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UK: Proof that smoking cannabis can make you psychotic

Dr Thomas Stuttaford

The Times

Friday 07 Jan 2005

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THE MOST nostalgic of the 1968 emotionally scarred generation still believe
that there is no association between cannabis and psychosis. Some will even
suggest that cannabis smoking is preferable to drinking alcohol. This week a
leading police officer advanced the theory on radio that crushing cannabis
smoking in a district was detrimental to both the individual's health and to
the law and order within the community. He said that in his experience the
amount of cocaine taken in any one area is inversely proportional to the amount
of cannabis used. Come down hard on the cannabis users and the result could be
that there would be a cocaine problem.

Doctors who have been dealing with the ill effects of cannabis smoking were
therefore relieved to read in the BMJ about a recent study of cannabis use, and
its ability to precipitate psychotic symptoms in young people, especially if
they had already shown symptoms which suggested a predisposition to psychiatric
problems. Most medical practices have had patients who were young, bright and
amusingly bizarre who appeared to have a good future awaiting them, only to
have it dashed once they started to smoke marijuana.

There was a relationship between the amount of cannabis smoked and the
likelihood that the user would develop psychotic symptoms. The more someone
smoked the greater the likelihood of psychotic symptoms. These symptoms are not
always so serious as to be described as a psychotic breakdown, but even lesser
symptoms can affect the ability of a young person to do their job properly or
to make good social relationships.

The research published in the BMJ was carried out by psychiatrists in
Maastricht in the Netherlands. They took great trouble to adjust the findings
for any confounding factors, such as concurrent use of alcohol, cigarettes, or
other drugs, which might have given a bias to results.

The survey not only clearly demonstrated that exposure to cannabis during
adolescence and young adulthood increased the risk of psychotic symptoms later
in life but also confirmed other elements of the anecdotal evidence related by
GPs. It showed, for instance, that as has always been suspected the association
between smoking cannabis and the development of psychosis is much stronger if
the smoker already has the type of personality that is associated with a
predisposition to psychotic disease. This predisposition was assessed after a
psychological study of the patient's personality. Many doctors, who haven't the
skill and experience to do this, have noticed that a family history of a
predisposition to psychotic diseases also increases the risk for cannabis
smokers.

It has been my habit to tell young people in families where this tendency is
obvious that smoking cannabis may be, and in fact is, undesirable for most
students but it can be disastrous for those who carry these genes. The results
of the Dutch study confirms anecdotal evidence and three earlier studies that
cannabis may precipitate a serious psychotic breakdown and can lead to the
emergence of less severe symptoms. These changes in personality can undermine
someone 's domestic life and career and lead to a lifetime of troubles.

Studies published five years ago also showed that the more cannabis smoked the
more likely a patient would be to develop cancer. Regular light marijuana
smoking more than doubled the likelihood of developing cancer of the head and
neck (this includes the tongue and mouth). Daily users of cannabis who smoke
more than one spliff a day increase the chances of developing one of these
tumours by five times. If they both smoked cigarettes regularly and took
cannabis the chances increased 36 times.

Marijuana appears as a stronger carcinogen than cigarettes, according to
Professor Li Mao, from the M D Anderson Cancer Centre in Houston, Texas.
Although cannabis may not be as detrimental to the heart and cardiovascular
system as cocaine, researchers at Harvard found that the heart attack rate is
five times higher for someone in the first hour after smoking a joint than it
is at other times.

 

 

 

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