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Dose-related effects of delta-9-THC on emotional responses to acute psychosocial stress.

Emma Childs, Joseph A Lutz, Harriet de Wit

Drug and Alcohol Dependence August 1, 2017 DOI: 10.1016/j.drugalcdep.2017.03.030 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Randomized, double-blind, placebo-controlled experimental study Peer reviewed
Sample size 42
Population Healthy young adults
Intervention delta-9-tetrahydrocannabinol (THC)
Dose 0, 7.5 mg, or 12.5 mg oral THC
Measures salivary cortisol, subjective mood and drug effects, vital signs, task appraisals
Topics Anxiety Cannabis
Keywords Acute stress Stress-coping Subjective effects Tsst
Key findings The authors report that 7.5 mg oral THC reduced subjective distress and threat/challenge appraisals after the Trier Social Stress Test compared with placebo, whereas 12.5 mg THC increased negative mood overall, raised pre-task threat and challenge appraisals, impaired task performance, and attenuated blood pressure reactivity. They suggest low doses may produce stress-relieving effects while higher doses may non-specifically increase negative mood.

Abstract

Cannabis smokers often report that they use the drug to relax or to relieve emotional stress. However, few clinical studies have shown evidence of the stress-relieving effects of cannabis or cannabinoid agonists. In this study, we sought to assess the influence of delta-9-tetrahydrocannabinol (THC), a main active ingredient of cannabis, upon emotional responses to an acute psychosocial stressor among healthy young adults. Healthy volunteers (N=42) participated in two experimental sessions, one with psychosocial stress (Trier Social Stress Test, TSST) and another with a non-stressful task, after receiving 0 (N=13), 7.5mg (N=14) or 12.5mg (N=15) oral THC. Capsules were administered under randomized, double blind conditions, 2.5h before the tasks began. We measured subjective mood and drug effects, vital signs and salivary cortisol before and at repeated times after the capsule and tasks. Subjects also appraised the tasks, before and after completion. In comparison to placebo, 7.5mg THC significantly reduced self-reported subjective distress after the TSST and attenuated post-task appraisals of the TSST as threatening and challenging. By contrast, 12.5mg THC increased negative mood overall i.e., both before and throughout the tasks, and pre-task ratings of the TSST as threatening and challenging. It also impaired TSST performance and attenuated blood pressure reactivity to the stressor. Our findings suggest that a low dose of THC produces subjective stress-relieving effects in line with those commonly reported among cannabis users, but that higher doses may non-specifically increase negative mood.

Comparable studies

Other randomized controlled trials on cannabis for anxiety, most cited first.

Study Year Design Participants
Distinct Effects of Δ9-Tetrahydrocannabinol and Cannabidiol on Neural Activation During Emotional Processing Healthy, English-native, right-handed men who had used cannabis 15 times or less in... 2009 Double-blind, randomized, placebo-controlled crossover trial n = 15
Modulation of Mediotemporal and Ventrostriatal Function in Humans by Δ9-Tetrahydrocannabinol Healthy, native English-speaking, right-handed men of white race/ethnicity who had used... 2009 Randomized controlled trial n = 15
Modulation of effective connectivity during emotional processing by Δ9-tetrahydrocannabinol and cannabidiol Healthy subjects 2009 Randomized controlled trial n = 15
Cannabis containing equivalent concentrations of delta-9-tetrahydrocannabinol (THC) and cannabidiol (CBD) induces less state anxiety than THC-dominant cannabis Healthy recreational cannabis users 2022 Randomized controlled trial, within-subjects n = 26
Psychedelic symptoms of cannabis and cocaine use as a function of trait impulsivity Regular drug users 2015 Three-way crossover study n = 122

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