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A within-person comparison of the subjective effects of higher vs. lower-potency cannabis.

Sarah A Okey, Madeline H Meier

Drug and alcohol dependence November 1, 2020 DOI: 10.1016/j.drugalcdep.2020.108225 via PubMed

Summary

AI-generated from the abstract

Regular cannabis users who consume both marijuana (flower) and concentrates (high-THC products like butane hash oil) report that marijuana produces greater positive effects, including more positive affect and enhanced cognitive function, than concentrates do. Negative effects of both forms are minimal. In a survey of 574 past-year users, marijuana was rated as producing greater overall positive effects (mean 5.6 vs. 4.5 for concentrates), and 77.5% preferred marijuana. The findings suggest that for regular users, extreme negative effects from either form are unlikely, and the main difference lies in the positive subjective experience rather than in adverse reactions.

Study at a glance

Characteristics Cross-sectional survey Peer reviewed
Sample size 574
Population Current (past-year) cannabis users who use both marijuana and concentrates
Topics Cannabis
Keywords Butane hash oil Concentrates Subjective effects
Key finding Marijuana produces greater positive subjective effects than concentrates, and negative effects of both are minimal.

Abstract

Cannabis concentrates have much higher concentrations of THC than marijuana (flower) and are quickly gaining popularity in the United States. One hypothesis is that use of higher-THC cannabis (concentrates) might result in greater intoxication and more severe acute negative effects than lower-THC cannabis (marijuana), but few studies have compared the subjective effects of concentrates and marijuana. Current (past-year) cannabis users were recruited online to complete a survey about their cannabis use. Cannabis users who reported using both marijuana and concentrates (n = 574) answered questions about the subjective effects of marijuana and, subsequently, the subjective effects of concentrates. Subjective effects were obtained for the following domains: affect, cognitive function, psychotic-like experiences, physiological effects, and reduced consciousness. Participants reported using marijuana between 5-6 times per week and concentrates slightly more than once per month. Within-person comparisons of the subjective effects of marijuana and concentrates showed that marijuana was rated as producing greater overall positive effects (Marijuana: M = 5.6, Concentrates: M = 4.5; Cohen's d = 0.75, paired t(561) = 14.67, p < .001), including greater positive affect and enhanced cognitive function. Negative effects of both marijuana and concentrates were minimal. Marijuana was selected over concentrates as the 'preferred type' of cannabis by 77.5 % of participants. The main difference in the subjective effects of marijuana and concentrates is in terms of their positive effects, with marijuana producing greater positive effects than concentrates. Negative effects of marijuana and concentrates were small, suggesting that extreme negative effects are unlikely for regular cannabis users.

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