Evidence map›Paper›PMID 35043164›Full record

ArticleEuropean journal of public health2022

Incidence of inpatient cases with mental disorders due to use of cannabinoids in Germany: a nationwide evaluation.

Maximilian Gahr, Julia Ziller, Ferdinand Keller, Rainer Muche, Ulrich W Preuss, Carlos Schönfeldt-Lecuona

Open access · hybridAbstract read
In one paragraph

Article in European journal of public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.4field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Article
  3. Treatment demand for cannabis use problems: analyses of routine data from 30 European countries.European archives of psychiatry and clinical neuroscience · 2025
    Article
  4. Article
  5. The Role of Cannabis in the Development of Psychosis.Turk psikiyatri dergisi = Turkish journal of psychiatry · 2024
    Review
  6. The Use of Psychoactive Substances in Germany.Deutsches Arzteblatt international · 2022
    Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Maximilian GahrDepartment of Psychiatry and Psychotherapy III, University of Ulm, Ulm, Germany.ORCID 0000-0002-1383-4691
Julia ZillerDepartment of Psychiatry and Psychotherapy III, University of Ulm, Ulm, Germany.
Ferdinand KellerDepartment of Child and Adolescent Psychiatry and Psychotherapy, University of Ulm, Ulm, Germany.
Rainer MucheInstitute of Epidemiology and Medical Biometry, University of Ulm, Ulm, Germany.
Ulrich W PreussDepartment of Psychiatry, Psychotherapy and Psychosomatics, University Hospital Halle (Saale), Halle, Germany.
Carlos Schönfeldt-LecuonaDepartment of Psychiatry and Psychotherapy III, University of Ulm, Ulm, Germany.
Universität Ulm · DEUniversity Hospital in Halle · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundQuantitative (e.g. increasing recreational cannabinoid use) and qualitative (e.g. increasing availability and use of synthetic cannabinoids and cannabis preparations with increased tetrahydrocannabinol content) changes in cannabinoid use may be associated with changes in the prevalence of cannabinoid-related mental and behavioural disorders and, accordingly, changes in the need for medical care. We aimed to investigate if there are changes in the number of inpatient cases (ICs) due to cannabinoid-related disorders in Germany.

methodsData were obtained from the Federal Statistical Office of Germany (Destatis) and comprised type and number of hospital main diagnoses (according to ICD-10) of all ICs in Germany in the period 2000-18. Linear trend analysis of absolute and relative annual frequencies (AFs) of ICs with diagnoses related to the use of cannabinoids (DRUCs), and, as controls, alcohol-related psychiatric disorders and schizophrenia-spectrum disorders was performed.

resultsAbsolute AFs of ICs with DRUCs increased statistically significantly (P<0.0001, trend analysis) in Germany between 2000 and 2018 and corresponding relative AFs increased considerably (4.8-fold increase when comparing 2000 and 2018). Specifically, absolute AFs of ICs with cannabinoid intoxications (P<0.0001), harmful use (P=0.0005), dependence syndrome (P< 0.0001), withdrawal state (P<0.0001), psychotic disorders (P< 0.0001) and residual and late-onset psychotic disorder (P<0.0001) statistically significantly increased. Absolute AFs of schizophrenia-spectrum disorders slightly, but statistically significantly decreased (P=0.008), and alcohol dependence did not statistically significantly change (P=0.844).

conclusionsOur evaluation demonstrates increasing numbers of ICs with mental and behavioural disorders due to use of cannabinoids in Germany and emphasizes the need for adequate prevention of such disorders.

Indexed as

CannabinoidsMental DisordersSubstance-Related DisordersHumansIncidenceInpatientsCannabinoids

Identifiers

PMID35043164
PMCPMC8975525
OpenAlexW4206192469

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.