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UK: Drug disorder schizophrenia link

BBC Online

Thursday 01 Dec 2005

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Almost half of patients treated for a cannabis related mental disorder
go on to develop a schizophrenic illness, a study has suggested.

The Danish study, in the British Journal of Psychiatry, found a third of
them developed paranoid schizophrenia.

Cannabis has been linked with the condition, but few studies have looked
at people with drug-induced symptoms.

The researchers said cannabis users showed signs of schizophrenic
illness earlier than others with the condition.

Researchers looked at the incidence of schizophrenia-spectrum disorders,
including schizophrenia, schizoptypal disorder and schizoaffective
disorders.

The team from Aarhus Psychiatric Hospital obtained information on 535
patients treated for cannabis-induced psychotic symptoms from the Danish
Psychiatric Central Register, who were then followed for three years.

They were then compared to 2,721 people treated for
schizophrenia-spectrum disorders who had no history of cannabis-induced
illness.

It was found that 44.5% of those with cannabis-induced psychotic
symptoms went on to be diagnosed with schizophrenia-spectrum disorders.

Those who had used the drug also developed schizophrenia at an earlier
age than people in the comparison group, with men showing symptoms at an
average age of 24.6 years, compared with 30.7 years in the comparison group.

For women the difference was 28.9 years compared with 33.1 years.

The researchers, led by Mikkel Arendt, say the study did not show
cannabis caused the development of schizophrenia - because it was not
possible to control for other factors such as hereditary predisposition,
other drug use and socio-economic status.

But they say the fact patients with cannabis-induced psychotic symptoms
developed schizophrenia at a younger age than non-users suggests that
cannabis use may hasten the progress of the illness.

'Susceptible'

A second study by researchers at the Zucker Hillside Hospital in New
York looked at the brains of teenagers, comparing some who were heavy
cannabis users with schizophrenic patients and healthy adolescents.

The team used a sophisticated scanning technique called diffusion tensor
imaging (DTI) which measures the motion of water molecules in the brain
which can indicate microscopic abnormalities.

They found similar abnormalities in an area of the brain linked to high
level linguistic and auditory skill in cannabis users and those with
schizophrenia.

They focussed on the arculate fasciculus, a bundle of fibres connecting
the Broca's area in the left frontal lobe and the Wernicke's area in the
left temporal lobe.

The abnormalities were not seen in healthy teenagers.

Dr Mazar Ashtari, of the Albert Einstein College of Medicine led the
study, said: "Because this language/auditory pathway continues to
develop during adolescence, it is most susceptible to the neurotoxins
introduced into the body through marijuana use."

Dr Sanjiv Kumra, who also worked on the study, added: "These findings
suggest that, in addition to interfering with normal brain development,
heavy marijuana use in adolescents may also lead to an earlier onset of
schizophrenia in individuals who are genetically predisposed to the
disorder."

The research was presented to the annual meeting of the Radiological
Society of North America.

Paul Corry, of the mental health charity Rethink, said: "This research
reinforces our call for a public health information campaign about a
drug which many young people still see as being risk free.

"We hope that the government, before too long, will recognise that need
and take up advice from its advisory committee on the misuse of drugs,
which we hope will report very soon."

 

 

 

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