Dataset Information

The relationship between bipolar disorder and cannabis use in daily life: an experience sampling study.

ABSTRACT:

Objectives

Although cannabis use is common in bipolar disorder and may contribute to worse clinical outcomes, little is understood about the relationship between this drug and bipolar disorder over the course of daily life. The aim of study was to examine the effect of cannabis on affect and bipolar symptoms in a group of individuals with bipolar disorder.

Methods

Twenty-four participants with bipolar disorder type I or type II completed diaries for 6 days using Experience Sampling Methodology to investigate the temporal associations between cannabis, affect and bipolar disorder symptoms.

Results

The results indicated that higher levels of positive affect increase the odds of using cannabis (OR:1.25 ,CI:1.06-1.47, P=0.008). However, neither negative affect, manic nor depressive symptoms predicted the use of cannabis. Cannabis use was associated with subsequent increases in positive affect (?=0.35, CI:0.20-0.51, P=0.000), manic symptoms (?=0.20,CI:0.05-0.34, P=0.009) and depressive symptoms (?= 0.17,CI:0.04-0.29, P=0.008).

Conclusion

The findings indicate that cannabis use is associated with a number of subsequent psychological effects. However there was no evidence that individuals with BD were using cannabis to self-medicate minor fluctuations in negative affect or bipolar disorder symptoms over the course of daily life. The findings in relation to existing literature and clinical implications are discussed.

SUBMITTER: Tyler E

PROVIDER: S-EPMC4349825 | biostudies-literature | 2015

REPOSITORIES: biostudies-literature

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Publications

The relationship between bipolar disorder and cannabis use in daily life: an experience sampling study.

Tyler Elizabeth E Jones Steven S Black Nancy N Carter Lesley-Anne LA Barrowclough Christine C

PloS one 20150304 3

<h4>Objectives</h4>Although cannabis use is common in bipolar disorder and may contribute to worse clinical outcomes, little is understood about the relationship between this drug and bipolar disorder over the course of daily life. The aim of study was to examine the effect of cannabis on affect and bipolar symptoms in a group of individuals with bipolar disorder.<h4>Methods</h4>Twenty-four participants with bipolar disorder type I or type II completed diaries for 6 days using Experience Samplin ...[more]

PMID: 25738578

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Project description:BACKGROUND:Self-monitoring has been shown to improve the self-management and treatment of patients with bipolar disorder. However, current self-monitoring methods are limited to once-daily retrospectively assessed mood, which may not suit the rapid mood fluctuations in bipolar disorder. The experience sampling method (ESM), which assesses mood in real-time several times a day, may overcome these limitations. This study set out to assess the experiences of patients and clinicians with the addition of ESM monitoring, real-time alerts, and personalized feedback to clinical care. Participants were twenty patients with bipolar disorder type I/II and their clinicians. For four months, patients completed five ESM assessments per day on mood, symptoms, and activities. Weekly symptom questionnaires alerted patients and clinicians to potential episodes. After the monitoring, a personalized feedback report based on the patient's data was discussed between patient and clinician. Three months later, patient and clinician were both interviewed. RESULTS:Thematic analysis of the transcripts resulted in four themes: perceived effects of the monitoring, alerts, and feedback, and recommendations for implementation of ESM. ESM was perceived as helping patients to cope better with their disorder by increasing awareness, offering new insights, and encouraging life style adjustments. ESM was further believed to facilitate communication between patient and clinician and to lead to new treatment directions. However, high assessment burden and pre-occupation with negative mood and having a disorder were also described. Patients and clinicians advocated for increased personalization and embedding of ESM in care. CONCLUSIONS:This study demonstrates that long-term ESM monitoring, alerts, and personalized feedback are perceived as beneficial to the treatment and self-management of patients with bipolar disorder. Future research should further test the clinical utility of ESM. Clinically relevant feedback and technology need to be developed to enable personalized integration of ESM in clinical care.

Dataset Information

The relationship between bipolar disorder and cannabis use in daily life: an experience sampling study.

Objectives

Methods

Results

Conclusion

Publications

The relationship between bipolar disorder and cannabis use in daily life: an experience sampling study.

Similar Datasets

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