The Effect of Cannabidiol 3% on Neuropsychiatric Symptoms in Dementia - Six-Month Follow-Up.

IF 2.6 3区 医学 Q3 GERIATRICS & GERONTOLOGY
Clinical Gerontologist Pub Date : 2024-10-01 Epub Date: 2023-05-08 DOI:10.1080/07317115.2023.2209563
Foteini Alexandri, Lydia Papadopoulou, Anthoula Tsolaki, Georgia Papantoniou, Loukas Athanasiadis, Magda Tsolaki
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引用次数: 0

Abstract

Objectives: To investigate the beneficial outcomes of giving cannabidiol (CBD) 3% over a six-month period in the BPSD, the management of which is a crucial issue for everyday clinical praxis and to compare the progress in BPSD of patients who receive Cannabidiol 3% with those who follow usual medical treatment (UMT) in everyday clinical praxis.

Methods: A total of 20 PwD with severe BPSD were recruited from the database of Alzheimer Hellas with NPI score >30. Ten of them were assigned to UMT, while ten were assigned to a six-month treatment with CBD drops. The follow-up assessment was performed with NPI, both clinically and by structured telephone interview.

Results: The follow-up assessment with NPI showed significant improvement of the BPSD in all our patients who received CBD, and no or limited improvement in the second group, regardless of the underlying neuropathology of dementia.

Conclusions: We suggest that CBD may be a more effective and safe choice for managing BPSD than the typical intervention. Future large randomized clinical trials are needed to re-assure these findings.

Clinical implications: Healthcare professionals should consider incorporating CBD 3% into their practices to reduce BPSD in PwD. Regular assessments are necessary to ensure long-term effectiveness.

大麻二酚 3% 对痴呆症神经精神症状的影响 - 六个月随访。
研究目的研究在六个月内给予 3% 大麻二酚 (CBD) 治疗 BPSD 的有益效果,BPSD 的治疗是日常临床实践中的一个关键问题,并比较接受 3% 大麻二酚治疗的患者与在日常临床实践中接受常规药物治疗 (UMT) 的患者在 BPSD 方面的进展情况:从 Alzheimer Hellas 数据库中招募了 20 名 NPI 评分大于 30 分的重度 BPSD 患者。其中 10 人被分配接受 UMT 治疗,10 人被分配接受为期 6 个月的 CBD 滴剂治疗。通过临床和结构化电话访谈对 NPI 进行了随访评估:结果:NPI随访评估显示,所有接受CBD治疗的患者的BPSD均有明显改善,而第二组患者则没有改善或改善有限,无论痴呆症的潜在神经病理学是什么:结论:我们认为,与典型的干预措施相比,CBD 可能是治疗 BPSD 更为有效和安全的选择。临床意义:医护人员应考虑将 CBD 纳入治疗 BPSD 的方案中:医护人员应考虑在其临床实践中加入3%的CBD,以减少残疾人的BPSD。有必要进行定期评估,以确保其长期有效性。
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来源期刊
Clinical Gerontologist
Clinical Gerontologist GERIATRICS & GERONTOLOGY-PSYCHIATRY
CiteScore
6.20
自引率
25.00%
发文量
90
审稿时长
>12 weeks
期刊介绍: Clinical Gerontologist presents original research, reviews, and clinical comments relevant to the needs of behavioral health professionals and all practitioners who work with older adults. Published in cooperation with Psychologists in Long Term Care, the journal is designed for psychologists, physicians, nurses, social workers, counselors (family, pastoral, and vocational), and other health professionals who address behavioral health concerns found in later life, including: -adjustments to changing roles- issues related to diversity and aging- family caregiving- spirituality- cognitive and psychosocial assessment- depression, anxiety, and PTSD- Alzheimer’s disease and other neurocognitive disorders- long term care- behavioral medicine in aging- rehabilitation and education for older adults. Each issue provides insightful articles on current topics. Submissions are peer reviewed by content experts and selected for both scholarship and relevance to the practitioner to ensure that the articles are among the best in the field. Authors report original research and conceptual reviews. A unique column in Clinical Gerontologist is “Clinical Comments." This section features brief observations and specific suggestions from practitioners which avoid elaborate research designs or long reference lists. This section is a unique opportunity for you to learn about the valuable clinical work of your peers in a short, concise format.
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