. Using an unprecedented methodology, a sample of cannabis (as well as saliva) was collected from each user and analysed for levels of cannabinoids. On the basis of highest and lowest cannabidiol content of cannabis, two groups of individuals were directly compared. Groups did not differ in the THC content of the cannabis they smoked. Unlike the marked impairment in prose recall of individuals who smoked cannabis low in cannabidiol, participants smoking cannabis high in cannabidiol showed no memory impairment. Cannabidiol content did not affect psychotomimetic symptoms, which were elevated in both groups when intoxicated. The antagonistic effects of cannabidiol at the CB(1) receptor are probably responsible for its profile in smoked cannabis, attenuating the memory-impairing effects of THC. In terms of harm reduction, users should be made aware of the higher risk of memory impairment associated with smoking low-cannabidiol strains of cannabis like 'skunk' and encouraged to use strains containing higher levels of cannabidiol.

Comparable studies

Other observational and cohort studies on CBD, most cited first.

Study Year Design Participants
Telling true from false: cannabis users show increased susceptibility to false memories Chronic cannabis users 2015 Observational cohort
Psicosis inducida por cannabis: características clínicas y su diferenciación con la esquizofrenia con y sin consumo de cannabis asociado Inpatients with psychosis 2020 Observational cohort n = 307
Theta and Alpha Oscillatory Activity During Working Memory Maintenance in Long-Term Cannabis Users: The Importance of the Polydrug Use Context Regular cannabis users (exclusive and polydrug) and non-using controls 2021 Observational cohort n = 87
A brain imaging study of dopamine receptor D2 availability in cannabis dependent users after recovery from cannabis-induced psychosis Abstinent ex cannabis-dependent users treated for cannabis-induced psychosis, abstinent... 2023 Observational cohort n = 25
Determination of tetrahydrocannabinol and cannabidiol contents in Cannabis sativa L. samples in Togo using gas chromatography-mass spectrometry Cannabis sativa L. plant samples collected from various towns in Togo 2023 Observational laboratory analysis

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