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Cannabis use disorder and subsequent risk of depression and bipolar disorder

jamanetwork.com

321–330 of 330 posts

Re: Cannabis use disorder and subsequent risk of depression and bipolar disorder

#321

Earlier quoted context omitted.

> has to pick which battles to fight. One can also pick how to battle. A hostile zero tolerance edict wasn't necessary to anything.

and yet the only way many addicts can get and stay clean is through exactly a zero tolerance approach

> and yet the only way many addicts can get and stay clean is through exactly a zero tolerance approach

As long as pointless hostility gets a pass (as it does in your reply) and is allowed to be part of a solution - it isn't a great solution.

Re: Cannabis use disorder and subsequent risk of depression and bipolar disorder

#322

This is potentially interesting, but it is important to bear in mind just how tricky mental disorders are to characterize robustly. Psychiatry does not have a record of strongly reproducible results. All of these primary criteria, cannabis use disorder, bipolar disorder, and depression are frequently diagnosed differently by practiced professionals. One of the more academic investigations of addiction, the book High…

> the very concept of "cannabis use disorder" may not really make sense. I've known people who used cannabis the way alcoholics use alcohol - if it wasn't a use disorder, I don't know what is. The concept is valid and can apply to sorts of things from gambling, pron, online gaming even. If the use becomes problematic then its a problem, 'use disorder' is the just the name for this.

Sounds reasonable, but that also seems to be within the range of you know it when you see it phenomena like porn. There is something real there, but making a science to study and control it may not be as trivial as it first seems.

Re: Cannabis use disorder and subsequent risk of depression and bipolar disorder

#323

Earlier quoted context omitted.

I know it seems too cartoonish to be real, but if you read about Robert Moses, you’ll see that it is shockingly true. He didn’t just lobby and propogandize; he had absolute power over all public works projects in NYC. That’s not a typo or an exaggeration—absolute power, outside of the established system of checks and balances. And he genuinely loved cars, and hated public transit, so his projects were all designed as…

It isn't the story itself that I'm saying is cartoonish (though it may be as well). It is jumping from that factually happening to that being the primary cause for the nation's car centric infrastructure and lifestyle. IME an emergent social dynamics explanation is much more likely to be correct than a conspiracy theory most of the time.

It’s not a conspiracy theory. The nation’s car-centic instructure is a direct result of the decisions and actions of Robert Moses, as detailed in The Power Broker.

Not to say that “emergent social dynamics” didn’t play a role, but Moses singlehandedly built most highways in NYC, and influenced hundreds (thousands?) more around the world. And he built them not simply as a response to emerging demand, but because he personally saw cars as the future of transportation.

I suggest reading The Power Broker to learn more about this; I wouldn’t have believed it either before reading it!

Re: Cannabis use disorder and subsequent risk of depression and bipolar disorder

#324

I'm terrified of seeking help for mental illness because certain diagnosis can have legal impacts. It is a sad truth, no one has a real response for it except "get over it", and it is very, very difficult to get support for political reforms to protect the mentally ill. I am also terrified the medications we force on some mental health patients, especially injected long-term ones, are purely for the benefit of the ca…

> I'm terrified of seeking help for mental illness because certain diagnosis can have legal impacts. It is a sad truth, no one has a real response for it except "get over it", and it is very, very difficult to get support for political reforms to protect the mentally ill. What are some of the impacts? I remember the show "Homeland" the main character had a sister who was a doc who would prescribe her meds for bipolar…

My brother was almost denied clearance because he saw a therapist when he was mentally healthy yet personally struggling just to ensure that he didn't have any metal issues

Re: Cannabis use disorder and subsequent risk of depression and bipolar disorder

#325

The only way I can deal with my sociopathic coworkers is through cannabis use, so I’ll roll the dice. Edit: downvote me daddy

Have you considered that your coworkers are not sociopathic and only your perception of them is altered?

[deleted]

Re: Cannabis use disorder and subsequent risk of depression and bipolar disorder

#326
post #304

Earlier quoted context omitted.

That's just it, though. The WHO says there is no level of alcohol use that is "zero risk." The difference between toxicity and therapeutic use is what helps define the safety of the substance. There are some, like psilocybin mushrooms, that have a relatively monstrous gulf between therapeutic doses (in the mcg) and toxic doses (presumably in the kg). They are quite safe, though not zero risk. I believe alcohol is rel…

They drink wine on a daily basis in at least some of the blue zones where people regularly live to a hundred years old or longer. So it's not reasonable to say alcohol is relatively unsafe. Relative to what and in which circumstances? As far as cannabis being "pretty darn safe", a recent study shows it causes heart disease. And more than one study shows it increases the risk of heart attack for up to an hour. What we…

>Relative to what and in which circumstances?

