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Cannabis and Mood Disorders

  • Dual Diagnosis (T George and A Hassan, Section Editors)
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Abstract

Purpose of Review

The present review will provide an overview of the neurobiology, epidemiology, clinical impact, and treatment of cannabis use disorder (CUD) in mood disorders.

Recent Findings

Patients with mood disorders including major depressive disorder (MDD) and bipolar disorder (BD) have higher rates of cannabis use, and CUD compared to the general population. Reasons for this association are not clear, nor are the putative therapeutic effects of cannabis use, or its components delta-9-tetrahydrocannabinol (THC) and cannabidiol (CBD), in these illnesses. The evidence surrounding treatments for patients with this comorbidity is lacking, with more support for psychotherapeutic treatments compared with pharmacological treatments.

Summary

Cannabis use may be associated with mood disorders, but more research is needed to increase our understanding of the mechanisms for this association, and to develop more effective treatments for this comorbidity.

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Funding

This manuscript was supported by an Institute of Medical Sciences Graduate Fellowship from the University of Toronto (to Ms. Lucatch), by NIDA grant R21-DA-043949, CIHR grant MOP#115145, and funds from the Astrid H. Flaska Foundation (to Dr. George).

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Correspondence to Tony P. George.

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All reported studies/experiments with human or animal subjects performed by the authors have been previously published and complied with all applicable ethical standards (including the Helsinki declaration and its amendments, institutional/national research committee standards, and international/national/institutional guidelines).

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Lucatch, A.M., Coles, A.S., Hill, K.P. et al. Cannabis and Mood Disorders. Curr Addict Rep 5, 336–345 (2018). https://doi.org/10.1007/s40429-018-0214-y

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