Cannabidiol (CBD) and hemp oil use in veterans using a VA Pain Clinic: a cross-sectional survey study.

IF 1.6 4区医学 Q3 SUBSTANCE ABUSE

Journal of Addictive Diseases Pub Date : 2024-07-07 DOI:10.1080/10550887.2024.2355365

Carisa Voightman, Ciciley Littlewolf, Regan Helbling, Kimberly D P Hammer, Anna Montgomery, Scott Turner

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引用次数: 0

Abstract

Background: Many United States veterans utilize prescription opioids to treat chronic pain symptoms and are subsequently at risk for opioid and alcohol misuse. As more states legalized the use of cannabis for medical use, increasing numbers of people are using cannabis pharmacotherapy for pain. The veterans Health Administration (VHA) Directive 1315, July 28, 2023 prohibits any medical staff on recommending, making referral to, and complete forms for a state approved program. Also, a veterans medical center does not provide marijuana to veterans. State laws do not change the status of CBD under federal law. CBD is illegal in the federal system.

Objectives: Our aim was to investigate the prevalence of cannabidiol product usage in Veterans and the association with changes in self-reported pain.

Methods: We conducted a cross-sectional descriptive survey offering questionnaires to patients greater than 18 years of age receiving care at the Fargo Veteran Health Administration medical center Pain Clinic (2101 Elm St N, Fargo ND, 58102).

Results: A total of 218 veterans participated of which 81.2% were male and 52.3% were in the age range of 60-80 years. Twenty-one participants reported cannabidiol usage (9.6%), with 52.4% using to treat pain symptoms. Average pain scores pre-usage of 6.37 were reduced to 4.05 post-usage indicating a statistically significant reduction in pain (p < 0.001).

Conclusion: Our study broadened the baseline knowledge of cannabidiol use in the Veteran population. Limitations include results being self-reported and the inability to verify cannabinoid constituents.

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使用退伍军人疼痛诊所的退伍军人使用大麻二酚 (CBD) 和麻油的情况：横断面调查研究。

背景：许多美国退伍军人使用处方阿片类药物治疗慢性疼痛症状，并因此面临滥用阿片类药物和酒精的风险。随着越来越多的州将大麻的医疗用途合法化，越来越多的人开始使用大麻药物治疗疼痛。退伍军人健康管理局（VHA）2023 年 7 月 28 日发布的第 1315 号指令禁止任何医务人员推荐、转诊和填写州批准项目的表格。此外，退伍军人医疗中心不向退伍军人提供大麻。州法律不会改变 CBD 在联邦法律中的地位。在联邦系统中，CBD 是非法的：我们的目的是调查退伍军人使用大麻二酚产品的普遍程度以及与自述疼痛变化的关联：我们进行了一项横断面描述性调查，向在法戈退伍军人健康管理局医疗中心疼痛诊所（2101 Elm St N, Fargo ND, 58102）接受治疗的 18 岁以上患者发放问卷：共有 218 名退伍军人参加了此次调查，其中 81.2% 为男性，52.3% 年龄在 60-80 岁之间。21 名参与者报告使用大麻二酚（9.6%），其中 52.4% 用于治疗疼痛症状。使用前的平均疼痛评分为 6.37 分，使用后降至 4.05 分，表明疼痛在统计学上有显著减轻（p 结论：我们的研究拓宽了人们对大麻二酚的基本认识：我们的研究拓宽了退伍军人使用大麻二酚的基础知识。不足之处包括研究结果为自我报告，且无法验证大麻素成分。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Addictive Diseases SUBSTANCE ABUSE-

CiteScore

4.30

自引率

4.30%

发文量

期刊介绍： The Journal of Addictive Diseases is an essential, comprehensive resource covering the full range of addictions for today"s addiction professional. This in-depth, practical journal helps you stay on top of the vital issues and the clinical skills necessary to ensure effective practice. The latest research, treatments, and public policy issues in addiction medicine are presented in a fully integrated, multi-specialty perspective. Top researchers and respected leaders in addiction issues share their knowledge and insights to keep you up-to-date on the most important research and practical applications.