Evidence map›Paper›PMID 41094600›Full record

ArticleJournal of cannabis research2025

Beyond the hype - who uses cannabidiol for self-medication - and why: a cross-sectional study in Germany.

Eva-Maria Krowartz, Carlotta Riemerschmid, Stefanie J Klug, Luana F Tanaka, Eva-Hoch

Abstract read
In one paragraph

Article in Journal of cannabis research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

5 authors.

Eva-Maria KrowartzDepartment of Psychiatry and Psychotherapy, University Hospital, Ludwig- Maximilians-University Munich, Munich, Germany. krowartz@ift.de.
Carlotta RiemerschmidDepartment of Psychiatry and Psychotherapy, University Hospital, Ludwig- Maximilians-University Munich, Munich, Germany.
Stefanie J KlugTUM School of Medicine and Health, Chair of Epidemiology, Technical University of Munich, Munich, Germany.
Luana F TanakaTUM School of Medicine and Health, Chair of Epidemiology, Technical University of Munich, Munich, Germany.
Eva-HochDepartment of Psychiatry and Psychotherapy, University Hospital, Ludwig- Maximilians-University Munich, Munich, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCannabidiol (CBD) products are increasingly popular, marketed with health claims despite limited clinical evidence. This study investigates motives for CBD use in self-medication and explores sociodemographic characteristics and consumption patterns among regular users (at least monthly).

methodsCross-sectional data were collected via an online survey (January 15-March 15, 2023) in Germany using convenience sampling. Associations between the motive of use (self-medication vs. recreational), sociodemographic characteristics, and consumption patterns were assessed using cross-tabulations, with Chi-square tests (x²) and Cramér's V (V) for effect sizes. Self-medication predictors were analyzed using logistic regression, reporting adjusted odds ratios (aOR) and confidence intervals (CI).

resultsA total of 730 participants participated in the study, with 702 (96.2%) complete cases included in the final analysis. The sample comprised 78.8% males with a mean age of 34.9 years (mean SD: 11.4). Among those using CBD primary for self-medication (37.9%, n = 266), the most prevalent motives were sleeping problems (52.3%), chronic pain (47.4%), depression (45.5%), and anxiety (44.4%). Motives for use were significantly associated with gender (x²=18.4, V = 0.162, p < .001), age (x²=42.3, V = 0.246, p < .001) and occupation (x²=51.8, V = 0.272, p < .001). In the adjusted logistic regression, older individuals (40-49 years, aOR: 1.97, CI: 1.05-3.70, p = .035; ≥50 years, aOR: 2.81, CI: 1.36-5.83, p = .005) and those unemployed or retired (aOR: 3.55, CI: 2.13-5.92, p < .001) were more likely to use CBD for self-medication. Higher chances were also observed in once-daily users (aOR: 2.52, CI:1.23-5.13, p = .011), those consuming CBD morning and evening (aOR: 3.05, CI: 1.42-6.56, p = .004), and individuals using it when needed (aOR: 2.72, CI: 1.72-4.29, p < .001). Smoking CBD mixed with tobacco (aOR: 0.37, CI: 0.22-0.62, p < .001) or pure CBD (aOR: 0.55, CI: 0.30-0.99, p = .046) was negatively associated with self-medication.

conclusionThis study identifies motives for CBD use in self-medication and examines associations with sociodemographic characteristics and consumption patterns. Clinical trials are needed to confirm efficacy, focusing on dose-response, administration and drug interactions. In the interest of users, the legal status-especially considering the recent partial legalization-should be clearly defined.

Indexed as

CannabidiolCannabisCBDPartial legalizationSelf-Medication

Identifiers

PMID41094600
PMCPMC12529850

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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.