Socio-demographic profile and clinical co-morbidities of cannabis users attending a tertiary care hospital in India: A retrospective case record study

Context: Cannabis use has been the most commonly used illicit psychoactive substance in India. Increasing use of cannabis has been associated with an increased risk of co-morbid psychotic spectrum disorders with worse outcomes. This risk increases with increased use in a dose-dependent manner. A ver...

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Main Authors: Soumya Jha, Rupa Jha, Wenona Fernandes, Ashish Srivastava
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-09-01
Series:Indian Journal of Psychiatry
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Online Access:https://journals.lww.com/10.4103/indianjpsychiatry.indianjpsychiatry_239_23
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author Soumya Jha
Rupa Jha
Wenona Fernandes
Ashish Srivastava
author_facet Soumya Jha
Rupa Jha
Wenona Fernandes
Ashish Srivastava
author_sort Soumya Jha
collection DOAJ
description Context: Cannabis use has been the most commonly used illicit psychoactive substance in India. Increasing use of cannabis has been associated with an increased risk of co-morbid psychotic spectrum disorders with worse outcomes. This risk increases with increased use in a dose-dependent manner. A very complex association exists between cannabis use and mental illness hence it is essential to understand the relationship between the two to facilitate better care and management. Aim: The present study was conducted to assess the socio-demographic profile and psychiatric co-morbidities of cannabis users attending a tertiary mental health establishment in Goa. Materials and Methods: A retrospective case record study was carried out among self-reported cannabis users attending services at a tertiary mental health establishment from June 2021 to June 2022. Data regarding cannabis use, clinical profile, and socio-demographic profile of the individuals was obtained and analyzed using appropriate statistical tests. Results: One hundred and sixty-four cannabis users were evaluated which consisted of 140 males and 24 females, the mean age being 28 years with a standard deviation of 7.68. Ganja was the most commonly used form smoked as joints. The median age of initiation was 18 with females starting at a later age than males. Later initiation was associated with using lower quantities. Concurrent alcohol and nicotine use was present in 90% of the cases. The most commonly associated diagnosis was substance-induced psychosis. Conclusions: Cannabis use in individuals with mental illness is more common in males and an early age of initiation was linked to earlier age of onset of psychiatric illness.
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publishDate 2023-09-01
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spelling doaj-art-52931f16f8b947b6864af18be4c31b8a2025-02-07T12:42:20ZengWolters Kluwer Medknow PublicationsIndian Journal of Psychiatry0019-55451998-37942023-09-0165992893310.4103/indianjpsychiatry.indianjpsychiatry_239_23Socio-demographic profile and clinical co-morbidities of cannabis users attending a tertiary care hospital in India: A retrospective case record studySoumya JhaRupa JhaWenona FernandesAshish SrivastavaContext: Cannabis use has been the most commonly used illicit psychoactive substance in India. Increasing use of cannabis has been associated with an increased risk of co-morbid psychotic spectrum disorders with worse outcomes. This risk increases with increased use in a dose-dependent manner. A very complex association exists between cannabis use and mental illness hence it is essential to understand the relationship between the two to facilitate better care and management. Aim: The present study was conducted to assess the socio-demographic profile and psychiatric co-morbidities of cannabis users attending a tertiary mental health establishment in Goa. Materials and Methods: A retrospective case record study was carried out among self-reported cannabis users attending services at a tertiary mental health establishment from June 2021 to June 2022. Data regarding cannabis use, clinical profile, and socio-demographic profile of the individuals was obtained and analyzed using appropriate statistical tests. Results: One hundred and sixty-four cannabis users were evaluated which consisted of 140 males and 24 females, the mean age being 28 years with a standard deviation of 7.68. Ganja was the most commonly used form smoked as joints. The median age of initiation was 18 with females starting at a later age than males. Later initiation was associated with using lower quantities. Concurrent alcohol and nicotine use was present in 90% of the cases. The most commonly associated diagnosis was substance-induced psychosis. Conclusions: Cannabis use in individuals with mental illness is more common in males and an early age of initiation was linked to earlier age of onset of psychiatric illness.https://journals.lww.com/10.4103/indianjpsychiatry.indianjpsychiatry_239_23cannabisco-morbiditiesinduced psychosissubstance use
spellingShingle Soumya Jha
Rupa Jha
Wenona Fernandes
Ashish Srivastava
Socio-demographic profile and clinical co-morbidities of cannabis users attending a tertiary care hospital in India: A retrospective case record study
Indian Journal of Psychiatry
cannabis
co-morbidities
induced psychosis
substance use
title Socio-demographic profile and clinical co-morbidities of cannabis users attending a tertiary care hospital in India: A retrospective case record study
title_full Socio-demographic profile and clinical co-morbidities of cannabis users attending a tertiary care hospital in India: A retrospective case record study
title_fullStr Socio-demographic profile and clinical co-morbidities of cannabis users attending a tertiary care hospital in India: A retrospective case record study
title_full_unstemmed Socio-demographic profile and clinical co-morbidities of cannabis users attending a tertiary care hospital in India: A retrospective case record study
title_short Socio-demographic profile and clinical co-morbidities of cannabis users attending a tertiary care hospital in India: A retrospective case record study
title_sort socio demographic profile and clinical co morbidities of cannabis users attending a tertiary care hospital in india a retrospective case record study
topic cannabis
co-morbidities
induced psychosis
substance use
url https://journals.lww.com/10.4103/indianjpsychiatry.indianjpsychiatry_239_23
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AT rupajha sociodemographicprofileandclinicalcomorbiditiesofcannabisusersattendingatertiarycarehospitalinindiaaretrospectivecaserecordstudy
AT wenonafernandes sociodemographicprofileandclinicalcomorbiditiesofcannabisusersattendingatertiarycarehospitalinindiaaretrospectivecaserecordstudy
AT ashishsrivastava sociodemographicprofileandclinicalcomorbiditiesofcannabisusersattendingatertiarycarehospitalinindiaaretrospectivecaserecordstudy