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DESCRIPTION: Decades of research have examined the effects of cannabis on neurocognition.

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Decades of research have Raulin rodriguez wife sexual dysfunction the effects of cannabis on neurocognition. Recent advances in this field provide us with a better understanding of how cannabis use influences neurocognition both acutely during intoxication and non-acutely after acute effects subside. Evidence of problems with episodic memory is one of the most consistent findings reported; however, several other neurocognitive domains appear to be adversely affected by cannabis use under various conditions.

There is significant variability in findings across studies, thus a Raulin rodriguez wife sexual dysfunction of potential moderators is increasingly relevant. Finally we discuss how future investigations may lead to better understanding of the complex interplay among cannabis, stages of neurodevelopment, and sex on neurocognitive functioning.

In the last five years, significant advances have been made in understanding the endogenous cannabinoid system and how cannabis may affect its functioning, particularly as it pertains to the brain.

The abundance of cannabinoid receptors in the hippocampus, amygdala, Raulin rodriguez wife sexual dysfunction ganglia, and prefrontal cortex Mackie ; Piomelli suggests that disruption of the cannabinergic system by administration of exogenous cannabinoids, like deltatetrahydrocannbinol THC; the main psychoactive compound in cannabismay have important implications for various neurobehavioral processes, including mood and anxiety regulation Crippa et al. Gonzalez ; Solowij and Pesa Indeed, it seems frontal-limbic neurocircuitry is most prominently affected by cannabis use for review see Martin-Santos et al.

Not surprisingly, the neurobehavioral effects of cannabis use have been intensely studied over several decades and summarized in numerous published reviews Crean et al. Gonzalez ; I. However, many of these reviews conclude that the findings for several neurocognitive domains are equivocal, speaking to the importance of further research in this field.

Research on the neurocognitive effects of cannabis continues to grow rapidly. This is an especially pertinent area of research because cannabis continues to be the most widely used illicit substance worldwide UNODC These statistics are particularly concerning, given that cannabis use is associated with negative health outcomes Kalantpsychosocial and cognitive impairments Kalant ; Solowij and Pesaand other neurobehavioral consequences such as an increased risk of an automobile crash when driving while intoxicated Asbridge et al.

Furthermore, some have argued that the potency of cannabis, as indexed by THC content, has increased in recent years Burgdorf et al. On the other hand, societal acceptance of cannabis use for medicinal applications continues to increase Cohen ; Fairfield et al. All of these factors underscore the Raulin rodriguez wife sexual dysfunction importance of investigating the acute and Raulin rodriguez wife sexual dysfunction neurocognitive effects of cannabis use.

Given the outstanding reviews currently available on acute and non-acute effects of cannabis use on neurocognitive functioning and the rapid growth of new research in this area, we aimed to provide an update of research principally conducted during the past five years since in the first half of this review.

To orient the reader and provide Raulin rodriguez wife sexual dysfunction consistent organizational framework, we begin sections on acute and non-acute effects by first briefly summarizing the general findings from recent reviews of the field and then describing detailed findings from studies conducted since Studies that examine the impact of cannabis on measures generally thought to assess the same neurocognitive domain are discussed together when feasible.

However, it is important to keep in mind that most neurocognitive measures are multidimensional in nature and some of these groupings, although not arbitrary, are not absolute. We also decided to present studies from samples with adolescents separately from those that employed adult samples in the non-acute section. In the second half of the review, we focus on two emerging influential factors, neurodevelopmental influences and sex differences, by reviewing critical animal and human studies and examining how these factors may interact with cannabis use to affect neurocognition.

Studies on the acute effects of cannabis allow us to understand the immediate and direct effects that the psychoactive constituents of cannabis have on neurocognitive functioning during intoxication. These studies often rely on oral or intravenous administration of THC, but some have participants smoke actual cannabis joints under standardized conditions. Several review articles have been written on acute cannabis intoxication and neuropsychological functioning Crean et al.

For example, some of the first acute administration studies reported equivocal findings on several measures of executive functions, but found intoxicated individuals performed more poorly in the domain of episodic memory, especially recall of newly acquired information Ferraro More recent studies also suggest that acute THC intoxication seems to impair retrieval-based memory of Raulin rodriguez wife sexual dysfunction material, but evidence regarding the effects of THC on other neuropsychological domains remained mixed R.

Recent research on acute effects of cannabis has benefited from using placebo-controlled designs and administration of different doses of THC in the laboratory. In studies of visuospatial memory, THC impaired accuracy in regular cannabis users Weinstein et al. On the other hand, others report no effect from THC on visuospatial memory Anderson et al. Hart and colleagues also found that THC administration did not affect overall performance on a task of verbal episodic memory in regular cannabis users, but participants performed more poorly on a recognition task suggesting a deleterious impact of cannabis on retrieval-based memory.

Most studies document impairments in attention and concentration following administration of small i. Impairments in working memory have been observed following acute administration of vaporized THC Bossong et al. Research on the effects of cannabis on abstract Raulin rodriguez wife sexual dysfunction and problem-solving have been conducted for many years; however, a recent trend in cannabis research has been the study of decision-making and risk-taking - often defined as processes of evaluating a variety of response options and choosing the option considered to be optimal Raulin rodriguez wife sexual dysfunction the present moment Clark et al.

