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Mismatch Negativity and P50 Sensory Gating in Abstinent Former Cannabis Users

Samantha J Broyd, L. Greenwood, Hendrika H Van Hell, Rodney J. Croft, Hannah L. Coyle, Ben Lee-Bates, J. Todd, Stuart J Johnstone, P. Michie, Nadia Solowij

Journal of Neural Transplantation and Plasticity February 25, 2016 DOI: 10.1155/2016/6526437 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Observational cohort Peer reviewed
Sample size 36
Population 18 ex-cannabis users (median 13.5 years prior regular use; median 3.5 years abstinence) and 18 nonusers
Duration Median 3.5 years abstinence
Measures mismatch negativity (MMN), P50 sensory gating
Topics Cannabis
Key findings Former chronic cannabis users showed trend-level smaller duration MMN amplitude and larger P50 ratios (poorer sensory gating) than nonusers, suggesting these impairments tend to persist after prolonged abstinence. Poorer P50 gating correlated with longer prior cannabis use, while longer abstinence correlated with greater duration MMN amplitude, which the authors suggest may relate to self-medication or accelerated aging.

Abstract

Prolonged heavy exposure to cannabis is associated with impaired cognition and brain functional and structural alterations. We recently reported attenuated mismatch negativity (MMN) and altered P50 sensory gating in chronic cannabis users. This study investigated the extent of brain functional recovery (indexed by MMN and P50) in chronic users after cessation of use. Eighteen ex-users (median 13.5 years prior regular use; median 3.5 years abstinence) and 18 nonusers completed (1) a multifeature oddball task with duration, frequency, and intensity deviants and (2) a P50 paired-click paradigm. Trend level smaller duration MMN amplitude and larger P50 ratios (indicative of poorer sensory gating) were observed in ex-users compared to controls. Poorer P50 gating correlated with prior duration of cannabis use. Duration of abstinence was positively correlated with duration MMN amplitude, even after controlling for age and duration of cannabis use. Impaired sensory gating and attenuated MMN amplitude tended to persist in ex-users after prolonged cessation of use, suggesting a lack of full recovery. An association with prolonged duration of prior cannabis use may indicate persistent cannabis-related alterations to P50 sensory gating. Greater reductions in MMN amplitude with increasing abstinence (positive correlation) may be related to either self-medication or an accelerated aging process.

Comparable studies

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

Study Year Design Participants
High-potency cannabis and the risk of psychosis People with first episode of psychosis and healthy controls from the local population 2009 Case-control study n = 454
Ayahuasca-Assisted Therapy for Addiction: Results from a Preliminary Observational Study in Canada Rural aboriginal population 2013 Observational study
Impaired cognitive performance in drug free users of recreational ecstasy (MDMA) Otherwise healthy young people 2000 Observational
Continued cannabis use and risk of incidence and persistence of psychotic symptoms: 10 year follow-up cohort study Individuals from the general population in Germany aged 14-24 at baseline 2011 Observational cohort n = 1,923
Cannabis-induced psychosis and subsequent schizophrenia-spectrum disorders: follow-up study of 535 incident cases Patients treated for cannabis-induced psychotic symptoms in Denmark between 1994 and... 2005 Observational cohort n = 535

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