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Cannabis and Amphetamine-type Stimulant-induced Psychoses: A Systematic Overview

Fares Alharbi, Nady el‐Guebaly

Addictive Disorders & Their Treatment July 4, 2016 DOI: 10.1097/adt.0000000000000086 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Systematic review Peer reviewed
Topics Cannabis
Citations 9
Key findings The authors report numerous differences between cannabis and amphetamine-type stimulants in source, neurobiological processes, urine screening, average latency before psychosis, clinical features relative to schizophrenia, and risks of psychosis and schizophrenia with drug use. They note that few studies directly compare the two substances, and argue that such comparisons could further illuminate how psychotic features develop.

Abstract

Background: The recent escalation of cannabis and amphetamine-type stimulant use throughout the world and its association with psychotic symptoms in users has fuelled special concerns.

Objective: This review will focus on cannabis and amphetamine-type stimulant because of their high prevalence and will try to differentiate and compare their associated psychotic features.

Method: A systematic literature search was conducted from 1980 to 2015 in the following databases: MEDLINE, PsycINFO, and PubMed. Articles were included if they were highlighting substance-induced psychoses, with particular emphasis on stimulants/amphetamine/methamphetamine and cannabis/marijuana-induced psychoses, schizophrenia-spectrum disorder, or schizophrenia.

Results: There are many differences between these 2 substances regarding source, neurobiological processes, urine screening test, average latency periods before developing psychosis, clinical features as compared with schizophrenia, risk of using drugs and developing psychosis, and drug use and development of schizophrenia.

Conclusions: Our search elicited many studies of 1 substance and its association with psychosis but few comparative studies of this association across substances. Yet, in our opinion these comparisons could shed further insight into the development of psychotic features.

Comparable studies

Other systematic reviews and meta-analyses on cannabis, most cited first.

Study Year Design Participants
Effects of cannabis use on outcomes of psychotic disorders: systematic review People with psychotic disorders, as examined in 13 longitudinal studies 2008 Systematic review
The Impact of Cannabis Use on Cognitive Functioning in Patients With Schizophrenia: A Meta-analysis of Existing Findings and New Data in a First-Episode Sample Patients with established schizophrenia (meta-analysis: 572) and patients with... 2010 Meta-analysis and cross-sectional observational study n = 700
Medicinal cannabis for psychiatric disorders: a clinically-focused systematic review 2020 Systematic review
Neuroimaging in cannabis use: a systematic review of the literature Cannabis users and controls in neuroimaging studies 2009 Systematic review
Human Laboratory Studies on Cannabinoids and Psychosis. Healthy human subjects and individuals with schizophrenia 2016 Systematic review

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