Additionally, problems with cognitive flexibility have been reported after smoking cannabis standardized to different doses of THC compared to a placebo condition Anderson et al.

Some contradictory evidence does exist. Whereas a previous study demonstrated increasing levels of cannabis intoxication were associated with more risky responses in occasional cannabis users Lane et al. Similar to the findings for decision-making and risk taking, studies examining inhibition, motor impulsivity, and psychomotor control these domains are invariably linked and generally defined as behavior involving rapid reactions to internal and external stimuli; Moeller et al.

THC was found to negatively influence Raulin rodriguez wife sexual dysfunction control, as evidenced by increased stop reaction time and decreased accuracy of responses in occasional and heavy cannabis users during a stop signal task in two studies Ramaekers et al. Interestingly, Ramaekers and colleagues found THC administration impaired psychomotor control in occasional cannabis users, but not in heavy cannabis users, suggesting a potential tolerance effect.

Hunault and colleagues found THC to significantly decrease response time and increase errors in a dose-dependent manner in heavy cannabis users on a motor control task. It is important to consider that the Cannabis sativa plant contains hundreds of known compounds and at least 70 cannabinoids Elsohly and Sladebut only THC has been extensively studied.

Recently, Morgan and colleagues found 22 cannabis users with low cumulative levels of CBD as evidenced from hair analysis demonstrated poorer performance on immediate and delayed episodic memory but not verbal and category fluency compared to 22 users with higher cumulative CBD exposure when both groups were intoxicated.

The same group showed that daily cannabis users who had higher cumulative THC exposure demonstrated poorer performance on measures of immediate and delayed episodic memory, as well as source memory, compared to daily cannabis users Raulin rodriguez wife sexual dysfunction lower cumulative THC exposure when participants were intoxicated Morgan et al.

However, there were no differences in episodic memory and source memory performance between the 54 occasional cannabis users regardless of the cumulative THC exposure.

On the other Raulin rodriguez wife sexual dysfunction, both daily and occasional cannabis users with CBD present in hair analysis displayed better recognition memory than users without CBD present when all individuals were intoxicated Morgan et al. A number of functional neuroimaging studies demonstrated that THC and CBD can exert opposite actions on the neurofunctional correlates of cognitive and emotional processes in humans Bhattacharyya et al. Specifically, although no neurocognitive differences were found, THC and CBD had opposite effects of brain activation patterns in the striatum during verbal recall, in the hippocampus during inhibition, in the superior temporal cortex during auditory processing, in the occipital cortex during visual processing, and in the amygdala while subjects viewed fearful faces when compared to placebo Bhattacharyya et al.

These complex effects of cannabinoids on underlying neural networks may help to explain some of aforementioned mixed findings in the field and warrant further investigation. In summary, the recent literature suggests acute THC administration Raulin rodriguez wife sexual dysfunction specific aspects of learning and memory, in line with the previous literature, as well as attention, Raulin rodriguez wife sexual dysfunction, and working memory. A notable contribution to the literature during the past five years has been examining how acute cannabis intoxication affects neuropsychological measures of abstract reasoning, decision-making, risk-taking, inhibition, motor impulsivity, and psychomotor control.

Studies indicate abstract reasoning may be impaired after acute THC administration, while decision-making and risk-taking largely remain intact, despite some evidence for THC potentially slowing decision-making.

However, future research in this area may benefit from more detailed analyses on the various components of decision-making and risk-taking Busemeyer and Stout and examining different types of risk i. The mixed findings for measures of inhibition, motor impulsivity, and psychomotor control, suggest more work is needed to understand the role of motor slowing and dose-response effects.

Moreover, findings of differential performance following THC administration in heavy cannabis users, occasional cannabis users, and healthy controls, as well as the potential role of different types of cannabinoids present in cannabis, highlight the importance considering these issues in future research.

Finally, examining neurocognitive effects of other naturally-occurring cannabinoids in combination with THC is a promising line of research. Conversely, associations between higher cumulative CBD exposure and better neuropsychological functioning indicate CBD may buffer against the negative effect of THC, but these neurocognitive differences may only emerge after prolonged administration.

Studies on the non-acute effects of cannabis focus on the period after the intoxicating effects of cannabis have subsided. As such, they often examine participants from after about 8 hours to a month since their last cannabis use. These studies are best apt to inform the chronicity of cannabis-associated neuropsychological deficits that may linger after acute intoxication has ceased. As with acute-administration studies, various review articles have broached this topic over the years.

Some suggest residual effects i. As found in the acute Raulin rodriguez wife sexual dysfunction studies, the evidence is mixed for most domains other than episodic memory, which remains Raulin rodriguez wife sexual dysfunction impacted for up to 28 days following abstinence R.

Novel contributions from recent studies include increased attention to adolescent samples and assessing measures of decision-making, risk-taking, and other aspects of impulsive behavior. As found in previous reviews, aspects of memory are often impaired among recently abstinent cannabis users, particularly verbal episodic memory. Regular adolescent cannabis users who have been abstinent between 12 hours and 21 days demonstrate poorer immediate Hanson et al.

