Developing a phone-based measure of impairment after acute oral ∆9-tetrahydrocannabinol

J Psychopharmacol. 2019 Sep;33(9):1160-1169. doi: 10.1177/0269881119862533. Epub 2019 Aug 13.

Abstract

Background: Acute consumption of cannabis or its primary psychoactive ingredient ∆9-tetrahydrocannabinol has been shown to impair memory, reaction time, time perception, and attention. However, it is difficult to measure these impairments in a brief test that can be used in a non-laboratory setting.

Aims: We aim to develop and validate a prototype for a mobile phone application to measure ∆9-tetrahydrocannabinol-induced cognitive impairment.

Methods: We conducted two double-blind, within-subjects studies examining impairments after oral doses of ∆9-tetrahydrocannabinol (0, 7.5, 15 mg) using both standardized computer-based tasks and our novel phone-based tasks. The tasks measured cognitive speed, reaction time, fine motor ability, and working memory and, in the second study, time perception. Study 1 (n=24) provided initial data, and Study 2 (n=24) was designed to refine the measures. In both studies, healthy non-daily cannabis users participated in three four-hour experimental sessions in which they received capsules containing ∆9-tetrahydrocannabinol (7.5, 15 mg) or placebo. Subjective and cardiovascular measures were obtained at regular intervals, and at the time of peak drug effect subjects completed both standardized, computer-based and brief, phone-based tasks.

Results: 9-Tetrahydrocannabinol-induced impairment was detected on most of the computer tasks, but was not evident on most of the phone tasks.

Conclusions: The phone tasks were brief, to facilitate use in a non-laboratory setting, but it is likely that this made them less sensitive to the impairing effects of ∆9-tetrahydrocannabinol. These findings confirm that ∆9-tetrahydrocannabinol impairs performance on several tasks at two recreationally relevant doses, but raises question about the feasibility of designing a phone application as a sensitive field sobriety test for cannabis.

Keywords: Cannabis; driving; dronabinol; marijuana; ∆9-tetrahydrocannabinol.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Attention / drug effects
  • Cannabis / adverse effects
  • Cell Phone
  • Cognition / drug effects*
  • Cognitive Dysfunction / chemically induced*
  • Double-Blind Method
  • Dronabinol / administration & dosage*
  • Dronabinol / adverse effects*
  • Female
  • Hallucinogens / adverse effects
  • Humans
  • Male
  • Marijuana Abuse / complications
  • Marijuana Smoking / adverse effects
  • Memory, Short-Term / drug effects
  • Psychomotor Performance / drug effects
  • Reaction Time / drug effects
  • Young Adult

Substances

  • Hallucinogens
  • Dronabinol