Self-medication with cannabidiol (CBD) and associated treatments in the self-care of anxiety in women from Mexico City: A qualitative study.

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    • Abstract:
      Introduction. The popular use of marijuana and its components (THC and CBD) for medicinal purposes is often regarded as irresponsible and ignorant. However, in this paper, it is conceptualized and studied as medical knowledge of self-care, in which it is linked to different therapeutic knowledge from conventional and alternative medicine to treat anxiety. Objective. This article reports on a qualitative research project designed to analyze the practices and risks of self-medication with CBD, and its links with medical treatments and self-care measures for dealing with anxiety in adult women in Mexico City. Method. Eleven adult women, mostly professionals, diagnosed with anxiety, participated in the study. In-depth interviews were conducted to learn how women use therapeutic resources to cope with anxiety in their everyday lives. The interviews were transcribed and analyzed using ATLAS ti 7 software. Results. Self-medication is part of a self-care process with several facets: the experience of symptoms, self-diagnosis, the use of various remedies (dosage and administration), and their evaluation. During this process, women use a range of medication, psychological therapies, herbalism, acupuncture, yoga, and sleep hygiene measures, including CBD, either as an alternative or an adjunct to biomedical pharmacology, with or without medical supervision. Certain risks were identified, such as the use of CBD that may be incorrectly labeled or interact dangerously with other self-prescribed substances. Discussion and conclusion. These results coincide with those of various authors who equate self-care with a first level of care, which has risks that could be reduced by controlling misleading marketing and developing professional medical services, which are trained and accessible to users, who could inform them about the medicinal use, scope and risks of CBD or THC for health. [ABSTRACT FROM AUTHOR]
    • Abstract:
      Introducción. El uso popular de la marihuana y sus componentes (THC y CBD) con fines medicinales suele verse como irresponsable e ignorante. Sin embargo aquí se conceptúa y estudia como un saber médico de autoatención, donde se articula con distintos saberes terapéuticos de la medicina convencional y alternativa para atender la ansiedad. Objetivo. Se reporta una investigación cualitativa cuyo objetivo es analizar las prácticas y riesgos de automedicación de CBD, y su articulación con tratamientos médicos y medidas de autocuidado, en la autoatención de la ansiedad de mujeres adultas de la CDMX. Método. Participaron 11 mujeres adultas, la mayoría profesionistas, con diagnósticos de ansiedad. Se ocupó la entrevista en profundidad para conocer cómo las mujeres usan recursos terapéuticos para atender la ansiedad en su vida cotidiana. Las entrevistas fueron transcritas y analizadas con la asistencia del software ATLAS ti 7. Resultados. La automedicación es parte de un proceso de autoatención, el cual tiene diferentes facetas: la vivencia de los síntomas, el autodiagnóstico, el uso de distintos remedios (dosificación y administración) y su evaluación. En este proceso las mujeres articulan distintos medicamentos, terapias psicológicas, herbolaria, acupuntura, yoga, medidas de higiene del sueño, incluido el consumo de CBD, ya sea como alternativa o complemento de la farmacología biomédica, con y sin supervisión médica. Se identificaron algunos riesgos como el uso de CBD que puede estar etiquetado de manera incorrecta o interactuar de manera peligrosa con otras sustancias automedicadas. Discusión y conclusión. Estos resultados coinciden con los de diversos autores que destacan la autoatención como un primer nivel de atención, que si bien tiene sus riesgos, éstos podrían disminuirse con la vigilancia de la comercialización engañosa y el desarrollo de servicios médicos profesionales y accesibles a los usuarios. Estos servicios deben informar y asesorar a los usuarios sobre el uso medicinal, alcances y riegos del CBD y THC para la salud. [ABSTRACT FROM AUTHOR]
    • Abstract:
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