To apply this to your example, cannabis was linked to heart disease in daily smokers. As one would expect, the study showed a dose dependent relationship with cannabis and risk.

Just like you can find “some” people who drink daily and become centenarians, you have to be careful about the way you characterize the risk. I believe the better data show more than 4 drinks a week does increase your health risk substantially.

In both cases, it seems like moderation is key, although I maintain cannabis is far safer when you compare the ratio of therapeutic to toxic dosage. But that’s acute risk, where the study you’re talking about is chronic risk.

Re: Cannabis use disorder and subsequent risk of depression and bipolar disorder

#327

Earlier quoted context omitted.

Could you explain which distributions you think are correlation and which are causation?

I hoped someone who knows statistics will just tell us, instead of me stretching my brain. The famous phrase "correlation does not mean casuation" is not equal to "correlation is indistingushable from casuation", but that's how people seem to often treat it. Ideally, the paper abstract should be clear about what can or can not be concluded. In the title they say "subsequent" as if suggesting casuality, but in the abs…

He-he, the sides of inequality in my formula are always equal :)

    (c&d/c)/(d/total) > (c&d/d)/(c/total)

    c&d*total/c*d > c&d*total/d*c

Re: Cannabis use disorder and subsequent risk of depression and bipolar disorder

#328

Earlier quoted context omitted.

I hoped someone who knows statistics will just tell us, instead of me stretching my brain. The famous phrase "correlation does not mean casuation" is not equal to "correlation is indistingushable from casuation", but that's how people seem to often treat it. Ideally, the paper abstract should be clear about what can or can not be concluded. In the title they say "subsequent" as if suggesting casuality, but in the abs…

He-he, the sides of inequality in my formula are always equal :) (c&d/c)/(d/total) > (c&d/d)/(c/total) c&d*total/c*d > c&d*total/d*c

Looking at it further, it's indeed not so easy. If we have a statistics produced by some casual relationship, e.g.

    function takeMeasurement() {
      // c (the cause) itself has probability 0.5
      // d (the dependent) in absence of c has probability 0.5
      //   but the presence of c increases it to 0.7
      const c = Math.random(1.0) 
one can calculate an equally plausible hypothesis of causality in opposite direction, which would produce an equal statistics:

    P(c) = 0.5
    P(d|!c) = 0.5
    P(d|c) = 0.7
    
    P(d) = ?
    P(c|!d) = ?
    P(c|d) = ?

    -------------------------------

    P(d) = P(c)*P(d|c) + P(!c)*P(d|!c) =
      = P(c)*P(d|c) + (1 - P(c))*P(d|!c) =
      = 0.5*0.7 + 0.5*0.5 = 0.35 + 0.25 =
      = 0.6

    P(c|!d) = P(c) * P(!d|c) / P(!d) =
      = P(c) * (1 - P(d|c)) / (1 - P(d)) =
      = 0.5 * 0.3 / 0.4 =
      = 0.374(9)
    
    P(c|d) = P(c) * P(d|c) / P(d) =
      = 0.5 * 0.7 / 0.6 = 0.35 / 0.6 =
      = 0.58(3)
    
    -------------------------------
    Bayes formula:
    
    P(a|b) = P(a) * P(b|a) / P(b)
a resulting function:

    function takeMeasurement2() {
      const d = Math.random(1.0) 

Re: Cannabis use disorder and subsequent risk of depression and bipolar disorder

#329

Earlier quoted context omitted.

No because you can never know for sure that there isn't a latent factor C which is the real causal factor and A is merely correlating with it (if we presume causality to exist at all, which is a pretty standard assumption). We can compose DAGs that control for the factors we do know about, but it's impossible to exhaust or even know all possible latent processes that are impacting the outcome.

Ok. But can statistics disprove casuality? E.g. to show that A does not cause B, while B (or a latent factor B correlates with) causes A? When people say that the study can equally be interpretted as cannabis disorder causes depression and as depression causes cannabis disorder, can't statistics show that these two hypothesys are not equal?

No so easy: https://news.ycombinator.com/item?id=37633222

Re: Cannabis use disorder and subsequent risk of depression and bipolar disorder

#330

Earlier quoted context omitted.

He-he, the sides of inequality in my formula are always equal :) (c&d/c)/(d/total) > (c&d/d)/(c/total) c&d*total/c*d > c&d*total/d*c

Looking at it further, it's indeed not so easy. If we have a statistics produced by some casual relationship, e.g. function takeMeasurement() { // c (the cause) itself has probability 0.5 // d (the dependent) in absence of c has probability 0.5 // but the presence of c increases it to 0.7 const c = Math.random(1.0) one can calculate an equally plausible hypothesis of causality in opposite direction, which would produ…

Is it really hopeless? Maybe not? For example, a boundary case when d only happens in case of c? Are the hypotheses "c causes d" and "d causes c" still equally plausable?
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