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  4. Characteristics of Individuals with Spinal Cord Injury Who Use Cannabis for Therapeutic Purposes

Characteristics of Individuals with Spinal Cord Injury Who Use Cannabis for Therapeutic Purposes

Top Spinal Cord Inj Rehabil, 2016 · DOI: 10.1310/sci2201-3 · Published: January 1, 2016

Spinal Cord InjuryPharmacologyRehabilitation

Simple Explanation

This study looks at how people with spinal cord injuries (SCI) use cannabis for therapeutic purposes (CTP), especially for pain and spasticity relief, since it's legal in many states. It examines whether CTP use affects their health and behaviors. The study found that many SCI patients use CTP regularly, often for pain relief. However, CTP use didn't reduce their need for opioid medications. CTP users were also more likely to be single, live alone, and have more bladder complications. The research suggests CTP users may be more susceptible to substance use disorders and social isolation. Healthcare providers should assess and consider CTP use when planning health interventions for individuals with SCI.

Study Duration
27 Months
Participants
244 individuals with chronic SCI and neurogenic bowel and bladder
Evidence Level
Cross-sectional study

Key Findings

  • 1
    A significant percentage of individuals with chronic SCI use CTP regularly, with pain being the most common reason.
  • 2
    CTP use does not mitigate opioid use among individuals with SCI; a higher percentage of CTP users also had opioid prescriptions.
  • 3
    CTP users reported more bladder complications, greater fear of urinary difficulties, and less ability to participate in social roles compared to non-users.

Research Summary

This cross-sectional study investigates the characteristics of individuals with chronic SCI who use cannabis for therapeutic purposes (CTP) and examines their reasons for use, SCI-related complications, health behaviors, and relationships with healthcare providers. The study found that a relatively large percentage of individuals with chronic SCI use CTP on a regular basis, primarily for pain relief and spasticity. However, CTP use did not reduce opioid use and was associated with more bladder complications and social isolation. The findings suggest that CTP users may be more vulnerable to complications and risk factors for substance use disorders. Healthcare providers should assess and consider CTP use when planning health interventions for individuals with SCI.

Practical Implications

Clinical Assessment

Healthcare providers should routinely assess CTP use in individuals with SCI to understand their motivations, patterns of use, and potential risks.

Intervention Planning

Health interventions should consider the potential for increased vulnerability to substance use disorders and social isolation among CTP users with SCI.

Adverse Effect Monitoring

Close monitoring for adverse drug effects and drug interactions is crucial for CTP users with SCI, especially given the potential for bladder complications and other health issues.

Study Limitations

  • 1
    Small sample size limits generalizability.
  • 2
    Cross-sectional design prevents causal inferences.
  • 3
    Lack of information on past substance use and mental health history.

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