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Association between cannabis and psychiatric hospitalization.

Chris D Schubart, Marco P Boks, E J Breetvelt, Willemijn A Van Gastel, R H H Groenwold, R A Ophoff, Iris E C Sommer, René S. Kahn

Acta Psychiatrica Scandinavica May 2011 DOI: 10.1111/j.1600-0447.2010.01640.x (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Cross-sectional analysis Peer reviewed
Sample size 17,698
Population Individuals with a mean age of 22 years (SD: 4.2) who completed a web-based questionnaire
Topics Cannabis
Key findings Cannabis use showed a dose-response association with past psychiatric hospitalization: adjusted odds ratios rose from 1.6 (95% CI 1.1-2.3) in incidental users to 6.2 (95% CI 4.3-8.9) in heavy users spending over €25 per week. Cannabis use before age 12 was associated with 4.8 times higher odds (95% CI 2.9-7.8) of past psychiatric hospitalization. The authors conclude that early and heavy cannabis use are each independently associated with poor mental health.

Abstract

To investigate the relationship between cannabis use and mental health. A cross-sectional analysis in a sample of 17 698 individuals with a mean age of 22 years (SD: 4.2). Participants provided information on the amount and initial age of cannabis use and history of psychiatric hospitalizations through a web-based questionnaire. To quantify Δ(9) -tetrahydrocannabinol exposure, we operationalized cannabis use as the amount of money spent on cannabis per week over the last month. The odds ratio of having a history of psychiatric hospitalizations was the primary outcome measure. We found a dose-response relationship between the amount of cannabis use and the odds for psychiatric hospitalization. Adjusted odds ratios for hospitalization increased with the amount of cannabis consumed from 1.6 (95% CI: 1.1-2.3) in incidental users to 6.2 (95% CI: 4.3-8.9) in heavy users (>€25/week). Our data suggested that concomitant drug use was an intermediate factor. Exposure to cannabis before the age of 12 years was found to carry a 4.8 (95% CI: 2.9-7.8) times increased odds for past psychiatric hospitalizations. We conclude that early and heavy uses of cannabis are each and independently associated with poor mental health in its users.

Comparable studies

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

Study Year Design Participants
Cannabis use before age 15 and subsequent executive functioning 104 chronic cannabis users (49 early-onset before age 15, 55 late-onset after age 15)... 2011 Observational cross-sectional study n = 148
Patterns of simultaneous polysubstance use in drug using university students Drug-using university students 2006 Cross-sectional survey n = 149
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
Illicit Use of LSD or Psilocybin, but not MDMA or Nonpsychedelic Drugs, is Associated with Mystical Experiences in a Dose-Dependent Manner Adults recruited from the MAPS website and newsletter, most reporting use of various... 2012 Cross-sectional survey n = 337

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