Historique
Article de Périodique
Mental health differences between frequent cannabis users with and without dependence and the general population (2013)
Auteur(s) :
P. VAN DER POL ;
N. LIEBREGTS ;
R. DE GRAAF ;
M. TEN HAVE ;
D. J. KORF ;
W. VAN DEN BRINK ;
M. VAN LAAR
Article en page(s) :
1459-1469
Refs biblio. :
58
Domaine :
Drogues illicites / Illicit drugs
Langue(s) :
Anglais
Discipline :
PSY (Psychopathologie / Psychopathology)
Thésaurus géographique
PAYS-BAS
Thésaurus mots-clés
CANNABIS
;
ETUDE TRANSVERSALE
;
SANTE MENTALE
;
PSYCHOPATHOLOGIE
;
COMPARAISON
;
DEPENDANCE
;
POPULATION GENERALE
;
USAGE REGULIER
;
TYPE D'USAGE
Résumé :
Aims: To compare the prevalence of mental disorders between frequent cannabis users with and without dependence and the general population.
Design: Cross-sectional comparison of interview data.
Setting: Enriched community sample of frequent cannabis users and a representative sample of non-users and non-frequent users from the general population.
Participants: A total of 521 young adult (aged 18-30 years) frequent cannabis users, 252 of whom were with DSM-IV cannabis dependence (D+) and 269 without DSM-IV cannabis dependence (D-), and 1072 young adults from the general population.
Measurements: Multinomial logistic regression was used to compare groups regarding the presence of DSM-IV mental disorders. Detailed measures of cannabis use, childhood adversity and other substance use were considered confounders.
Findings: Compared with the general population, externalizing disorders were more prevalent in D- [odds ratio (OR) = 8.91, P Conclusions: Cannabis use patterns, childhood adversity and the use of other substances are similar in dependent and non-dependent frequent cannabis users. With the exception of more externalizing disorders, the mental health condition of non-dependent frequent cannabis users is similar to that of the general population, whereas it is worse in dependent frequent cannabis users.
KEY FINDINGS:
Dependent frequent cannabis users have worse mental health than both non-dependent frequent cannabis users and the general population.
Design: Cross-sectional comparison of interview data.
Setting: Enriched community sample of frequent cannabis users and a representative sample of non-users and non-frequent users from the general population.
Participants: A total of 521 young adult (aged 18-30 years) frequent cannabis users, 252 of whom were with DSM-IV cannabis dependence (D+) and 269 without DSM-IV cannabis dependence (D-), and 1072 young adults from the general population.
Measurements: Multinomial logistic regression was used to compare groups regarding the presence of DSM-IV mental disorders. Detailed measures of cannabis use, childhood adversity and other substance use were considered confounders.
Findings: Compared with the general population, externalizing disorders were more prevalent in D- [odds ratio (OR) = 8.91, P Conclusions: Cannabis use patterns, childhood adversity and the use of other substances are similar in dependent and non-dependent frequent cannabis users. With the exception of more externalizing disorders, the mental health condition of non-dependent frequent cannabis users is similar to that of the general population, whereas it is worse in dependent frequent cannabis users.
KEY FINDINGS:
Dependent frequent cannabis users have worse mental health than both non-dependent frequent cannabis users and the general population.
Affiliation :
Netherlands Institute of Mental Health and Addiction, Utrecht, the Netherlands