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P-112 - Association Between Insight and Intensity of Withdrawal Symptoms Among Cannabis Dependant Outpatients

Published online by Cambridge University Press:  15 April 2020

E.-H.M. Zerdazi ,
L. Sainte-Catherine ,
G. Dupuy ,
J.-P. Lépine  and
F. Vorspan
E.-H.M. Zerdazi
Affiliation:
CSAPA ‘Espace Murger’ Service de Psychiatrie, Hôpital Fernand Widal, APHP Unité Neurosychopharmacologie des Addictions, INSERM U 705 - CNRS UMR 8206, Pres Sorbonne Paris Cité, Paris, France
L. Sainte-Catherine
Affiliation:
CSAPA ‘Espace Murger’ Service de Psychiatrie, Hôpital Fernand Widal, APHP
G. Dupuy
Affiliation:
CSAPA ‘Espace Murger’ Service de Psychiatrie, Hôpital Fernand Widal, APHP
J.-P. Lépine
Affiliation:
CSAPA ‘Espace Murger’ Service de Psychiatrie, Hôpital Fernand Widal, APHP Unité Neurosychopharmacologie des Addictions, INSERM U 705 - CNRS UMR 8206, Pres Sorbonne Paris Cité, Paris, France
F. Vorspan
Affiliation:
CSAPA ‘Espace Murger’ Service de Psychiatrie, Hôpital Fernand Widal, APHP Unité Neurosychopharmacologie des Addictions, INSERM U 705 - CNRS UMR 8206, Pres Sorbonne Paris Cité, Paris, France

Abstract

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Introduction

Withdrawal syndrome occurs in 50% of cannabis dependant patients. In our clinical practice, we observed that few patients recognize and attribute abstinence symptoms to cannabis cessation. Insight or awareness of cannabis dependence remains poorly studied.

Objectives

We propose to study the relationship between insight and cannabis withdrawal syndrome. Our hypothesis is that patients showing a higher score on a cannabis withdrawal scale would have a higher score on an insight scale.

Methods

We recruited 35 cannabis dependent outpatients between October 2008 and April 2009 in an addiction clinic. Insight of cannabis dependance was assessed with the insight Q8 scale ranging [0–8]. We designed a cannabis withdrawal scale by checking DSM V withdrawal symptoms, and each symptom was retrospectively scored by an analogue scale (from 0 to 5). Correlation between insight and withdrawal scores was calculated using Spearman's ρ.

Results

Sex ratio was 2.5. Mean age was 35.9 ± 1.4 years. Most patients (85.7%) reported at least one withdrawal symptom. Sleep disturbances (95.8%) and craving (75.8%) were the most frequent. Mean score of insight was of 4.2 ± 0.4 points.

The intensity of withdrawal syndrome and insight score were positively correlated (ρ = 0.594, p < 0.001).

Conclusion

Our results show an association between experiencing more withdrawal symptoms and insight or awareness of cannabis dependence. These results could be used in the treatment of cannabis dependent patients.

Type
Abstract
Information
European Psychiatry , Volume 27 , Issue S1: Abstracts of the 20th European Congress of Psychiatry , 2012 , pp. 1
Copyright
Copyright © European Psychiatric Association 2012
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