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Cannabis, Cognition, and Residual Confounding
Harrison G. Pope, Jr, MD
JAMA. 2002;287:1172-1174.
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In this issue of THE JOURNAL, Solowij and colleagues1 report a variety of neuropsychological deficits in long-term cannabis users who were tested a median of 17 hours after their last reported cannabis intake. Their findings of impairments in memory and attention are not surprising since several large and well-controlled studies have found similar deficits on neuropsychological tests administered to long-term cannabis users after 12 to 72 hours of abstinence.2-5 If these deficits are brief and reversible (ie, due to a residue of cannabinoids lingering in the brain or to withdrawal effects from abruptly stopping the drug), they might not be a serious threat. However, if these deficits are prolonged or irreversible (ie, due to neurotoxicity from years of cumulative cannabis exposure), they become a matter of grave concern. The findings of Solowij and colleagues favor the latter possibility in that longer-term cannabis users in the . . . [Full Text of this Article]
Author Affiliation: Biological Psychiatry Laboratory, McLean Hospital, Harvard Medical School, Belmont, Mass.
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