TY - JOUR T1 - Evidence that familial liability for psychosis is expressed as differential sensitivity to cannabis: An analysis of patient-sibling and sibling-control pairs AU - et al Y1 - 2011/02/07 N1 - 10.1001/archgenpsychiatry.2010.132 JO - Archives of General Psychiatry SP - 138 EP - 147 VL - 68 IS - 2 N2 - Randomized controlled experiments have shown that acute exposure to Δ9-tetrahydrocannabinol, the main psychotropic component of Cannabis sativa, induces psychotic symptoms in a substantial proportion of healthy controls.1- 2 Meta-analysis3- 4 of prospective epidemiological studies indicates that cannabis use not only predicts onset of psychotic disorder but also is associated with subthreshold expression of psychosis either in the form of schizotypy5- 7 or subclinical psychotic experiences.8- 10 Schizotypy and subclinical psychotic experiences represent related phenotypes; the positive and negative dimensions of the Structured Interview for Schizotypy–Revised (SIS-R) correlate strongly with the equivalent dimensions of self-reported psychotic experiences,11 and both measures of schizotypy and measures of subclinical psychotic experiences display familial clustering with psychotic disorder.12- 18 The results therefore suggest that cannabis may provoke a psychotic response in individuals with higher-than-average vulnerability for psychotic disorder. SN - 0003-990X M3 - doi: 10.1001/archgenpsychiatry.2010.132 UR - http://dx.doi.org/10.1001/archgenpsychiatry.2010.132 ER -