European Archives of Psychiatry and Clinical Neuroscience最新文献

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One-year ecological momentary assessment of alcohol use, mood, and stress among individuals with alcohol use disorder during SARS-CoV-2 pandemics: a gender-specific reflection. 在SARS-CoV-2大流行期间,对酒精使用障碍患者的酒精使用、情绪和压力进行为期一年的生态瞬间评估:针对不同性别的反思。
IF 3.5 3区 医学
European Archives of Psychiatry and Clinical Neuroscience Pub Date : 2025-03-01 Epub Date: 2024-11-19 DOI: 10.1007/s00406-024-01930-9
Julia G Wenzel, Markus Reichert, Hilmar Zech, Friederike Wedemeyer, Friederike Deeken, Gianna Spitta, Patrick Bach, Bernd Lenz, Ulrich W Ebner-Priemer, Falk Kiefer, Michael A Rapp, Henrik Walter, Andreas Heinz, Tobias Banaschewski
{"title":"One-year ecological momentary assessment of alcohol use, mood, and stress among individuals with alcohol use disorder during SARS-CoV-2 pandemics: a gender-specific reflection.","authors":"Julia G Wenzel, Markus Reichert, Hilmar Zech, Friederike Wedemeyer, Friederike Deeken, Gianna Spitta, Patrick Bach, Bernd Lenz, Ulrich W Ebner-Priemer, Falk Kiefer, Michael A Rapp, Henrik Walter, Andreas Heinz, Tobias Banaschewski","doi":"10.1007/s00406-024-01930-9","DOIUrl":"10.1007/s00406-024-01930-9","url":null,"abstract":"<p><p>Alcohol consumption (AC) is a leading risk factor for death, morbidity, and disability worldwide. Gender-specific differences in AC and its moderators, which may serve as markers for preventing severe alcohol use disorders (AUD), showed inconsistent results. Additionally, the impact of COVID-19-related lockdowns on these differences remains unclear. We examined gender-specific differences in short- and long-term factors affecting AC in individuals at risk for alcohol dependence, focusing on mood, stress, and the influence of restriction-dependent lockdown phases. 358 subjects with AUD aged 16 to 65 were studied over one year. Daily electronic diaries and monthly questionnaires were conducted from 10/01/2020 to 09/30/2021, assessing real-world trajectories of AC, mood (MDMQ), and stress (PSS-10) during Germany's second COVID-19 wave. Multi-level models were used to assess associations between these measures and with several within- and between-subject variables. During lockdown, women experienced lower and even decreasing mood (valence: β = - 0.2, p < .039; calmness: β = - 0.3, p < .010), while men's mood increased from the most restrictive lockdown phase (valence: β = 0.2, p < .001; calmness: β = 0.3, p < .001) to post-lockdown (valence: β = 0.5, p < .001; calmness: β = 0.6, p < .001). Stress increased earlier (β = 0.8, p < .001) and more prolonged (β = 0.4, p = .021) in women than in men. For both genders, daily mood was positively associated with daily AC (valence: β = 0.6, p = .004; calmness: β = 0.4, p = .013), leading to stronger drinking on days with elevated mood. Conversely, average mood was negatively associated with average AC (valence: β = - 1.6, p = .011; calmness: β = - 1.2, p = .041), indicating higher overall consumption with worse overall mood. Our findings highlight the need for interventions targeting mental distress in women with AUD during pandemics, as this group faces increased mental burden during social isolation and increased risk of alcohol dependence during persistent distress.</p>","PeriodicalId":11822,"journal":{"name":"European Archives of Psychiatry and Clinical Neuroscience","volume":" ","pages":"451-461"},"PeriodicalIF":3.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11910400/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142667589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Characterization of Cannabis users and products and the experience of negative mental emotions following Cannabis use. 大麻使用者和产品的特征以及吸食大麻后的负面心理情绪体验。
IF 3.5 3区 医学
European Archives of Psychiatry and Clinical Neuroscience Pub Date : 2025-03-01 Epub Date: 2024-06-11 DOI: 10.1007/s00406-024-01812-0
Nir Treves, Noa Yakirevich-Amir, Wiessam Abu Ahmad, Omer Bonne, Elyad Davidson, Keenan Keeling, Branden Hall, Tyler Dautrich, Ilan Matok
