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Cannabis use in different mental disorders: a descriptive study in a psychiatric hospital

Published online by Cambridge University Press:  19 July 2023

B. Samso*
Affiliation:
Hospital de Zamudio, Bilbao, Spain
A. López Fariña
Affiliation:
Hospital de Zamudio, Bilbao, Spain
C. González Navarro
Affiliation:
Hospital de Zamudio, Bilbao, Spain
L. Morado San Segundo
Affiliation:
Hospital de Zamudio, Bilbao, Spain
A. Bilbao Idarraga
Affiliation:
Hospital de Zamudio, Bilbao, Spain
U. López Puentes
Affiliation:
Hospital de Zamudio, Bilbao, Spain
R. F. Lopez Brokate
Affiliation:
Hospital de Zamudio, Bilbao, Spain
T. Ruiz de Azua Aspizua
Affiliation:
Hospital de Zamudio, Bilbao, Spain
U. Ortega Pozas
Affiliation:
Hospital de Zamudio, Bilbao, Spain
C. Arán Cisneros
Affiliation:
Hospital de Zamudio, Bilbao, Spain
E. Garnica de Cos
Affiliation:
Hospital de Zamudio, Bilbao, Spain
I. Alonso Salas
Affiliation:
Hospital de Zamudio, Bilbao, Spain
*
*Corresponding author.

Abstract

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Introduction

In the last decade, the prevalence of THC use is increasing among adolescents and adults. There is also strong evidence to suggest that cannabis use is associated with psychiatric comorbidities. The strongest evidence is found between cannabis use and psychotic disorder. However, the literature shows that those who have used cannabis in the past or for a large part of their lives are at higher risk of mood disorders, anxiety, personality disorder or other drug use than those who do not use cannabis in a harmful way.

Objectives

To provide an overview of the association between cannabis use and the different mental pathologies presented by the patients admitted during the study period. To describe the prevalence of THC use in the study according to the mental pathology presented by the patient.

Methods

A retrospective observational descriptive study was developed for 3 months, of all patients admitted to the acute unit of the psychiatric hospital. No exclusion criteria were included.

Results

During the period of study 172 patients were admitted to the hospital, classified according to the main diagnosis we have: 49 patients suffer from schizophrenia, 26 bipolar affective disorder, 20 with depressive disorder, 20 with personality disorder, 19 with substance use disorder, 18 with other unspecified disorders and 20 patients with no known previous diagnosis. The prevalence of THC use in the study sample according to diagnosis, would be schizophrenia 16%, Bipolar affective disorder 19%, Depressive disorder 5%, Personality disorder 45%, Substance use disorder 21%, Unspecified disorders 11% and patients with no known previous diagnosis 10%.

Conclusions

The results obtained in the study in terms of THC use are in agreement with those obtained in the literature. In our study, we observed that cannabis use is associated with psychotic disorders as well as with mood, personality and substance abuse disorders. Given that the frequency of use has increased and there is a strong association with different comorbid psychiatric diagnoses, guidance on modifications in medication strategies might be necessary.

Disclosure of Interest

None Declared

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2023. Published by Cambridge University Press on behalf of the European Psychiatric Association
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