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Moderators of the acute effects of cannabis in humans

Freeman, Abigail; (2019) Moderators of the acute effects of cannabis in humans. Doctoral thesis (D.Clin.Psy), UCL (University College London).

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Abstract

The changing landscape of cannabis regulation has rapidly increased the availability of medicinal and recreational cannabis products. Understanding the consequences of cannabis use is a growing public health concern worldwide. More information is needed to inform policy and consumer education to reduce the potential harms associated with the drug. An important research priority is, therefore, to better understand which factors influence the acute effects of cannabis. A systematic review aimed to evaluate whether cannabidiol (CBD) might influence the effects of Δ9-tetrahydrocannabinol (THC). The review included 16 experimental studies reported in 23 academic articles. A broad range of outcomes were investigated, and findings across studies were mixed. Although CBD might reduce some of the negative effects of THC, there are still many unanswered questions about the dose, and the ratio between THC and CBD needed to improve the safety profile of cannabis. A mega-analysis of four experimental studies (n=128) used multilevel linear models and moderation analyses to investigate whether an individual's personality traits and recent cannabis use history predict their acute response to cannabis or THC. Increased frequency of cannabis use was associated with the development of differential tolerance to the subjective intoxication and psychotomimetic effects of THC. More frequent cannabis use was associated with higher levels of psychosis-like effects when not intoxicated. High trait schizotypy did not moderate the effect of THC on psychotomimetic experiences. A critical appraisal focusses on the research process and statistical considerations taken during the development and implementation of the mega-analysis.​

Type: Thesis (Doctoral)
Qualification: D.Clin.Psy
Title: Moderators of the acute effects of cannabis in humans
Event: UCL (University College London)
Language: English
Additional information: Copyright © The Author 2019. Original content in this thesis is licensed under the terms of the Creative Commons Attribution 4.0 International (CC BY 4.0) Licence (https://creativecommons.org/licenses/by/4.0/). Any third-party copyright material present remains the property of its respective owner(s) and is licensed under its existing terms. Access may initially be restricted at the author’s request.
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
URI: https://discovery.ucl.ac.uk/id/eprint/10081807
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