{"title":"Characterization of Cannabis users and products and the experience of negative mental emotions following Cannabis use.","authors":"Nir Treves, Noa Yakirevich-Amir, Wiessam Abu Ahmad, Omer Bonne, Elyad Davidson, Keenan Keeling, Branden Hall, Tyler Dautrich, Ilan Matok","doi":"10.1007/s00406-024-01812-0","DOIUrl":"10.1007/s00406-024-01812-0","url":null,"abstract":"<p><p>There is a potential link between cannabis and mental disorders. Cannabis exposure involves in many cases negative mental emotions, which are unpleasant sensations or thoughts. Whereas mild cases of negative mental emotions inflict patient's quality of life, more severe cases lead to therapy discontinuations, or even hospitalizations and death. This study characterizes cannabis users who experienced negative mental emotions after cannabis exposure. The Releaf App database was utilized to evaluate the association between personal and cannabis use characteristics on reporting a negative mental emotion during cannabis exposure. This global mobile lets individuals track real-time cannabis experience use with cannabinoid-based products, containing data points such as gender, age, reasons for use, product type, cannabis composition, and feelings and emotions experienced after cannabis use. Multivariable logistic regression models were constructed, adjusting for potential confounders such as gender and previous experience with cannabis use. The study population comprised 4,435 users, and 34,279 sessions were collected from various countries, mainly from North America, and included in the primary analysis. Reporting on negative mental emotions was associated with users in the age group of 18-30 years. Using cannabis for a mental purpose was associated with a small increase in reporting on negative mental emotions (OR = 1.10, 95%CI [1.03-1.19]). Oral products were associated with reporting on negative mental emotions. THC-dominant products were associated with reporting negative mental emotions compared to balanced products (OR = 1.21, 95%CI [1.06-1.38]). This study suggests that some characteristics of cannabis use, such as young age and oral consumption are associated with negative mental emotions. Further studies should examine the interface between cannabis consumption, characteristics of consumers, and negative emotional experience or even long-term mental disorders.</p>","PeriodicalId":11822,"journal":{"name":"European Archives of Psychiatry and Clinical Neuroscience","volume":" ","pages":"407-420"},"PeriodicalIF":3.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11910409/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141300301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Correction: Deciphering the interplay between psychopathological symptoms, sensorimotor, cognitive and global functioning: a transdiagnostic network analysis. 更正:解读精神病理症状、感觉运动、认知和整体功能之间的相互作用:跨诊断网络分析。
IF 3.5 3区 医学
European Archives of Psychiatry and Clinical Neuroscience Pub Date : 2025-03-01 DOI: 10.1007/s00406-024-01824-w
Stefan Fritze, Geva A Brandt, Sebastian Volkmer, Jonas Daub, Maria Krayem, Jacqueline Kukovic, Emanuel Schwarz, Urs Braun, Georg Northoff, Robert Christian Wolf, Katharina M Kubera, Andreas Meyer-Lindenberg, Dusan Hirjak
{"title":"Correction: Deciphering the interplay between psychopathological symptoms, sensorimotor, cognitive and global functioning: a transdiagnostic network analysis.","authors":"Stefan Fritze, Geva A Brandt, Sebastian Volkmer, Jonas Daub, Maria Krayem, Jacqueline Kukovic, Emanuel Schwarz, Urs Braun, Georg Northoff, Robert Christian Wolf, Katharina M Kubera, Andreas Meyer-Lindenberg, Dusan Hirjak","doi":"10.1007/s00406-024-01824-w","DOIUrl":"10.1007/s00406-024-01824-w","url":null,"abstract":"","PeriodicalId":11822,"journal":{"name":"European Archives of Psychiatry and Clinical Neuroscience","volume":" ","pages":"587"},"PeriodicalIF":3.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11910389/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140911792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Long-term ayahuasca use is associated with preserved global cognitive function and improved memory: a cross-sectional study with ritual users. 长期服用死藤水可保持整体认知功能并改善记忆力:一项针对仪式使用者的横断面研究。
IF 3.5 3区 医学
