Association of cannabis use with prodromal symptoms of psychosis in adolescence.

Recent interest has focused on the association between cannabis use and risk of psychosis. In the largest unselected, population-based study on this topic to date, we examined cannabis use and prodromal symptoms of psychosis at age 15-16 years among 6330 adolescents. Those who had tried cannabis (n=352; 5.6% of the total sample) were more likely to present three or more prodromal symptoms even after controlling for confounders including previous behavioural symptoms (OR=2.23; 95% CI 1.70-2.94). A dose-response effect was seen. We conclude that cannabis use is associated with prodromal symptoms of psychosis in adolescence.

[1]  Robin M. Murray,et al.  Cannabis, the mind and society: the hash realities , 2007, Nature Reviews Neuroscience.

[2]  Peter B. Jones,et al.  Cannabis use and risk of psychotic or affective mental health outcomes: a systematic review , 2007, The Lancet.

[3]  A. Yung,et al.  Testing the Ultra High Risk (prodromal) criteria for the prediction of psychosis in a clinical sample of young people , 2006, Schizophrenia Research.

[4]  Brad J. Nakamura,et al.  Symptoms of schizotypy precede cannabis use , 2005, Psychiatry Research.

[5]  T. McGlashan,et al.  PROD‐screen – a screen for prodromal symptoms of psychosis , 2003, International journal of methods in psychiatric research.

[6]  Richie Poulton,et al.  Cannabis use in adolescence and risk for adult psychosis: longitudinal prospective study , 2002, BMJ : British Medical Journal.

[7]  J. Os,et al.  Psychotic symptoms in non-clinical populations and the continuum of psychosis , 2002, Schizophrenia Research.

[8]  Tyrone D. Cannon,et al.  School teacher ratings predictive of psychiatric outcome 25 years later , 1998, British Journal of Psychiatry.

[9]  B. Everitt,et al.  Analysis of longitudinal data , 1998, British Journal of Psychiatry.

[10]  P. Rantakallio,et al.  Labour induction policy in hospitals of different levels of specialisation , 1993, British journal of obstetrics and gynaecology.

[11]  M. Rutter A children's behaviour questionnaire for completion by teachers: preliminary findings. , 1967, Journal of child psychology and psychiatry, and allied disciplines.