Self reported cannabis use as a risk factor for schizophrenia in Swedish conscripts of 1969: historical cohort study

作者: Stanley Zammit , Peter Allebeck , Sven Andreasson , Ingvar Lundberg , Glyn Lewis

DOI: 10.1136/BMJ.325.7374.1199

关键词:

摘要: Objectives: An association between use of cannabis in adolescence and subsequent risk schizophrenia was previously reported a follow up Swedish conscripts. Arguments were raised that this may be due to drugs other than personality traits have confounded results. We performed further analysis cohort address these uncertainties while extending the period identify additional cases. Design: Historical study. Setting: 1969-70 survey conscripts (>97% country's male population aged 18-20). Participants: 50 087 subjects: data available on self drugs, several social psychological characteristics. Main outcome measures: Admissions hospital for ICD-8/9 psychoses, as determined by record linkage. Results: Cannabis associated with an increased developing dose dependent fashion both subjects who had ever used (adjusted odds ratio linear trend increasing frequency 1.2, 95% confidence interval 1.1 1.4, P times 6.7 (2.1 21.7) only group. Similar results obtained when restricted after five years conscription, exclude prodromal cases. Conclusions: is schizophrenia, consistent causal relation. This not explained psychoactive or relating integration. #### What already known about topic What topic Use has been schizophrenia Alternative explanations include confounding such amphetamines, form medication secondary disorder #### study adds What adds Self subsequently relation This sociability traits, amphetamines drugs Self unlikely explanation observed

参考文章(23)
Gianluigi Tanda, Francesco E Pontieri, Gaetano Di Chiara, Cannabinoid and Heroin Activation of Mesolimbic Dopamine Transmission by a Common µ1 Opioid Receptor Mechanism Science. ,vol. 276, pp. 2048- 2050 ,(1997) , 10.1126/SCIENCE.276.5321.2048
S. Andréasson, P. Allebeck, U. Rydberg, Schizophrenia in users and nonusers of cannabis. A longitudinal study in Stockholm County. Acta Psychiatrica Scandinavica. ,vol. 79, pp. 505- 510 ,(1989) , 10.1111/J.1600-0447.1989.TB10296.X
Juan C. Negrete, Cannabis and schizophrenia. Addiction. ,vol. 84, pp. 349- 351 ,(1989) , 10.1111/J.1360-0443.1989.TB00576.X
G. Lewis, A. David, S. Andréassson, P. Allebeck, Schizophrenia and city life The Lancet. ,vol. 340, pp. 137- 140 ,(1992) , 10.1016/0140-6736(92)93213-7
A. S. DAVID, A. MALMBERG, L. BRANDT, P. ALLEBECK, G. LEWIS, IQ and risk for schizophrenia: a population-based cohort study. Psychological Medicine. ,vol. 27, pp. 1311- 1323 ,(1997) , 10.1017/S0033291797005680
N. Singleton, R. Bumpstead, M. O'Brien, A. Lee, H. Meltzer, Psychiatric morbidity among adults living in private households, 2000. International Review of Psychiatry. ,vol. 15, pp. 65- 73 ,(2003) , 10.1080/0954026021000045967
K Chen, D B Kandel, The natural history of drug use from adolescence to the mid-thirties in a general population sample. American Journal of Public Health. ,vol. 85, pp. 41- 47 ,(1995) , 10.2105/AJPH.85.1.41
A. K. Zealley, R. E. Kendell, Companion to Psychiatric Studies ,(1973)
Sven Andréasson, Ann Engström, Peter Allebeck, Ulf Rydberg, CANNABIS AND SCHIZOPHRENIA A Longitudinal Study of Swedish Conscripts The Lancet. ,vol. 330, pp. 1483- 1486 ,(1987) , 10.1016/S0140-6736(87)92620-1
Wayne Hall, Louisa Degenhardt, None, Cannabis use and psychosis: a review of clinical and epidemiological evidence* Australian and New Zealand Journal of Psychiatry. ,vol. 34, pp. 26- 34 ,(2000) , 10.1046/J.1440-1614.2000.00685.X