European Archives of Psychiatry and Clinical Neuroscience Pub Date : 2025-03-01 Epub Date: 2024-05-23 DOI: 10.1007/s00406-024-01817-9
Arilton Martins Fonseca, Rafael Guimarães Dos Santos, Lívia Soman de Medeiros, Thiago André Moura Veiga, Fernando Cassas, Carla Poleselli Bruniera, Giordano Novak Rossi, José Carlos Bouso, Jaime E Cecílio Hallak, Fabiana Pereira Santos, Beatriz Aparecida Passos Bismara Paranhos, Mauricio Yonamine, Eliana Rodrigues
{"title":"Long-term ayahuasca use is associated with preserved global cognitive function and improved memory: a cross-sectional study with ritual users.","authors":"Arilton Martins Fonseca, Rafael Guimarães Dos Santos, Lívia Soman de Medeiros, Thiago André Moura Veiga, Fernando Cassas, Carla Poleselli Bruniera, Giordano Novak Rossi, José Carlos Bouso, Jaime E Cecílio Hallak, Fabiana Pereira Santos, Beatriz Aparecida Passos Bismara Paranhos, Mauricio Yonamine, Eliana Rodrigues","doi":"10.1007/s00406-024-01817-9","DOIUrl":"10.1007/s00406-024-01817-9","url":null,"abstract":"<p><p>Although several studies have been conducted to elucidate the relationship between psychedelic consumption and cognition, few have focused on understanding the long-term use influence of these substances on these variables, especially in ritualistic contexts.  To verify the influence of ritualistic ayahuasca consumption on the cognition of experienced ayahuasca religious users (> 20 years) and beginners (< 3 years), which participated in rituals of the Centro Luz Divina (CLD), a Santo Daime church in Brazil. Observational, descriptive, and cross-sectional study was carried out in which 48 people participated divided into three groups: (a) experienced ayahuasca users (n = 16), (b) beginner ayahuasca users (n = 16) and (c) control group (n = 16). All groups were matched by sex, age, and education and contained 8 women and 8 men. Cognition was assessed with the WASI (intelligence quotient), Digit Span (verbal working memory), Corsi Block-Tapping Task (visuospatial-related and working memory), Rey-Osterrieth Complex Figure test (visual perception, immediate memory), and Wisconsin Card Sorting and Five Digit Test (executive functions). Groups were homogenous in terms of sociodemographic characteristics, with participants presenting average intellectual performance. There was no evidence of cognitive decline amongst ayahuasca users. The experienced group showed higher scores compared to the less experienced group in the Digit Span and Corsi Block-Tapping tasks, which assess working verbal and visuospatial memories respectively. We confirmed the botanical identities of Psychotria viridis and Banisteriopsis caapi and the presence of the alkaloids both in the plants and in the brew. Short and long-term ayahuasca consumption does not seem to alter human cognition, while long-term use seems to be associated with improvements in aspects of working memory when compared with short-term use.</p>","PeriodicalId":11822,"journal":{"name":"European Archives of Psychiatry and Clinical Neuroscience","volume":" ","pages":"519-531"},"PeriodicalIF":3.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141080891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exposure to psychotropic drugs and breast cancer risk in patients with bipolar disorder and major depressive disorder: a nested case-control study. 双相情感障碍和重度抑郁障碍患者接触精神药物与乳腺癌风险:一项巢式病例对照研究。
IF 3.5 3区 医学
European Archives of Psychiatry and Clinical Neuroscience Pub Date : 2025-03-01 Epub Date: 2024-03-30 DOI: 10.1007/s00406-024-01798-9
Dian-Jeng Li, Shih-Jen Tsai, Tzeng-Ji Chen, Chih-Sung Liang, Mu-Hong Chen
