Cannabis use and the risk of later schizophrenia: a review

ABSTRACT Aim  To study the role of cannabis use in the onset of symptoms and disorders in the schizophrenia spectrum. Design  Review of five population‐based, longitudinal studies on the relationship between cannabis use and problems ranging from the experience of psychotic symptoms to hospitalizati...

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Veröffentlicht in:Addiction (Abingdon, England) England), 2004-04, Vol.99 (4), p.425-430
Hauptverfasser: Smit, Filip, Bolier, Linda, Cuijpers, Pim
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container_title Addiction (Abingdon, England)
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creator Smit, Filip
Bolier, Linda
Cuijpers, Pim
description ABSTRACT Aim  To study the role of cannabis use in the onset of symptoms and disorders in the schizophrenia spectrum. Design  Review of five population‐based, longitudinal studies on the relationship between cannabis use and problems ranging from the experience of psychotic symptoms to hospitalization with a confirmed diagnosis of schizophrenia. Several hypotheses are examined that may explain this relationship: (1) self‐medication; (2) effects of other drugs; (3) confounding; (4) stronger effect in predisposed people, and (5) etiological hypothesis. Findings  Hypotheses 1 and 2 can be dismissed; hypothesis 3 is still open to debate, and converging evidence is found for hypotheses 4 and 5—antecedent cannabis use appears to act as a risk factor in the onset of schizophrenia, especially in vulnerable people, but also in people without prior history. Conclusion  There is an intrinsic message here for public health, but how that message is to be translated into action is not immediately clear.
doi_str_mv 10.1111/j.1360-0443.2004.00683.x
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subjects Age of Onset
Biological and medical sciences
Cannabis
Cannabis - adverse effects
Drug abuse
Drug use
Female
Follow-Up Studies
Fundamental and applied biological sciences. Psychology
Humans
Literature reviews
Longitudinal studies
Male
Marijuana
Marijuana Smoking - adverse effects
Mental health
Psychoanalysis
Psychology. Psychoanalysis. Psychiatry
Psychology. Psychophysiology
Psychoses
Psychoses, Substance-Induced - etiology
psychosis
Public health
public mental health
Risk Factors
Schizophrenia
Schizophrenia - chemically induced
Social problems
title Cannabis use and the risk of later schizophrenia: a review
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