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Altered functional connectivity and oscillatory dynamics in polysubstance and cannabis only users during visuospatial processing.

Lucas Weyrich, Yasra Arif, Mikki Schantell, Hallie J Johnson, Madelyn P Willett, Hannah J Okelberry, Tony W Wilson

Psychopharmacology April 2023 DOI: 10.1007/s00213-023-06318-6 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Observational cross-sectional study Peer reviewed
Sample size 56
Population Adults: 18 polysubstance users (cannabis plus at least one other illicit substance), 19 cannabis-only users, and 19 nonusers
Topics Addiction Cannabis
Keywords Beta Drug Gamma Meg Magnetoencephalography Oscillations Theta
Key findings Cannabis-only users showed weaker occipital theta than nonusers, and both cannabis-only and polysubstance users showed reduced spontaneous occipital gamma during the pre-stimulus baseline relative to nonusers. Polysubstance users had sharply reduced beta connectivity between occipital and prefrontal, and occipital and left temporal, cortices. The authors argue that cannabis use should be considered in a polysubstance context and that future work should distinguish polysubstance combinations and use causal designs.

Abstract

Cannabis use is often associated with the use of other psychoactive substances, which is subsequently linked to an increased risk for addiction. While there is a growing body of neuroimaging literature investigating the cognitive effect of long-term cannabis use, very little is known about the potential additive effects of cannabis polysubstance use. Fifty-six adults composed of 18 polysubstance users (i.e., cannabis plus at least one other illicit substance), 19 cannabis-only users, and 19 nonusers completed a visuospatial attention task while undergoing magnetoencephalography. A data-driven approach was used to identify oscillatory neural responses, which were imaged using a beamforming approach. The resulting cortical regions were probed for group differences and used as seeds for whole-brain connectivity analysis. Participants exhibited robust theta, alpha, beta, and gamma responses during visuospatial processing. Statistical analyses indicated that the cannabis-only group had weaker occipital theta relative to the nonusers, and that both polysubstance and cannabis-only users had reduced spontaneous gamma in the occipital cortices during the pre-stimulus baseline period relative to nonusers. Finally, functional connectivity analyses revealed that polysubstance users had sharply reduced beta connectivity between occipital and prefrontal, as well as occipital and left temporal cortices. Cannabis use should be considered in a polysubstance context, as our correlational design suggests differences in functional connectivity among those who reported cannabis-only versus polysubstance use in occipital to prefrontal pathways critical to visuospatial processing and attention function. Future work should distinguish the effect of different polysubstance combinations and use more causal designs.

Comparable studies

Other cross-sectional and survey studies on cannabis for addiction, most cited first.

Study Year Design Participants
Persisting Reductions in Cannabis, Opioid, and Stimulant Misuse After Naturalistic Psychedelic Use: An Online Survey Online survey respondents 2020 Cross-sectional survey
User perceptions of the benefits and harms of hallucinogenic drug use: A web-based questionnaire study Users of hallucinogenic drugs who completed a web-based questionnaire 2010 Cross-sectional survey n = 600
Neural Correlates of the Severity of Cocaine, Heroin, Alcohol, MDMA and Cannabis Use in Polysubstance Abusers: A Resting-PET Brain Metabolism Study Polysubstance users enrolled in residential treatment 2012 Cross-sectional n = 49
MDMA Use by Paris Medical Students: Prevalence and Characteristics Paris VII medical students 2020 Cross-sectional study n = 592
Personality Characteristics of Adolescents with Hallucinogen, Methamphetamine, and Cannabis Dependence: A Comparative Study Adolescents referred to a residential substance abuse treatment program with... 2005 Cross-sectional comparison n = 60

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