Historique
Périodique
Dependence symptoms in young cannabis users? A prospective epidemiological study
(Les symptômes de dépendance chez les jeunes usagers de cannabis ? Une étude épidémiologique prospective)
Auteur(s) :
NOCON, A. ;
WITTCHEN, H. U. ;
PFISTER, H. ;
ZIMMERMANN, P. ;
LIEB, R.
Année
2006
Page(s) :
394-403
Langue(s) :
Français
Refs biblio. :
51
Domaine :
Drogues illicites / Illicit drugs
Discipline :
EPI (Epidémiologie / Epidemiology)
Thésaurus géographique
ALLEMAGNE
Thésaurus mots-clés
TYPE D'USAGE
;
CANNABIS
;
JEUNE
;
ADOLESCENT
;
DEPENDANCE
;
SYMPTOME
;
ETUDE PROSPECTIVE
;
EPIDEMIOLOGIE ANALYTIQUE
;
POPULATION GENERALE
;
USAGE REGULIER
;
POLYCONSOMMATION
;
PREVALENCE
;
INCIDENCE
;
DIAGNOSTIC
Note générale :
Journal of Psychiatric Research, 2006, 40, (5), 394-403
Note de contenu :
tabl.
Résumé :
ENGLISH :
AIM: To examine prospectively over a period of 4 years the profile of cannabis dependence and the risk of specific dependence criteria in a community sample of adolescents. METHODS: A representative community sample of 2446 young adults aged 14-24 years at baseline was followed up over a period of 4 years. Frequency of use measures and of criteria for DSM-IV dependence were assessed by standardized diagnostic interview measures (CIDI). To explore the nature of this association, frequency of use and concomitant use of other psychoactive substances was considered. RESULTS: 30% of the sample were cannabis users. Among all users 35% met at least one dependence criterion. Most frequently reported dependence criteria among all users were withdrawal (17%), tolerance (15%), loss of control (14%) and continued use despite a health problem (13%). Even without concomitant use of other illicit drugs, 22% of low frequency users and 81% of high frequency users met at least one dependence criterion. Symptom patterns were similar in high and low frequency users. The occurrence of a dependence syndrome or of specific dependence criteria could not be attributed to the use of other illicit drugs or to comorbid nicotine and alcohol dependence. CONCLUSIONS: Regular cannabis use in adolescence is associated with the development of a dependence syndrome. This association cannot be explained by the concomitant use of other illicit substances or by comorbid nicotine and alcohol dependence.
Affiliation :
Max-Planck-Institute of Psychiatry, Clinical Psychology and Epidemiology, Kraepelinstrasse 2-10, 80804 Munich. Email : nocon@mpipsykl.mpg.de
Allemagne. Germany.
Allemagne. Germany.
Cote :
A02782