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52 Differences in Neuropsychological Test Performance and Symptom Data in Schizophrenia with Co-Occurring Cannabis Use
- Jessica J Woodyatt, Grace J Goodwin, Bern G. Lee, Yuan Rairata, Gia Calip, Daniel N Allen
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- Journal:
- Journal of the International Neuropsychological Society / Volume 29 / Issue s1 / November 2023
- Published online by Cambridge University Press:
- 21 December 2023, pp. 924-925
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Objective:
Long-term exposure to the psychoactive ingredient in cannabis, delta-9-tetrahydrocanabinol (THC), has been consistently raised as a notable risk factor for schizophrenia. Additionally, cannabis is frequently used as a coping mechanism for individuals diagnosed with schizophrenia. Cannabis use in schizophrenia has been associated with greater severity of psychotic symptoms, non-compliance with medication, and increased relapse rates. Neuropsychological changes have also been implicated in long-term cannabis use and the course of illness of schizophrenia. However, the impact of co-occurring cannabis use in individuals with schizophrenia on cognitive functioning is less thoroughly explored. The purpose of this meta-analysis was to examine whether neuropsychological test performance and symptoms in schizophrenia differ as a function of THC use status. A second aim of this study was to examine whether symptom severity moderates the relationship between THC use and cognitive test performance among people with schizophrenia.
Participants and Methods:Peer-reviewed articles comparing schizophrenia with and without cannabis use disorder (SZ SUD+; SZ SUD-) were selected from three scholarly databases; Ovid, Google Scholar, and PubMed. The following search terms were applied to yield studies for inclusion: neuropsychology, cognition, cognitive, THC, cannabis, marijuana, and schizophrenia. 11 articles containing data on psychotic symptoms and neurocognition, with SZ SUD+ and SZ SUD- groups, were included in the final analyses. Six domains of neurocognition were identified across included articles (Processing Speed, Attention, Working Memory, Verbal Learning Memory, and Reasoning and Problem Solving). Positive and negative symptom data was derived from eligible studies consisting of the Positive and Negative Syndrome Scale (PANSS), the Scale for the Assessment of Positive Symptoms (SAPS), the Scale for the Assessment of Negative Symptoms (SANS), Self-Evaluation of Negative Symptoms (SNS), Brief Psychiatric Rating Scale (BPRS), and Structured Clinical Interview for DSM Disorders (SCID) scores. Meta analysis and meta-regression was conducted using R.
Results:No statistically significant differences were observed between SZ SUD+ and SZ SUD-across the cognitive domains of Processing Speed, Attention, Working Memory, Verbal Learning Memory, and Reasoning and Problem Solving. Positive symptom severity was found to moderate the relationship between THC use and processing speed, but not negative symptoms. Positive and negative symptom severity did not significantly moderate the relationship between THC use and the other cognitive domains.
Conclusions:Positive symptoms moderated the relationship between cannabis use and processing speed among people with schizophrenia. The reasons for this are unclear, and require further exploration. Additional investigation is warranted to better understand the impact of THC use on other tests of neuropsychological performance and symptoms in schizophrenia.
Understanding Singapore's dynamic parrot trade ecosystem
- Anuj Jain, Scott Li Meng Aloysius, Heather Lim, Tim Plowden, Ding Li Yong, Jessica Grace Lee, Jacob Phelps
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Singapore is prominent in the global trade of pet birds, primarily parrots. This includes its role as a key international transit hub, and also its growing domestic market, including for threatened species. There is a need to understand the trade beyond volumes and flows, including consumer knowledge, preferences and behaviours, and interactions with vendors, hobbyist groups and supporting industries. We used three methods to examine this: (1) a questionnaire with stakeholders (including parrot owners, hobbyist group members, breeders and supporting industry professionals), about the motivations for parrot ownership and interest in sustainable trade, (2) semi-structured interviews with key informants about trade dynamics, and (3) a review of online hobbyist groups. Based on our findings, we provide an initial mapping of the country's parrot trade ecosystem. Fifty-one per cent of respondents claimed to be a member of a parrot hobbyist group and 64% agreed their participation in such groups had encouraged them to purchase more parrots. The majority (71%) of parrot owners reported a preference for captive-bred rather than wild-caught parrots, and 72% were concerned about the illegal hunting of parrots for commercial trade. Most were willing to pay more (70%) and wait longer (73%) to procure a sustainably sourced parrot. Our approach presents the wildlife trade as a complex social phenomenon, with multiple physical and online channels, regulatory challenges, social networks, and evolving consumer preferences. We also document the pivotal role of hobbyist groups and their untapped potential to leverage these networks to improve sustainable trade.