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COMT Val158Met moderation of cannabis‐induced psychosis: a momentary assessment study of ‘switching on’ hallucinations in the flow of daily life

Cécile Henquet, Araceli Rosa, Philippe Delespaul, Sergi Papiol, Lourdes Fañanás, Jim van Os, Inez Myin-Germeys

Acta Psychiatrica Scandinavica September 19, 2008 DOI: 10.1111/j.1600-0447.2008.01265.x (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Momentary assessment study (experience sampling) Peer reviewed
Sample size 56
Population Patients with a psychotic disorder (n=31) and healthy controls (n=25)
Intervention Cannabis
Topics Cannabis
Citations 117
Key points Carriers of the COMT Val158Met Val allele, but not those with the Met/Met genotype, showed increased hallucinations after cannabis exposure, conditional on prior psychometric evidence of psychosis liability. The authors conclude that COMT Val158Met genotype moderates the association between cannabis and psychotic phenomena in daily life among people with psychometric psychosis liability.

Abstract

Objective: A functional polymorphism in the catechol-o-methyltransferase gene (COMT Val(158)Met) may moderate the psychosis-inducing effects of cannabis. In order to extend this finding to dynamic effects in the flow of daily life, a momentary assessment study of psychotic symptoms in response to cannabis use was conducted.

Method: The experience sampling technique was used to collect data on cannabis use and occurrence of symptoms in daily life in patients with a psychotic disorder (n = 31) and healthy controls (n = 25).

Results: Carriers of the COMT Val(158)Met Val allele, but not subjects with the Met/Met genotype, showed an increase in hallucinations after cannabis exposure, conditional on prior evidence of psychometric psychosis liability.

Conclusion: The findings confirm that in people with psychometric evidence of psychosis liability, COMT Val(158)Met genotype moderates the association between cannabis and psychotic phenomena in the flow of daily life.

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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