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Cannabidiol attenuates the appetitive effects of Delta 9-tetrahydrocannabinol in humans smoking their chosen cannabis.

Celia J A Morgan, Tom P. Freeman, Gráinne Schäfer, Helen Valerie Curran

Neuropsychopharmacology August 2010 DOI: 10.1038/npp.2010.58 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Observational study Peer reviewed
Sample size 94
Population Cannabis users
Duration 7 days apart (two test sessions)
Topics Cannabis CBD
Key findings When intoxicated, smokers of high CBD:THC cannabis showed reduced attentional bias to drug and food stimuli and lower self-rated liking of cannabis stimuli compared with smokers of low CBD:THC cannabis. The authors suggest that CBD has potential as a treatment for cannabis dependence and possibly other addictive disorders.

Abstract

Worldwide cannabis dependence is increasing, as is the concentration of Delta(9)-tetrahydrocannabinol (THC) in street cannabis. At the same time, the concentration of the second most abundant cannabinoid in street cannabis, cannabidiol (CBD), is decreasing. These two cannabinoids have opposing effects both pharmacologically and behaviorally when administered in the laboratory. No research has yet examined how the ratio of these constituents impacts on the appetitive/reinforcing effects of cannabis in humans. A total of 94 cannabis users were tested 7 days apart, once while non-intoxicated and once while acutely under the influence of their own chosen smoked cannabis on dependence-related measures. Using an unprecedented methodology, a sample of cannabis (as well as saliva) was collected from each user and analyzed for levels of cannabinoids. On the basis of CBD : THC ratios in the cannabis, individuals from the top and bottom tertiles were directly compared on indices of the reinforcing effects of drugs, explicit liking, and implicit attentional bias to drug stimuli. When intoxicated, smokers of high CBD : THC strains showed reduced attentional bias to drug and food stimuli compared with smokers of low CBD : THC. Those smoking higher CBD : THC strains also showed lower self-rated liking of cannabis stimuli on both test days. Our findings suggest that CBD has potential as a treatment for cannabis dependence. The acute modulation of the incentive salience of drug cues by CBD may possibly generalize to a treatment for other addictive disorders.

Comparable studies

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

Study Year Design Participants
Telling true from false: cannabis users show increased susceptibility to false memories Chronic cannabis users 2015 Observational cohort
Psicosis inducida por cannabis: características clínicas y su diferenciación con la esquizofrenia con y sin consumo de cannabis asociado Inpatients with psychosis 2020 Observational cohort n = 307
Theta and Alpha Oscillatory Activity During Working Memory Maintenance in Long-Term Cannabis Users: The Importance of the Polydrug Use Context Regular cannabis users (exclusive and polydrug) and non-using controls 2021 Observational cohort n = 87
A brain imaging study of dopamine receptor D2 availability in cannabis dependent users after recovery from cannabis-induced psychosis Abstinent ex cannabis-dependent users treated for cannabis-induced psychosis, abstinent... 2023 Observational cohort n = 25
Differences in Inhibitory Control and Resting Brain Metabolism between Older Chronic Users of Tetrahydrocannabinol (THC) or Cannabidiol (CBD)—A Pilot Study Older adults (average age 54.6-59.3 years) who chronically use THC, CBD, or are non-users 2022 Observational cohort n = 29

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