{"title":"Exposure to psychotropic drugs and breast cancer risk in patients with bipolar disorder and major depressive disorder: a nested case-control study.","authors":"Dian-Jeng Li, Shih-Jen Tsai, Tzeng-Ji Chen, Chih-Sung Liang, Mu-Hong Chen","doi":"10.1007/s00406-024-01798-9","DOIUrl":"10.1007/s00406-024-01798-9","url":null,"abstract":"<p><p>Breast cancer is one of the most prevalent and serious types of cancer globally. Previous literature has shown that women with mental illness may have an increased risk of breast cancer, however whether this risk is associated with the use of psychotropic drugs has yet to be elucidated. This study aimed to assess such risk among women with major depressive disorder (MDD) and bipolar disorder (BD). A nested case-control study design was used with data obtained from the Taiwan National Health Insurance Research Database. Logistic regression analysis with adjustments for demographic characteristics, medical and mental comorbidities, and all-cause clinical visits was performed to estimate the risk of breast cancer according to the cumulative defined daily dose (cDDD) of psychotropic drugs. The study included 1564 women with MDD or BD who had breast cancer, and 15,540 women with MDD or BD who did not have breast cancer. After adjusting for important confounders, the long-term use of valproic acid (odds ratio, 95% confidence interval: 0.58, 0.39-0.56, cDDD ≥ 365), citalopram (0.58, 0.37-0.91, cDDD 180-365), and sertraline (0.77, 0.61-0.91, cDDD ≥ 365) was associated with a lower risk of breast cancer compared to a cDDD < 30. The short-term use of fluvoxamine (0.82, 0.69-0.96, cDDD 30-180), olanzapine (0.54, 0.33-0.89, cDDD 30-179), risperidone (0.7, 0.51-0.98, cDDD 30-179), and chlorpromazine (0.48, 0.25-0.90, cDDD 30-179) was associated with a lower risk of breast cancer. We found no evidence of an increased risk of breast cancer in patients with MDD or BD receiving psychotropic drugs.</p>","PeriodicalId":11822,"journal":{"name":"European Archives of Psychiatry and Clinical Neuroscience","volume":" ","pages":"533-543"},"PeriodicalIF":3.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11910431/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140329712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effectiveness of cannabis use and cannabis use disorder interventions: a European and international data synthesis. 大麻使用和大麻使用障碍干预措施的有效性:欧洲和国际数据综述。
IF 3.5 3区 医学
European Archives of Psychiatry and Clinical Neuroscience Pub Date : 2025-03-01 Epub Date: 2024-05-23 DOI: 10.1007/s00406-024-01829-5
Jason P Connor, Jakob Manthey, Wayne Hall, Daniel Stjepanović
{"title":"Effectiveness of cannabis use and cannabis use disorder interventions: a European and international data synthesis.","authors":"Jason P Connor, Jakob Manthey, Wayne Hall, Daniel Stjepanović","doi":"10.1007/s00406-024-01829-5","DOIUrl":"10.1007/s00406-024-01829-5","url":null,"abstract":"<p><p>This data synthesis examined the effectiveness of behavioural and pharmacological approaches for cannabis treatment. We integrated findings from high level evidence studies and prioritised data from Europe when available. The synthesis found that only a relatively small number of published behavioural and pharmacological studies on cannabis interventions have been conducted in Europe. Applying both European and non-European data, it was found that Cognitive Behavioural Therapy (CBT) and/or Motivational Enhancement Therapy (MET) improved short-term outcomes in the frequency of cannabis use and dependency severity, although abstinence outcomes were less consistent. These improvements were typically not maintained nine months after treatment. CBT and MET (or combined CBT + MET) treatments that extend beyond four sessions were more effective than fewer sessions over a shorter duration. Combining CBT or MET (or combined CBT + MET) with adjunctive Contingency Management (CM) improved therapeutic outcomes. No pharmacotherapies have been approved for the management of cannabis use, cannabis use disorders or cannabis withdrawal. Despite only weak evidence to support the use of pharmacological agents, some are used 'off-label' to manage withdrawal symptoms outside clinical trials.</p>","PeriodicalId":11822,"journal":{"name":"European Archives of Psychiatry and Clinical Neuroscience","volume":" ","pages":"327-339"},"PeriodicalIF":3.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11910397/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141080813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Applying machine learning to international drug monitoring: classifying cannabis resin collected in Europe using cannabinoid concentrations. 将机器学习应用于国际药物监测:利用大麻素浓度对欧洲收集的大麻树脂进行分类。
IF 3.5 3区 医学
