Anahita Bassir Nia1, Benjamin Medrano1, Charles Perkel1, Igor Galynker1, Yasmin L Hurd2. 1. Department of Psychiatry and Behavioral Sciences, Mount Sinai Beth Israel Medical Center, Icahn School of Medicine at Mount Sinai at New York, NY, USA. 2. Departments of Psychiatry and Neuroscience, Icahn School of Medicine at Mount Sinai at New York, Mount Sinai Behavioral Health System, New York, NY, USA yasmin.hurd@mssm.edu.
Abstract
BACKGROUND: Synthetic cannabinoids (SC) use has had a dramatic increase in recent years, but data regarding their adverse effects on mental health is limited. In this study, we compared clinical presentations of SC users with cannabis users in a psychiatric inpatient setting. METHODS: Digital charts of all patients who were admitted to a dual diagnosis psychiatric unit in one year were reviewed. Patients who had any current substance use disorder were categorized in four groups: (1) SC use and cannabis use (SC+MJ+), (2) SC use without cannabis use (SC+MJ-), (3) cannabis use without SC use (SC-MJ+), and (4) No SC or cannabis use (SC-MJ-). RESULTS: A total of 594 charts were included. SC+MJ- patients had significantly more psychotic symptoms (OR: 4.44, 95% CI: 1.98-9.94), followed by SC+MJ+ (OR: 3.61, 95% CI: 1.87-6.97) and SC-MJ+ (OR: 1.87, 95%CI: 1.33-2.64) patients. The SC+MJ- group also had more agitation and aggression was most prominent in SC+MJ+ subjects. Multivariate analyses showed that the psychiatric associations of SC and cannabis use remained significant even after controlling for potential confounds such as other substance use. CONCLUSIONS: The prominent psychiatric features of SC users as compared to cannabis users in an inpatient setting are psychotic presentations and agitation, which have important treatment implications.
BACKGROUND: Synthetic cannabinoids (SC) use has had a dramatic increase in recent years, but data regarding their adverse effects on mental health is limited. In this study, we compared clinical presentations of SC users with cannabis users in a psychiatric inpatient setting. METHODS: Digital charts of all patients who were admitted to a dual diagnosis psychiatric unit in one year were reviewed. Patients who had any current substance use disorder were categorized in four groups: (1) SC use and cannabis use (SC+MJ+), (2) SC use without cannabis use (SC+MJ-), (3) cannabis use without SC use (SC-MJ+), and (4) No SC or cannabis use (SC-MJ-). RESULTS: A total of 594 charts were included. SC+MJ- patients had significantly more psychotic symptoms (OR: 4.44, 95% CI: 1.98-9.94), followed by SC+MJ+ (OR: 3.61, 95% CI: 1.87-6.97) and SC-MJ+ (OR: 1.87, 95%CI: 1.33-2.64) patients. The SC+MJ- group also had more agitation and aggression was most prominent in SC+MJ+ subjects. Multivariate analyses showed that the psychiatric associations of SC and cannabis use remained significant even after controlling for potential confounds such as other substance use. CONCLUSIONS: The prominent psychiatric features of SC users as compared to cannabis users in an inpatient setting are psychotic presentations and agitation, which have important treatment implications.
Authors: Laura Orsolini; Stefania Chiappini; Duccio Papanti; Domenico De Berardis; John M Corkery; Fabrizio Schifano Journal: Front Psychiatry Date: 2019-11-20 Impact factor: 4.157
Authors: Huiqiong Deng; Pratikkumar V Desai; Satyajit Mohite; Olaoluwa O Okusaga; Xiang Yang Zhang; David A Nielsen; Thomas R Kosten Journal: J Stud Alcohol Drugs Date: 2019-03 Impact factor: 2.582
Authors: Marie Claire Van Hout; Annemieke Benschop; Michal Bujalski; Katarzyna Dąbrowska; Zsolt Demetrovics; Katalin Felvinczi; Evelyn Hearne; Susana Henriques; Zsuzsa Kaló; Gerrit Kamphausen; Dirk Korf; Joana Paula Silva; Łukasz Wieczorek; Bernd Werse Journal: Int J Ment Health Addict Date: 2017-12-07 Impact factor: 3.836
Authors: Maria Di Blasi; Paola Cavani; Laura Pavia; Crispino Tosto; Sabina La Grutta; Rosa Lo Baido; Cecilia Giordano; Adriano Schimmenti Journal: Front Psychiatry Date: 2017-11-22 Impact factor: 4.157