Effect of cannabis use on PTSD treatment outcomes in veterans

Introduction: Researchers have found anandamide (an endocannabinoid) and cannabinoid type 1 receptor activation encourages extinction of aversive memories. Some theorize cannabinoids such as those in cannabis may provide a new treatment approach for PTSD, while others suggest it may worsen symptomol...

Full description

Bibliographic Details
Main Authors: Meagan Petersen, PharmD, BCPP, Katherine Koller, PharmD, BCPP, Craig Straley, PharmD, BCPP, Ellen Reed, PharmD, BCPP
Format: Article
Language:English
Published: American Association of Psychiatric Pharmacists 2021-07-01
Series:Mental Health Clinician
Subjects:
Online Access:https://theijpt.org/doi/pdf/10.9740/mhc.2021.07.238
_version_ 1797383407341142016
author Meagan Petersen, PharmD, BCPP
Katherine Koller, PharmD, BCPP
Craig Straley, PharmD, BCPP
Ellen Reed, PharmD, BCPP
author_facet Meagan Petersen, PharmD, BCPP
Katherine Koller, PharmD, BCPP
Craig Straley, PharmD, BCPP
Ellen Reed, PharmD, BCPP
author_sort Meagan Petersen, PharmD, BCPP
collection DOAJ
description Introduction: Researchers have found anandamide (an endocannabinoid) and cannabinoid type 1 receptor activation encourages extinction of aversive memories. Some theorize cannabinoids such as those in cannabis may provide a new treatment approach for PTSD, while others suggest it may worsen symptomology. The objective of the current study was to determine if cannabis use impacts the success of evidence-based intensive outpatient PTSD treatment in a veteran population. Methods: A list of veterans enrolled in the Battle Creek Veterans' Affairs Medical Center outpatient PTSD Clinical Team Clinic between October 1st, 2008 and October 1st, 2016 was obtained, and a random sample was identified. Study participants were veterans aged 18 to 85 years, with at least 2 PTSD Checklist scores, and a diagnosis of PTSD. Data collected included mental health medications, type and number of evidence-based psychotherapy used, and presence of co-occurring behavioral health diagnoses. The cannabis use group was compared to the no-cannabis-use group, and differences in variables pertaining to the relative number of treatment successes and failures was evaluated for statistical and clinical significance. Results: The majority of patients were white (87.1%) and male (95%). The success rate was similar between the cannabis and no-cannabis-use groups (51.9% and 51.4%, respectively). Discussion: The current study did not show that a predominantly white male veteran sample diagnosed with PTSD differed in intensive PTSD treatment success or failure based on cannabis use.
first_indexed 2024-03-08T21:20:30Z
format Article
id doaj.art-9ec6e97f125a4ce0b684745803eb2915
institution Directory Open Access Journal
issn 2168-9709
language English
last_indexed 2024-03-08T21:20:30Z
publishDate 2021-07-01
publisher American Association of Psychiatric Pharmacists
record_format Article
series Mental Health Clinician
spelling doaj.art-9ec6e97f125a4ce0b684745803eb29152023-12-21T11:42:19ZengAmerican Association of Psychiatric PharmacistsMental Health Clinician2168-97092021-07-0111423824210.9740/mhc.2021.07.238i2168-9709-11-4-238Effect of cannabis use on PTSD treatment outcomes in veteransMeagan Petersen, PharmD, BCPP0https://orcid.org/0000-0002-6683-2163Katherine Koller, PharmD, BCPP1https://orcid.org/0000-0003-2661-9429Craig Straley, PharmD, BCPP2https://orcid.org/0000-0001-5735-7973Ellen Reed, PharmD, BCPP3https://orcid.org/0000-0002-2727-95101 PGY-1 Psychiatric Pharmacy Resident, Battle Creek Veteran Affairs Medical Center, Battle Creek, Michigan2 Mental Health Clinical Pharmacy Specialist, Battle Creek Veteran Affairs Medical Center, Battle Creek, Michigan3 Professor, Pharmacy Practice Department, College of Pharmacy, Ferris State University, Big Rapids, Michigan4 Mental Health Clinical Pharmacy Specialist, Battle Creek Veteran Affairs Medical Center, Battle Creek, MichiganIntroduction: Researchers have found anandamide (an endocannabinoid) and cannabinoid type 1 receptor activation encourages extinction of aversive memories. Some theorize cannabinoids such as those in cannabis may provide a new treatment approach for PTSD, while others suggest it may worsen symptomology. The objective of the current study was to determine if cannabis use impacts the success of evidence-based intensive outpatient PTSD treatment in a veteran population. Methods: A list of veterans enrolled in the Battle Creek Veterans' Affairs Medical Center outpatient PTSD Clinical Team Clinic between October 1st, 2008 and October 1st, 2016 was obtained, and a random sample was identified. Study participants were veterans aged 18 to 85 years, with at least 2 PTSD Checklist scores, and a diagnosis of PTSD. Data collected included mental health medications, type and number of evidence-based psychotherapy used, and presence of co-occurring behavioral health diagnoses. The cannabis use group was compared to the no-cannabis-use group, and differences in variables pertaining to the relative number of treatment successes and failures was evaluated for statistical and clinical significance. Results: The majority of patients were white (87.1%) and male (95%). The success rate was similar between the cannabis and no-cannabis-use groups (51.9% and 51.4%, respectively). Discussion: The current study did not show that a predominantly white male veteran sample diagnosed with PTSD differed in intensive PTSD treatment success or failure based on cannabis use.https://theijpt.org/doi/pdf/10.9740/mhc.2021.07.238traumacannabisptsdposttraumatic stress disorder
spellingShingle Meagan Petersen, PharmD, BCPP
Katherine Koller, PharmD, BCPP
Craig Straley, PharmD, BCPP
Ellen Reed, PharmD, BCPP
Effect of cannabis use on PTSD treatment outcomes in veterans
Mental Health Clinician
trauma
cannabis
ptsd
posttraumatic stress disorder
title Effect of cannabis use on PTSD treatment outcomes in veterans
title_full Effect of cannabis use on PTSD treatment outcomes in veterans
title_fullStr Effect of cannabis use on PTSD treatment outcomes in veterans
title_full_unstemmed Effect of cannabis use on PTSD treatment outcomes in veterans
title_short Effect of cannabis use on PTSD treatment outcomes in veterans
title_sort effect of cannabis use on ptsd treatment outcomes in veterans
topic trauma
cannabis
ptsd
posttraumatic stress disorder
url https://theijpt.org/doi/pdf/10.9740/mhc.2021.07.238
work_keys_str_mv AT meaganpetersenpharmdbcpp effectofcannabisuseonptsdtreatmentoutcomesinveterans
AT katherinekollerpharmdbcpp effectofcannabisuseonptsdtreatmentoutcomesinveterans
AT craigstraleypharmdbcpp effectofcannabisuseonptsdtreatmentoutcomesinveterans
AT ellenreedpharmdbcpp effectofcannabisuseonptsdtreatmentoutcomesinveterans