Available online at: https://cc.arcabc.ca/islandora/object/cc%3Apsycjournal J Camosun Psyc Res. (2019). Vol. 1, pp. 12-19. Submitted April 2019; accepted 16 May 2019. The effect of CBD ingestion on anxiety. Author: Kara Solecki* Supervising Instructor: Michael Pollock, Psyc 245 (“Drugs & Behaviour”) Department of Psychology, Camosun College, 3100 Foul Bay Road, Victoria, BC, Canada V8P 5J2 *Corresponding author email: ksolecki5@gmail.com ABSTRACT Anxiety disorders are a prevalent mental health concern, for which current anxiolytic medications help to alleviate symptoms of, though often coincide with unwanted side effects. The present study investigated the relationship between cannabidiol (CBD) ingestion (in mL) and anxiety in longitudinal baseline conditions as well the effect in an experimental manipulation, measured using a mood scale and by heart rate. It was hypothesized that CBD ingestion would lead to a decrease in both self-reported and physiological anxiety. The results supported the hypotheses. These results are discussed in terms of the important implication that CBD does appear to have an anxiolytic effect, possibly without the harmful side effects seen in other interventions. 1. Introduction Generalized social anxiety disorder (SAD) is a prevalent disorder with symptoms that make various aspects of dayto-day life very difficult for those who suffer the condition. Further, SAD seldom resolves itself without treatment, and yet, many people who undergo treatment suffer from subsequent side effects from their drug therapy (Bergamaschi et al., 2011). As such, alternative pharmacological interventions have recently been researched for the use in SAD treatment. One such alternative includes the use of cannabidiol (CBD), a cannabinoid, which is a constituent of the Cannabis plant that has been proven to have anxiolytic effects in both animals and human (Crippa et al., 2011). Many studies that have researched the effects of CBD on anxiety have found that CBD causes a decrease in subjective anxiety, but the findings regarding the effects on physiological anxiety have been varied (Bergamaschi et al., 2011; Crippa et al., 2011). An example of such an experiment was conducted by Bergamaschi et al (2011). This study researched the subjective and physiological effects of CBD on anxiety using a randomized betweensubject, double blind design wherein half of participants ingested CBD, half of participants ingested a placebo and all participants performed an anxiety-inducing task, simulated public-speaking, and subsequent levels of anxiety were recorded using mood scales and various physiological measures (Bergamaschi et al., 2011). The researchers found that, on average, treatment with CBD prior to the speech task significantly reduced anxiety, while the placebo group displayed high levels of anxiety. This study measured anxiety with the Visual Analogue Mood Scale (VAMS) 12 Solecki - J Camosun Psyc Res. (2019). Vol. 1, pp. 12-19. and three physiological measures; skin conductance, arterial blood pressure, and heart rate. The present study involved selfmeasured baseline measurements and a blind experimental study. During the baseline period, correlations were measured between CBD ingestion and self-reported anxiety, which was measured using the Tension item in the Profile of Mood States (POMS) scale, and CBD ingestion and physiological anxiety, measured using heart rate. The present experiment compared levels of physiological anxiety, measured using heart rate, using a blind procedure in which CBD was ingested when mixed with orange juice versus when orange juice was consumed on its own. Based on previous research demonstrating the anxiolytic effect of CBD, during the baseline methods, it was hypothesized that as CBD ingestion increased, both psychological and physiological anxiety would decrease. In the present experiment, it was expected that CBD ingestion would decrease heart rate. 2. Methods 2.1 Participants The baseline methods and experiment used a single participant. This participant was a 24-year-old female psychology student from Camosun College with high levels of anxiety. 2.2 Materials and Apparatus The materials used in this study consisted of 12.5mg/mL of CBD oil (Sun Irisa Cannabis, High Park Company Ltd, ON, Canada) and orange juice (Simply Orange, Minute Maid Canada Inc., Toronto, ON, Canada). Additionally, during the baseline methods, the Tension item is the POMS scale was used to measure subjective levels of anxiety. Tension is calculated by summing the scores from 9 adjectives, each of which is awarded a score from 0 (“Not at all”) to 4 (“Extremely”), determined by how one subjectively feels at the time of the questionnaire (See Appendix A for copy of POMS scale, modified to include only items that contribute to Tension score. See Appendix B for scoring methods). 