Evidence map›Paper›PMID 37314478›Full record

ArticlePsychopharmacology2023

Clinical outcome data of anxiety patients treated with cannabis-based medicinal products in the United Kingdom: a cohort study from the UK Medical Cannabis Registry.

Raphael Rifkin-Zybutz, Simon Erridge, Carl Holvey, Ross Coomber, Jessica Gaffney, Will Lawn, Daniela Barros, Urmila Bhoskar, Gracia Mwimba, Kavita Praveen and 4 more

Open access · hybridAbstract read
In one paragraph

Article in Psychopharmacology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
12.3field-weighted citation impact, top 1% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.

  1. Health-related quality of life in patients receiving medicinal cannabis: systematic review and meta-analysis of primary research findings 2015-2025.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
    Pooled it
  2. UK Medical Cannabis Registry: An Updated Analysis of Inflammatory Arthritis.Clinical medicine insights. Arthritis and musculoskeletal disorders · 2026
    Article
  3. Review
  4. Observational
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Observational
  12. Article
  13. Anxiety Modulation by Cannabinoids-The Role of Stress Responses and Coping.International journal of molecular sciences · 2023
    Review
  14. 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

14 authors at 5 institutions in 1 country.

Raphael Rifkin-ZybutzImperial College Medical Cannabis Research Group, Department of Surgery and Cancer, Imperial College London, Academic Surgical Unit, 10th Floor QEQM, St Mary's Hospital, South Wharf Road, London, W2 1NY, UK.
Simon ErridgeImperial College Medical Cannabis Research Group, Department of Surgery and Cancer, Imperial College London, Academic Surgical Unit, 10th Floor QEQM, St Mary's Hospital, South Wharf Road, London, W2 1NY, UK.
Carl HolveySapphire Medical Clinics, London, UK.
Ross CoomberSapphire Medical Clinics, London, UK.
Jessica GaffneyDepartment of Psychological Medicine, King's College London, London, UK.
Will LawnDepartment of Psychology, IoPPN, KCL, London, UK.
Daniela BarrosSapphire Medical Clinics, London, UK.
Urmila BhoskarSapphire Medical Clinics, London, UK.
Gracia MwimbaSapphire Medical Clinics, London, UK.
Kavita PraveenSapphire Medical Clinics, London, UK.
Chris SymeonSapphire Medical Clinics, London, UK.
Simmi Sachdeva-MohanSapphire Medical Clinics, London, UK.
James J RuckerDepartment of Psychological Medicine, King's College London, London, UK.
Mikael H SodergrenImperial College Medical Cannabis Research Group, Department of Surgery and Cancer, Imperial College London, Academic Surgical Unit, 10th Floor QEQM, St Mary's Hospital, South Wharf Road, London, W2 1NY, UK. m.sodergren@imperial.ac.uk.
London Clinic · GBDepartment of Health and Social Care · GBKing's College London · GBSt George's Hospital · GBSt Mary's Hospital · GB

Funding

National Institute for Health and Care Research ACF-2021-17-018National Institute for Health and Care Research CS-2017-17-007
6 · The paper itself

Abstract

rationaleCannabis-based medicinal products (CBMPs) have been identified as novel therapeutics for generalised anxiety disorder (GAD) based on pre-clinical models; however, there is a paucity of high-quality evidence on their effectiveness and safety.

objectivesThis study aimed to evaluate the clinical outcomes of patients with GAD treated with dried flower, oil-based preparations, or a combination of both CBMPs.

methodsA prospective cohort study of patients with GAD (n = 302) enrolled in the UK Medical Cannabis Registry prescribed oil or flower-based CBMPs was performed. Primary outcomes were changes in generalised anxiety disorder-7 (GAD-7) questionnaires at 1, 3, and 6 months compared to baseline. Secondary outcomes were single-item sleep quality scale (SQS) and health-related quality of life index (EQ-5D-5L) questionnaires at the same time points. These changes were assessed by paired t-tests. Adverse events were assessed in line with CTCAE (Common Terminology Criteria for Adverse Events) v4.0.

resultsImprovements in anxiety, sleep quality and quality of life were observed at each time point (p < 0.001). Patients receiving CBMPs had improvements in GAD-7 at all time points (1 month: difference -5.3 (95% CI -4.6 to -6.1), 3 months: difference -5.5 (95% CI -4.7 to -6.4), 6 months: difference -4.5 (95% CI -3.2 to -5.7)). Thirty-nine participants (12.9%) reported 269 adverse events in the follow-up period.

conclusionsPrescription of CBMPs in those with GAD is associated with clinically significant improvements in anxiety with an acceptable safety profile in a real-world setting. Randomised trials are required as a next step to investigate the efficacy of CBMPs.

Indexed as

CannabisMedical MarijuanaAnxietyAnxiety DisordersCohort StudiesHumansProspective StudiesQuality of LifeUnited KingdomMedical MarijuanaAnxietyCannabidiolCannabisGeneralised anxiety disorderTetrahydrocannabinol

Identifiers

PMID37314478
PMCPMC10349732
OpenAlexW4380576480

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.