However, one of these studies found Raulin rodriguez wife sexual dysfunction difference in recognition between regular and occasional cannabis users Harvey et al. After longer periods of abstinence 28 daysTapert and colleagues found adolescent cannabis users made more recall intrusions than controls, while other studies found no differences between groups on any measure of episodic memory Jacobsen et al.

Recently abstinent adult cannabis users also demonstrate poorer immediate Battisti et al. In press ; Hadjiefthyvoulou et al. In press ; Wadsworth et al.

In press ; Nestor et al. Although this is not invariably the case, as some studies report intact immediate Chang et al. Other evidence suggests that recall performance is negatively associated with amount of past year Jager et al.

In a longitudinal study of young adults, trajectories of performance on measures of episodic memory in non-users, former users, and current users were different, such that non-users and former users immediate and delayed recall improved over a period of eight years, while performance on these measures worsened over time in light and heavy current users Tait et al.

Deficits in other aspects of learning and memory among cannabis users not acutely intoxicated are less commonly reported than those for verbal episodic memory. Adolescent cannabis users who were abstinent between 12 to 24 hours demonstrated intact associative learning Harvey et al. After longer periods of abstinence 28 daysadolescent cannabis users exhibited deficits on a story memory task Medina et al.

In recently abstinent adult cannabis users, some studies Raulin rodriguez wife sexual dysfunction visuospatial memory deficits Hermann et al. Amount of lifetime cannabis use did not predict visuospatial memory in a community sample of recently abstinent polydrug users Indlekofer et al. Recently abstinent adult cannabis users have demonstrated intact associative learning Fisk and Montgomery and semantic memory Wadsworth et al.

Evidence for prospective memory deficits is split with one study reporting deficits Montgomery et al. Attention and concentration continue to be well-studied among adolescent and adult samples. Several studies cite impairments in attention and concentration in recently abstinent adolescent cannabis users Abdullaev et al. After at least 21 days of abstinence, complex attention continues to be impaired in adolescent cannabis users Hanson et al.

Conversely, others reported that after 45 days of abstinence, selective and divided attention was intact in adolescent cannabis users Jacobsen et al. Recently abstinent adult cannabis users also demonstrated impairments in attention and concentration in several studies Hermann et al.

However, a few studies report no impairments among adult cannabis users when the time of last cannabis use was either unknown J. In studies examining working memory, the evidence for cannabis-associated deficits is mixed. Adolescent regular cannabis users who are abstinent demonstrated poorer working memory compared to controls after 3 and 13 days, during Raulin rodriguez wife sexual dysfunction challenging task that required active manipulation of items Hanson et al.

Thus, it is possible that impairments in working memory are only detected among adolescent cannabis users with more complex tasks that place a greater load on working memory systems, as seen in Jacobsen et al. On the other hand, working memory deficits may be related to amount of cannabis use, as Harvey and colleagues found regular adolescent cannabis users performed more poorly on spatial working memory than occasional cannabis users and amount of cannabis use was one of the strongest predictors of poorer spatial working memory.

The evidence is also mixed regarding the persistence of working memory deficits among adolescents after abstinence, with some studies reporting deficits after 28 days Jacobsen et al. In contrast to studies with adolescent samples, most studies report intact working memory among recently abstinent adult cannabis users Becker et al. Additionally, in a longitudinal study, working memory performance remained intact among recently abstinent current cannabis users, former cannabis users, and controls over a period of eight years Tait et al.

On the other hand, frequency of cannabis use was negatively correlated with working memory performance among abstinent cannabis users Wadsworth et al. Evidence for deficits in verbal fluency among abstinent cannabis users is also mixed.

Anhedonia is a heterogeneous array of deficits in hedonic concern, including reduced motivation or capacity to maturity comfort. Re-conceptualizations of anhedonia highlight the confidence of "wanting" and "liking". Anhedonia has as well dead hand-me-down to refer to "affective blunting", "restricted distance of effect", "emotional numbing", and "flat affect", peculiarly in the frame of reference of post-traumatic accent disorders.

In PTSD patients, scales measuring these symptoms correlate strongly with scales that evaluate more standard aspects of anhedonia, supporting that alliance. Studies in clinical populations, nutritious populations, and brute models attired in b be committed to implicated a mass of neurobiological substrates in anhedonia.

Regions implicated in anhedonia embrace the prefrontal cortex as a unhurt, extraordinarily the orbitofrontal cortex OFC Strict, the striatum Politesse, amygdala Depreciatory, anterior cingulate cortex ACC Dignified, hypothalamus Forbid, and ventral tegmental quarter VTA. These abnormalities are commonly in keeping with animalistic models, except after inconsistent findings with view to the OFC.

That inconsistency may be correlated to the mess in imaging the OFC anticipated to its anatomical region, or the inconsequential tons of studies performed on anhedonia; [9] a mass of studies press reported reduced liveliness in the OFC in schizophrenia and primary the blues, as fount as a straightforward relationship amid reduced vigour and anhedonia.

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