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Brain networks may clarify dissociation—and cannabis’s CB1 link
Brain Network Convergence of Abnormal Gray Matter and Functional Activity of Pathological Dissociative Symptoms.
AI Summary
Pathological dissociation—a disruption in the normal sense of self, memory, or surroundings—appears to involve distributed brain networks rather than one isolated region. Researchers reviewed 45 cross-diagnostic imaging reports and combined them with resting-state data from 872 healthy individuals to map changes in task-related activity, gray matter volume (GMV), and resting-state activity. The affected areas most consistently overlapped with parts of the default mode network, salience network, and basal ganglia network.
The study also compared these brain-change maps with 19 neurotransmitter distribution maps. Associations were found with several systems, including NMDA receptors, the vesicular acetylcholine transporter, the serotonin transporter, the mu-opioid receptor, and the cannabinoid receptor CB1. This identifies CB1-related brain distribution as one possible avenue for understanding dissociation, but it does not show that cannabis, THC, or CBD causes or treats dissociative symptoms. The main practical implication is that future research may be able to target network-level dysfunction rather than isolated brain regions.
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