Synthetic cannabis: A comparison of patterns of use and effect profile with natural cannabis in a large global sample

Background: The last decade has seen the appearance of myriad novel psychoactive substances with diverse effect profiles. Synthetic cannabinoids are among the most recently identified but least researched of these substances. Methods: An anonymous online survey was conducted in 2011 using a quantita...

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Main Authors: Winstock, A., Barratt, Monica
Format: Journal Article
Published: Elsevier Ireland Ltd 2013
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/35906
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author Winstock, A.
Barratt, Monica
author_facet Winstock, A.
Barratt, Monica
author_sort Winstock, A.
building Curtin Institutional Repository
collection Online Access
description Background: The last decade has seen the appearance of myriad novel psychoactive substances with diverse effect profiles. Synthetic cannabinoids are among the most recently identified but least researched of these substances. Methods: An anonymous online survey was conducted in 2011 using a quantitative structured research tool. Missing data (median 2%) were treated by available-case analysis. Results: Of 14,966 participants, 2513 (17%) reported use of synthetic cannabis. Of these, 980 (41% of 2417) reported its use in the last 12 months. Almost all recent synthetic cannabis users (99% of 975) reported ever use of natural cannabis. Synthetic cannabis reportedly had both a shorter duration of action (z = 17.82, p < .001) and quicker time to peak onset of effect (z =-9.44, p < .001) than natural cannabis. Natural cannabis was preferred to synthetic cannabis by 93% of users, with natural cannabis rated as having greater pleasurable effects when high (t(930) =-37.1, p <.001, d =-1.22) and being more able to function after use (t(884) =-13.3, p < .001, d =-0.45). Synthetic cannabis was associated with more negative effects (t(859) = 18.7, p < .001, d = 0.64), hangover effects (t(854) = 6.45, < .001, d = 0.22) and greater paranoia (t(889) = 7.91, p < .001, d = 0.27).Conclusions: Users report a strong preference for natural over synthetic cannabis. The latter has a less desirable effect profile. Further research is required to determine longer term consequences of use and comparative dependence potential.
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spelling curtin-20.500.11937-359062017-09-13T15:22:16Z Synthetic cannabis: A comparison of patterns of use and effect profile with natural cannabis in a large global sample Winstock, A. Barratt, Monica cannabis synthetic cannabinoids online survey epidemiology Background: The last decade has seen the appearance of myriad novel psychoactive substances with diverse effect profiles. Synthetic cannabinoids are among the most recently identified but least researched of these substances. Methods: An anonymous online survey was conducted in 2011 using a quantitative structured research tool. Missing data (median 2%) were treated by available-case analysis. Results: Of 14,966 participants, 2513 (17%) reported use of synthetic cannabis. Of these, 980 (41% of 2417) reported its use in the last 12 months. Almost all recent synthetic cannabis users (99% of 975) reported ever use of natural cannabis. Synthetic cannabis reportedly had both a shorter duration of action (z = 17.82, p < .001) and quicker time to peak onset of effect (z =-9.44, p < .001) than natural cannabis. Natural cannabis was preferred to synthetic cannabis by 93% of users, with natural cannabis rated as having greater pleasurable effects when high (t(930) =-37.1, p <.001, d =-1.22) and being more able to function after use (t(884) =-13.3, p < .001, d =-0.45). Synthetic cannabis was associated with more negative effects (t(859) = 18.7, p < .001, d = 0.64), hangover effects (t(854) = 6.45, < .001, d = 0.22) and greater paranoia (t(889) = 7.91, p < .001, d = 0.27).Conclusions: Users report a strong preference for natural over synthetic cannabis. The latter has a less desirable effect profile. Further research is required to determine longer term consequences of use and comparative dependence potential. 2013 Journal Article http://hdl.handle.net/20.500.11937/35906 10.1016/j.drugalcdep.2012.12.011 Elsevier Ireland Ltd restricted
spellingShingle cannabis
synthetic cannabinoids
online survey
epidemiology
Winstock, A.
Barratt, Monica
Synthetic cannabis: A comparison of patterns of use and effect profile with natural cannabis in a large global sample
title Synthetic cannabis: A comparison of patterns of use and effect profile with natural cannabis in a large global sample
title_full Synthetic cannabis: A comparison of patterns of use and effect profile with natural cannabis in a large global sample
title_fullStr Synthetic cannabis: A comparison of patterns of use and effect profile with natural cannabis in a large global sample
title_full_unstemmed Synthetic cannabis: A comparison of patterns of use and effect profile with natural cannabis in a large global sample
title_short Synthetic cannabis: A comparison of patterns of use and effect profile with natural cannabis in a large global sample
title_sort synthetic cannabis: a comparison of patterns of use and effect profile with natural cannabis in a large global sample
topic cannabis
synthetic cannabinoids
online survey
epidemiology
url http://hdl.handle.net/20.500.11937/35906