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Neurocognitive performance during acute THC intoxication in heavy and
occasional cannabis users
J G Ramaekers1,
G Kauert2,
E L Theunissen1,
S W Toennes2,
and
M R Moeller3
1 Department of Neuropsychology and Psychopharmacology, Faculty of
Psychology, Maastricht University, Maastricht, The Netherlands
2 Department of Forensic Toxicology, Institute of Legal Medicine, Goethe
University of Frankfurt, Frankfurt, Germany
3 Unikliniken des Saarlandes, Homburg, Germany
* To whom correspondence should be addressed.
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Abstract |
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Abstract
Performance impairment during 9-tetrahydrocannabinol (THC)
intoxication has been well described in occasional cannabis users. It is less clear
whether tolerance develops to the impairing effects of THC in heavy users of
cannabis. The aim of the present study was to assess neurocognitive performance
during acute THC intoxication in occasional and heavy users. Twenty-four subjects
(12 occasional cannabis users and 12 heavy cannabis users) participated in a
double-blind, placebo-controlled, two-way mixed model design. Both groups received
single doses of THC placebo and 500 µg/kg THC by smoking.
Performance tests were conducted at regular intervals between 0 and 8 h
after smoking, and included measures of perceptual motor control (critical tracking
task), dual task processing (divided attention task), motor inhibition (stop signal
task) and cognition (Tower of London). THC significantly impaired performance of
occasional cannabis users on critical tracking, divided attention and the stop
signal task. THC did not affect the performance of heavy cannabis users except in
the stop signal task, i.e. stop reaction time increased, particularly at high THC
concentrations. Group comparisons of overall performance in occasional and heavy
users did not reveal any persistent performance differences due to residual THC in
heavy users. These data indicate that cannabis use history strongly determines the
behavioural response to single doses of THC.
Key Words:
cannabis use history, cognition, impulsivity, performance, THC, tolerance
First published on August 21, 2008, doi:10.1177/0269881108092393
Journal of Psychopharmacology 2009;23:266.
A more recent version of this article appeared on May 1, 2009

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