Interventional study using Cannabidiol containing cigarettes as replacement of usual cigarettes Reduction of enforcement measures, improved acute treatment, harm reduction, and improvement of psychotic symptoms
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
31
CBD-Cigarettes instead of normal Cigarettes: The participants in this arm receive CBD-Cigarettes which are then inhaled/smoked instead of their normal tobacco cigarettes
Universitäre Psychiatrische Kliniken
Basel, Switzerland
Change in psychotic symptoms
To measure changes in psychotic symptoms weekly PANNS (Positive and Negative Syndrome Scales) are used. This is a validated medical scale used for measuring symptom severity of patients with schizophrenia. The patient is rated from 1 to 7 on 30 different symptoms based on a clinical interview. Minimum Score = 30, Maximum Score = 210 Points. Lower Scores mean less positive / less negative / less general psychopathological symptoms, which is better. Higher scores mean more postive / negativ / general psychopathological symptoms.
Time frame: 1 Months (acute therapy), 6 Months (Follow up)
Change in violent behaviour.
Violent behaviour will be assessed through clinical staff via the The Brøset Violence Checklist. It is a clinical evaluation indicating the presence or absence of violent behaviour. The scale consists of 6 items. Minimum score = 0, Maximum score = 6. The lower the score, the better. A low score indicates a lower potential of violent behaviour and lower actual violent behaviour.
Time frame: 1 Month (acute therapy), 6 Months (Follow up)
Change in depressive Symptoms
To measure changes in depressive Symptoms weekly BDI-II (Becks Depression Inventory) will be conducted (minimum = 0 points, maximum = 63 points). A higher score means more severe depression.
Time frame: 1 Month (acute therapy), 6 Months (Follow up)
Change in subjective well being under neuroleptic medication
Subjective Well-Being under Neuroleptics Scale short form (SWN-K) will be used to assess individual well-being on a weekly basis. (Minimum = 20, Maximum = 120 points). Higher scores mean higher subjective well-being.
Time frame: 1 Month (acute therapy), 6 Months (Follow up)
Change of necessary neuroleptic medication
We will register the patients neuroleptic medication. For the conversion of the participants' antipsychotic medication the Defined Daily Dose method by Leucht et al. (2016) was applied. Each participants' antipsychotic medication was converted to olanzapine equivalents in mg per day using the antipsychotic dose conversion calculator provided by Leucht and colleagues (Leucht et al., 2020).
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Time frame: 1 Month (acute therapy), 6 Months (Follow up)
Total number of Isolation-Events (enforcement measures)
The total number of necessary Isolations of participants in CBD-arm and non-CBD-arm will be compared. The total number of actual isolation events will be compared
Time frame: 1 Month (acute therapy), 6 Months (Follow up)
Total number of enforced medication-events (enforcement measures)
The number of necessary events of enforced medication of participants in CBD-arm and non-CBD-arm will be compared. The total number of actual enforced medication-events will be compared.
Time frame: 1 Month (acute therapy), 6 Months (Follow up)
Tobacco use
Number of normal tobacco cigarettes and CBD-Cigarettes will be measured by a daily self-reporting-scale of the participants.
Time frame: 1 Month (acute therapy), 6 Months (Follow up)
Cannabis use
Number of cannabis-joints will be measured by weekly self-reports of the participants.
Time frame: 1 Month (acute therapy), 6 Months (Follow up)
Correlation of CBD and THC levels with psychotic symptoms via PANSS
The study aims to correlate CBD and THC whole blood levels with psychotic symptoms via PANSS scores.
Time frame: 1 Month (acute therapy), 6 Months (Follow up)