Pain and Psychotic-like Experiences in Young People Using Cannabis

Research has demonstrated that cannabis use is linked with a greater risk of psychotic-like experiences (PLEs), particularly in young people. As many people use cannabis for the alleviation of pain, it is important to examine the impact that PLEs have on pain. This is because the current literature...

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Main Authors: Joanna Wilson, Toby Constable, Katherine Mason, Laura Ferris, Catherine Quinn, Leanne Hides, Janni Leung, Molly Carlyle
Format: Article
Language:English
Published: MDPI AG 2022-06-01
Series:Medical Sciences Forum
Subjects:
Online Access:https://www.mdpi.com/2673-9992/4/1/38
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author Joanna Wilson
Toby Constable
Katherine Mason
Laura Ferris
Catherine Quinn
Leanne Hides
Janni Leung
Molly Carlyle
author_facet Joanna Wilson
Toby Constable
Katherine Mason
Laura Ferris
Catherine Quinn
Leanne Hides
Janni Leung
Molly Carlyle
author_sort Joanna Wilson
collection DOAJ
description Research has demonstrated that cannabis use is linked with a greater risk of psychotic-like experiences (PLEs), particularly in young people. As many people use cannabis for the alleviation of pain, it is important to examine the impact that PLEs have on pain. This is because the current literature finds that psychotic and schizophrenic disorders impact pain experience, and PLEs are subclinical positive symptoms of psychosis. There is limited research on the impact of PLEs on pain experience, particularly in cannabis users, and thus, the current study aims to address this gap in the literature. The study also examines whether childhood trauma and mental health problems contribute to the heightened risk of pain in cannabis users, and whether these relationships are moderated by PLEs. The current study was a cross-sectional design including young cannabis users aged 18–25 (<i>n</i> = 2630). Participants completed questionnaire measures of cannabis use, PLEs, self-reported pain, childhood trauma, anxiety, and depression. Logistic regression analyses revealed that young cannabis users experiencing more PLEs reported significantly higher pain. Additionally, experiencing a history of childhood trauma and depression were also found to result in higher pain in these cannabis users. Moderation analyses revealed that PLEs moderated the relationship between depression and pain; however, in contrast to our predictions, PLEs did not moderate the relationship between childhood trauma and pain. Anxiety did not significantly predict higher pain. The results of the current study have important implications for the use and legalisation of THC medically, and the social, emotional, and cognitive aspects of pain and cannabis use. We propose recommendations for mitigating the risk of PLEs associated with cannabis use in chronic pain patients who are medically prescribed THC for its analgesic effects and we include suggestions for future research.
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spelling doaj.art-f565b4a1d9e94878ad0e1a743df9ba4d2023-11-18T11:52:25ZengMDPI AGMedical Sciences Forum2673-99922022-06-01413810.3390/ECERPH-3-09056Pain and Psychotic-like Experiences in Young People Using CannabisJoanna Wilson0Toby Constable1Katherine Mason2Laura Ferris3Catherine Quinn4Leanne Hides5Janni Leung6Molly Carlyle7School of Psychology, University of Queensland, Brisbane 4072, AustraliaSchool of Psychology, University of Queensland, Brisbane 4072, AustraliaSchool of Psychology, University of Queensland, Brisbane 4072, AustraliaSchool of Psychology, University of Queensland, Brisbane 4072, AustraliaSchool of Psychology, University of Queensland, Brisbane 4072, AustraliaSchool of Psychology, University of Queensland, Brisbane 4072, AustraliaSchool of Psychology, University of Queensland, Brisbane 4072, AustraliaSchool of Psychology, University of Queensland, Brisbane 4072, AustraliaResearch has demonstrated that cannabis use is linked with a greater risk of psychotic-like experiences (PLEs), particularly in young people. As many people use cannabis for the alleviation of pain, it is important to examine the impact that PLEs have on pain. This is because the current literature finds that psychotic and schizophrenic disorders impact pain experience, and PLEs are subclinical positive symptoms of psychosis. There is limited research on the impact of PLEs on pain experience, particularly in cannabis users, and thus, the current study aims to address this gap in the literature. The study also examines whether childhood trauma and mental health problems contribute to the heightened risk of pain in cannabis users, and whether these relationships are moderated by PLEs. The current study was a cross-sectional design including young cannabis users aged 18–25 (<i>n</i> = 2630). Participants completed questionnaire measures of cannabis use, PLEs, self-reported pain, childhood trauma, anxiety, and depression. Logistic regression analyses revealed that young cannabis users experiencing more PLEs reported significantly higher pain. Additionally, experiencing a history of childhood trauma and depression were also found to result in higher pain in these cannabis users. Moderation analyses revealed that PLEs moderated the relationship between depression and pain; however, in contrast to our predictions, PLEs did not moderate the relationship between childhood trauma and pain. Anxiety did not significantly predict higher pain. The results of the current study have important implications for the use and legalisation of THC medically, and the social, emotional, and cognitive aspects of pain and cannabis use. We propose recommendations for mitigating the risk of PLEs associated with cannabis use in chronic pain patients who are medically prescribed THC for its analgesic effects and we include suggestions for future research.https://www.mdpi.com/2673-9992/4/1/38cannabispainpsychotic like experienceschildhood traumadepressionanxiety
spellingShingle Joanna Wilson
Toby Constable
Katherine Mason
Laura Ferris
Catherine Quinn
Leanne Hides
Janni Leung
Molly Carlyle
Pain and Psychotic-like Experiences in Young People Using Cannabis
Medical Sciences Forum
cannabis
pain
psychotic like experiences
childhood trauma
depression
anxiety
title Pain and Psychotic-like Experiences in Young People Using Cannabis
title_full Pain and Psychotic-like Experiences in Young People Using Cannabis
title_fullStr Pain and Psychotic-like Experiences in Young People Using Cannabis
title_full_unstemmed Pain and Psychotic-like Experiences in Young People Using Cannabis
title_short Pain and Psychotic-like Experiences in Young People Using Cannabis
title_sort pain and psychotic like experiences in young people using cannabis
topic cannabis
pain
psychotic like experiences
childhood trauma
depression
anxiety
url https://www.mdpi.com/2673-9992/4/1/38
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