2.3 Procedure The participant measured the amount of CBD ingested (in mL) over a two-week baseline period by recording in a diary the times and amount of CBD (in mL) ingested each day. During this baseline period, tension was recorded in a diary using the POMS Scale item 30 minutes before going to bed each night over the 2-week baseline period, regardless of whether or not CBD was ingested. During that same period, physiological anxiety was measured using the participant’s heart rate 45 minutes before going to bed each night, over the two-week baseline period, regardless of whether or not CBD was ingested. During the experiment, the CBD ingestion was manipulated on experimental days by ingesting 0.75 mL (CBD 12.5mg/mL) of CBD oil mixed in one glass of orange juice. The control condition, used to compare, involved drinking one glass of orange juice without any CBD. In order to use a blind procedure for these manipulations, the participant’s roommate prepared the beverages in a separate room from the participant so that the participant was unaware of whether the juice contained the CBD oil during any given trial. The roommate recorded which method was used on which date, which was not analyzed until all of the data was collected. It was expected that the orange juice would mask any taste 13 Solecki - J Camosun Psyc Res. (2019). Vol. 1, pp. 12-19. differences between conditions. The order of conditions was randomly assigned each day by the roommate by randomly picking a piece of paper from a pile of 12 pieces of paper. Prior to data collection, “CBD” was written on 6 pieces of paper and “orange juice” was written on 6 other pieces of paper to represent the two conditions of this study (“CBD” = Experimental condition, “orange juice” = Control condition) and to indicate which beverage the roommate was required to prepare on any given trial. Heart rate was quantitatively measured as number of heart beats per minute, and was measured once each day for 6 days per condition (12 days in total). For each day of the experiment, in both the Experimental and Control condition, the participant measured their heart rate 60 minutes after drinking the orange juice. 3. Results A strong, negative, linear relationship was found between the amount of CBD ingested and physiological anxiety, measured by heart rate, during the baseline measurements. The correlation for this relationship, r = -0.85, was statistically significant, p = 0.00, suggesting that these two variables are strongly related (see Figure 1 and Table 1). A moderate, negative, linear relationship was found between the amount of CBD ingested and self-reported anxiety, measured using the POMS scale, during the baseline measurements. The correlation for 14 Solecki - J Camosun Psyc Res. (2019). Vol. 1, pp. 12-19. statistically significant, t = 4.53, p = 0.001, suggesting that CBD ingestion does reduce heart rate (see Figure 3), which is a frequently used physiological indicator of anxiety. 4. Discussion this relationship, r = -0.68, was statistically significant, p = 0.005, suggesting that these two variables are modestly related (see Figure 2 and Table 1). The level of significance set in this experiment was .05. The mean heart rate during the Experimental condition was 79.33 (SD = 3.14) and the mean heart rate during the Control condition was 86.67 (SD = 2.42) (see Table 2). These data were analyzed using a t-test and the results were The hypotheses under investigation in the current study, that as CBD ingestion increases, physiological anxiety would decrease and as CBD ingestion increases, self-reported anxiety would decrease, were supported by these findings. The current results are consistent with many other studies that demonstrate the anxiolytic effect of CBD in both psychological and physiological measures (Bergamaschi et al., 2011; Crippa et al., 15 Solecki - J Camosun Psyc Res. (2019). Vol. 1, pp. 12-19. finding. Finally, these findings are particularly important due to the effectiveness of the use of CBD as an anxiolytic intervention without the reported side-effects of other treatments (Bergamaschi et al., 2011). References 2011). Further, these results specifically demonstrate a statistically significant relationship between CBD ingestion and heart rate, which has been inconsistent in previous studies (Zuardi, Cosme, Graeff, & Guimaraes, 1993). However, limitations of this study include the number of participants used; future studies should attempt to replicate the finding that CBD ingestion causes a decreased heart rate using more participants in order to further validate this Bergamaschi, M. M., Queiroz, R. H., Chagas, M. H., de Oliveira, D. C., De Martinis, B. S., Kapczinski, F., . . . Crippa, J. A. (2011). Cannabidiol reduces anxiety induced by simulated public speaking in treatment-naïve social phobia patients. Neuropsychopharmacology, 36(6), 1219-1226. https://doiorg.libsecure.camosun.bc.ca:2443/10.103 8/npp.2011.6 Crippa, A. S., Derenusson, G. N., Ferrari, T. B., Wichert-Ana, L., Duran, F., MartinSantos, R., … Hallack, J. E. (2011). Neural basis of anxiolytic effects of cannabidiol (CBD) in generalized social anxiety disorder: A preliminary report. 16 Solecki - J Camosun Psyc Res. (2019). Vol. 1, pp. 12-19. Journal of Psychopharmacology, 25(1), 121-130. doi: 10.1177/0269881110379283 Zuardi, A. W., Cosme, R. A., Graeff, F. G., & Guimaraes, F. S. (1993). Effects of ipsapirone and cannabidiol on human experimental anxiety. Journal of Psychopharmacology, 7(1), 82- 88. doi: 10.1177/026988119300700112. 17 Solecki - J Camosun Psyc Res. (2019). Vol. 1, pp. 12-19. Appendix A 18 Solecki - J Camosun Psyc Res. (2019). Vol. 1, pp. 12-19. Appendix B 19