Titre : | Dependence symptoms in young cannabis users? A prospective epidemiological study |
Titre traduit : | (Les symptômes de dépendance chez les jeunes usagers de cannabis ? Une étude épidémiologique prospective) |
Auteurs : | A. NOCON ; H. U. WITTCHEN ; H. PFISTER ; P. ZIMMERMANN ; R. LIEB |
Type de document : | Périodique |
Année de publication : | 2006 |
Format : | 394-403 / tabl. |
Note générale : |
Journal of Psychiatric Research, 2006, 40, (5), 394-403 |
Langues: | Français |
Discipline : | EPI (Epidémiologie / Epidemiology) |
Mots-clés : |
Thésaurus mots-clés TYPE D'USAGE ; CANNABIS ; JEUNE ; ADOLESCENT ; DEPENDANCE ; SYMPTOME ; ETUDE PROSPECTIVE ; EPIDEMIOLOGIE ANALYTIQUE ; POPULATION GENERALE ; USAGE REGULIER ; POLYCONSOMMATION ; PREVALENCE ; INCIDENCE ; DIAGNOSTICThésaurus géographique ALLEMAGNE |
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. |
Note de contenu : | tabl. |
Domaine : | Drogues illicites / Illicit drugs |
Refs biblio. : | 51 |
Affiliation : |
Max-Planck-Institute of Psychiatry, Clinical Psychology and Epidemiology, Kraepelinstrasse 2-10, 80804 Munich. Email : nocon@mpipsykl.mpg.de Allemagne. Germany. |
Numéro Toxibase : | 1301698 |
Centre Emetteur : | 13 OFDT |
Cote : | A02782 |
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