European Archives of Psychiatry and Clinical Neuroscience Pub Date : 2025-03-01 Epub Date: 2024-05-21 DOI: 10.1007/s00406-024-01816-w
Tom P Freeman, Edward Beeching, Sam Craft, Marta Di Forti, Giampietro Frison, Christian Lindholst, Pieter E Oomen, David Potter, Sander Rigter, Kristine Rømer Thomsen, Luca Zamengo, Andrew Cunningham, Teodora Groshkova, Roumen Sedefov
{"title":"Applying machine learning to international drug monitoring: classifying cannabis resin collected in Europe using cannabinoid concentrations.","authors":"Tom P Freeman, Edward Beeching, Sam Craft, Marta Di Forti, Giampietro Frison, Christian Lindholst, Pieter E Oomen, David Potter, Sander Rigter, Kristine Rømer Thomsen, Luca Zamengo, Andrew Cunningham, Teodora Groshkova, Roumen Sedefov","doi":"10.1007/s00406-024-01816-w","DOIUrl":"10.1007/s00406-024-01816-w","url":null,"abstract":"<p><p>In Europe, concentrations of ∆<sup>9</sup>-tetrahydrocannabinol (THC) in cannabis resin (also known as hash) have risen markedly in the past decade, potentially increasing risks of mental health disorders. Current approaches to international drug monitoring cannot distinguish between different types of cannabis resin which may have contrasting health effects due to THC and cannabidiol (CBD) content. Here, we compared concentrations of THC and CBD in different types of cannabis resin collected in Europe (either Moroccan-type, or Dutch-type). We then tested the ability of machine learning algorithms to classify the type of cannabis resin (either Moroccan-type, or Dutch-type) using routinely collected monitoring data on THC and CBD. Finally, we applied the optimal algorithm to new samples collected in countries where the type of cannabis resin was unknown, the UK and Denmark. Results showed that overall, Dutch-type samples had higher THC (Hedges' g = 2.39) and lower CBD (Hedges' g = 0.81) than Moroccan-type samples. A Support Vector Machine algorithm achieved classification accuracy exceeding 95%, with little variation in this estimate, good interpretability, and plausibility. It made contrasting predictions about the type of cannabis resin collected in the UK (94% Moroccan-type; 6% Dutch-type) and Denmark (36% Moroccan-type; 64% Dutch-type). In conclusion, we provide proof-of-concept evidence for the potential of machine learning to inform international drug monitoring. Our findings should not be interpreted as objective confirmatory evidence but suggest that Dutch-type cannabis resin has higher THC concentrations than Moroccan-type cannabis resin, which may contribute to variation in drug markets and health outcomes for people who use cannabis in Europe.</p>","PeriodicalId":11822,"journal":{"name":"European Archives of Psychiatry and Clinical Neuroscience","volume":" ","pages":"421-429"},"PeriodicalIF":3.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11910419/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141070703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Treatment demand for cannabis use problems: analyses of routine data from 30 European countries. 大麻使用问题的治疗需求:来自 30 个欧洲国家的常规数据分析。
IF 3.5 3区 医学
European Archives of Psychiatry and Clinical Neuroscience Pub Date : 2025-03-01 Epub Date: 2024-06-12 DOI: 10.1007/s00406-024-01840-w
Jakob Manthey
{"title":"Treatment demand for cannabis use problems: analyses of routine data from 30 European countries.","authors":"Jakob Manthey","doi":"10.1007/s00406-024-01840-w","DOIUrl":"10.1007/s00406-024-01840-w","url":null,"abstract":"<p><p>Cannabis use and treatment demand has risen in the past decade. Previous analyses of treatment demand are limited by methodological constraints or are outdated. Cross-country differences and trends in cannabis treatment demand are described using data from the European Monitoring Centre for Drugs and Drug Addiction. Two novel indicators are employed: firstly, the cannabis-attributable treatment fraction (CATF) is obtained by dividing the number of treatment entrants for cannabis use problems by the number of treatment entrants for any substance use problem, accounting for possible changes in the reporting system. Secondly, comparing the number of treatment entrants for cannabis use problems to the number of people who use cannabis (near) daily yields the treated-user-ratio (TUR), which considers a proxy for treatment need (frequent use). Across 30 countries with available data, the importance of cannabis in European treatment facilities varies greatly (CATF: min = 3%; max = 65%), with lower estimates in Eastern European countries. Across 20 countries with complete data, the CATF has risen from 29.4% in 2013 to 37.1% in 2020. The TUR calculated on 26 countries suggests that about 3 in 100 frequent users have sought treatment for their cannabis use problems. Over time, treatment demand has increased at a slower pace than treatment need in most countries. One in three treatment entrants for substance use problems in Europe are due to cannabis, with large variations between countries. There are indications for a widening treatment gap for cannabis use problems. In countries liberalising cannabis laws, monitoring changes in treatment access and demand is warranted.</p>","PeriodicalId":11822,"journal":{"name":"European Archives of Psychiatry and Clinical Neuroscience","volume":" ","pages":"355-363"},"PeriodicalIF":3.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11910416/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141310386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evidence synthesis of medical cannabis research: current challenges and opportunities. 医用大麻研究证据综述:当前的挑战与机遇。
IF 3.5 3区 医学
European Archives of Psychiatry and Clinical Neuroscience Pub Date : 2025-03-01 Epub Date: 2024-11-09 DOI: 10.1007/s00406-024-01893-x
Ben Senator, Mafalda Pardal, Liesbeth Vandam
{"title":"Evidence synthesis of medical cannabis research: current challenges and opportunities.","authors":"Ben Senator, Mafalda Pardal, Liesbeth Vandam","doi":"10.1007/s00406-024-01893-x","DOIUrl":"10.1007/s00406-024-01893-x","url":null,"abstract":"<p><p>As a wide group of medicines, the effectiveness and safety of 'medical cannabis' products is likely to vary in relation to product-specific dimensions such as potency, dosage, route of administration, and cannabinoid composition. Systematic reviews can perform a crucial role in analysing and synthesising the outcomes of medical cannabis interventions found in empirical research. We analysed 23 contemporary systematic reviews on the effectiveness and safety of medical cannabis to discern the extent to which this body of work aimed to capture, and ultimately captured, the differing outcomes of medical cannabis products by product-specific dimensions of treatment. We further highlighted the methodological reasons given by authors for an inability to describe this granular level of information. We found that a minority of systematic reviews explicitly aimed to perform a subgroup analysis to determine differences in treatment outcomes by product-specific dimensions of medical cannabis, with even fewer subsequently doing so. Authors' stated reasons for this concerned either overly large or overly small levels of variation in the characteristics, compositions, and administrations of medical cannabis products used, rendering subgroup analyses methodologically inappropriate or inapplicable. Furthering systematic reviews' abilities to capture granular information on medical cannabis treatment outcomes in relation to product-specific dimensions of treatments will require further standardisation of treatments in empirical studies.</p>","PeriodicalId":11822,"journal":{"name":"European Archives of Psychiatry and Clinical Neuroscience","volume":" ","pages":"293-305"},"PeriodicalIF":3.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11910438/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142616607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Unveiling causal relationships between addiction phenotypes and inflammatory cytokines: insights from bidirectional mendelian randomization and bibliometric analysis. 揭示成瘾表型与炎症细胞因子之间的因果关系:双向泯灭随机化和文献计量分析的启示。
IF 3.5 3区 医学
European Archives of Psychiatry and Clinical Neuroscience Pub Date : 2025-03-01 Epub Date: 2024-09-26 DOI: 10.1007/s00406-024-01915-8
Shirui Cao, Longtao Yang, Xuemei Wang, Wenhan Yang, Fei Tang, Shixiong Tang, Jun Liu
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