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Chunk #21 — SUD Prevalence and qEEG Changes — qEEG in Substance Use Disorders — EEG in Marijuana Abuse

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EEG biofeedback as a treatment for substance use disorders: review, rating of efficacy, and recommendations for further research.
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Several lines of evidence suggest that cannabis (marijuana, tetrahydrocannabinol—THC) may alter functionality of the prefrontal cortex and thereby elicit impairments across several domains of complex cognitive function (Egerton et al. 2006). Several studies in both humans and animals have shown that cannabinoid exposure results in alterations in prefrontal cortical activity (Block et al. 2002; O’Leary et al. 2002; Whitlow et al. 2002), providing evidence that cannabinoid administration may affect the functionality of this brain area. Despite the fact that a number of transient physiological, perceptual and cognitive effects are known to accompany acute chronic marijuana (THC) exposure in humans, persistent qEEG effects in humans resulting from continuing exposure to this drug have been difficult to demonstrate (Wert and Raulin 1986). In early reviews of EEG and ERP studies of acute and chronic THC exposure in humans (Struve et al. 1989, 1994), it was reported that significant associations between chronic exposure and clinically abnormal EEG patterns had not been demonstrated and that attempts to use visual EEG analyses to detect transient acute THC exposure induced EEG alterations failed to demonstrate consistent THC–EEG effects across studies.