Definitions of Risky and Problematic Cannabis Use: A Systematic Review
Definitions of Risky and Problematic Cannabis Use: A Systematic Review
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DOI：
10.1080/10826084.2016.1197266
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发表时间：
2016-01-01
影响因子：
2
通讯作者：
Gual, Antoni
中科院分区：
文献类型：
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作者：
Casajuana, Cristina;Lopez-Pelayo, Hugo;Gual, Antoni
虽然大麻被广泛使用，但仍不清楚哪种消费模式更有可能产生未来后果（有风险/危险使用）或当前损害（有问题/有害使用）。这一未解决的问题有助于大麻对公共卫生的影响。为了促进进一步的共识，这篇综述分析了以前使用的定义在文献中。方法：本系统评价遵循PRISMA指南进行。检索了2015年10月之前在Medline、Scopus-Elsevier、ISI-Web of Knowledge和科克伦数据库中发表的符合先验决定标准的文章。还列入了预先选定的处理毒品问题的国家和国际组织网站上的定义。结果：文献（n = 46）和官方网站（n = 3）中确定的定义彼此差异很大。每周使用大麻通常被认为是危险的。大麻滥用问题主要是通过大麻滥用和筛查测试来描述的。基于证据的定义以及有关消耗量、时间范围和危险群体的特殊考虑的信息非常有限。结论：非常有必要就正式定义开展工作，因为使用的标准仍然不完整，导致该领域的混乱增加。提出了改进现有定义的建议。
Although cannabis is widely used, it remains unclear which consumption patterns are more likely to produce future consequences (risky/hazardous use) or current damage (problematic/harmful use). This unresolved issue contributes to cannabis public health implications. In order to facilitate further consensus, this review analyzes previously used definitions in the literature. Methods: This systematic review was performed following the PRISMA guidelines. Articles published before October 2015 in the Medline, Scopus-Elsevier, ISI-Web of Knowledge and Cochrane databases and fulfilling a-priori decided criteria were retrieved. Definitions in preselected websites of national and international organizations addressing drug problems were also included. Results: Definitions identified in articles (n = 46) and official websites (n = 3) widely varied from each other. Weekly cannabis use was mostly considered risky. Problematic cannabis use was mostly described with the Cannabis Abuse and Screening Test. Evidence-based definitions as well as information on quantities consumed, time-frames and special considerations for risky groups were very limited. Conclusions: Working on official definitions is highly necessary as criteria used remain incomplete, leading to increased confusion in the field. Recommendations to improve existing definitions are given.