Dann bin ich eben schlauer als Wikipedia, ich kann nämlich englischsprachige Primärliteratur lesen. ^^Zitat von Dante
Ja ich habe auch geschrieben: kann; es gibt Fälle, wo das aufgetreten ist und natürlich ist dabei Marihuana nur ein zusätzlicher Faktor, aber das kann einem dann egal sein, wenn die Psychose chronisch wird.
Da habe ich was gefunden:
Semple, D.M. & McIntosh, A.M. (2005). Cannabis as a risk factor for psychosis: systematic review. Journal of Psychopharmacology, 19(2), 187-94.
Abstract:
Various lines of evidence suggest an association between cannabis and psychosis. Five years ago, the only significant case-control study addressing this question was the Swedish Conscript Cohort. Within the last few years, other studies have emerged, allowing the evidence for cannabis as a risk factor to be more systematically reviewed and assessed. Using specific search criteria on Embase, PsychINFO and Medline, all studies examining cannabis as an independent risk factor for schizophrenia, psychosis or psychotic symptoms, published between January 1966 and January 2004, were examined. Additional studies were also reviewed from references found in retrieved articles, reviews, and a cited reference search (ISI-Web of Science). Studies selected for meta-analysis included: (i) case-control studies where exposure to cannabis preceded the onset of schizophrenia or schizophrenia-like psychosis and (ii) cohort studies of healthy individuals recruited before the median age of illness onset, with cannabis exposure determined prospectively and blind to eventual diagnosis. Studies of psychotic symptoms were also tabulated for further discussion. Eleven studies were identified examining the relationship between cannabis use and psychosis. Seven were included in the meta-analysis, with a derived odds ratio (fixed effects) of 2-9 (95 % confidence interval = 2.4-3.6). No evidence of publication bias or heterogeneity was found. Early use of cannabis did appear to increase the risk of psychosis. For psychotic symptoms, a dose-related effect of cannabis use was seen, with vulnerable groups including individuals who used cannabis during adolescence, those who had previously experienced psychotic symptoms, and those at high genetic risk of developing schizophrenia. In conclusion, the available evidence supports the hypothesis that cannabis is an independent risk factor, both for psychosis and the development of psychotic symptoms. Addressing cannabis use, particularly in vulnerable populations, is likely to have beneficial effects on psychiatric morbidity.
Aber ich habe mir noch einen Artikel durchgelesen und es könnte ja auch sein, dass solche, die eine beginnende Psychose haben, verstärkt Cannabis konsumieren. Eine Metastudie hat ein 4fach höheres Risiko für psychiatrische Erkrankungen ergeben.
von Iversen, L. (2005). Long-term effects of exposure to cannabis. Current Opinion in Pharmacology, 5, 69–72.
Conclusions
A review of the literature suggests that the majority of
cannabis users, who use the drug occasionally rather than
on a daily basis, will not suffer any lasting physical or
mental harm. Conversely, as with other ‘recreational’
drugs, there will be some who suffer adverse consequences
from their use of cannabis. Some individuals
who have psychotic thought tendencies might risk precipitating
psychotic illness. Those who consume large
doses of the drug on a regular basis are likely to have lower
educational achievement and lower income, and may
suffer physical damage to the airways. They also run a
significant risk of becoming dependent upon continuing
use of the drug. There is little evidence, however, that
these adverse effects persist after drug use stops or that
any direct cause and effect relationships are involved.
In contrast, cannabis might have beneficial effects in
some medical indications. There is considerable literature
obtained from animal studies to suggest that cannabis
has analgesic effects [27]. Until recently, however, there
has been a dearth of controlled clinical studies to validate
such effects in patients. This has now changed, with the
publication in the past two years of a number of doubleblind
placebo-controlled trials showing the effectiveness
of cannabinoids in relieving chronic neuropathic pain
[28,29] or pain associated with multiple sclerosis [30__,
31]. The largest of these trials involved 630 multiple
sclerosis patients and showed significant pain relief after
15 weeks of treatment with either pure THC or cannabis
extract [30]. It seems likely that medicinal cannabis will
re-enter the Pharmacopoeia.
Also meine Schlussfolgerung daraus ist, dass man, wenn Risikofaktoren für eine Psychose etc. bestehen (wie ich geschrieben habe, genetische Disposition), es lieber lassen soll.Und jetzt bin ich schlauer und alle sind schlauer. ^^