{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,7]],"date-time":"2026-11-07T11:07:27Z","timestamp":1794049647260,"version":"4.8.0"},"reference-count":76,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,7,9]],"date-time":"2025-07-09T00:00:00Z","timestamp":1752019200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,7,9]],"date-time":"2025-07-09T00:00:00Z","timestamp":1752019200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Sleep Research"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Cannabinoids, particularly \u03949\u2010tetrahydrocannabinol (THC) and cannabidiol (CBD), have gained popularity as alternative sleep aids; however, their effects on sleep architecture and next\u2010day function remain poorly understood. Here, in a pilot trial, we examined the effects of a single oral dose containing 10\u2009mg THC and 200\u2009mg CBD (THC\/CBD) on objective sleep outcomes and next\u2010day alertness using 256\u2010channel high\u2010density EEG in 20 patients with DSM\u20105 diagnosed insomnia disorder (16 female; mean (SD) age, 46.1 (8.6) years). We showed that THC\/CBD decreased total sleep time (\u221224.5\u2009min,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.05,\n                    <jats:italic>d<\/jats:italic>\n                    \u2009=\u2009\u22120.5) with no change in wake after sleep onset (+10.7 min,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&gt;\u20090.05) compared to placebo. THC\/CBD also significantly decreased time spent in REM sleep (\u221233.9\u2009min,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.001,\n                    <jats:italic>d<\/jats:italic>\n                    \u2009=\u2009\u22121.5) and increased latency to REM sleep (+65.6\u2009min,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.008,\n                    <jats:italic>d<\/jats:italic>\n                    \u2009=\u20090.7). High\u2010density EEG analysis revealed regional decreases in gamma activity during N2 sleep, and in delta activity during N3 sleep, and a regional increase in beta and alpha activity during REM sleep. While there was no observed change in next\u2010day objective alertness, a small but significant increase in self\u2010reported sleepiness was noted with THC\/CBD (+0.42 points,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.02,\n                    <jats:italic>d<\/jats:italic>\n                    \u2009=\u20090.22). No changes in subjective sleep quality, cognitive performance, or simulated driving performance were observed. These findings suggest that a single dose of cannabinoids, particularly THC, may acutely influence sleep, primarily by suppressing REM sleep, without noticeable next\u2010day impairment (\u2265\u20099\u2009h post\u2010treatment). Australian New Zealand Clinical Trial Registry (ACTRN12619000714189)\n                    <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"https:\/\/www.anzctr.org.au\/\">https:\/\/www.anzctr.org.au\/<\/jats:ext-link>\n                    .\n                  <\/jats:p>","DOI":"10.1111\/jsr.70124","type":"journal-article","created":{"date-parts":[[2025,7,9]],"date-time":"2025-07-09T14:24:56Z","timestamp":1752071096000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Acute Effects of Oral Cannabinoids on Sleep and High\u2010Density\n                    <scp>EEG<\/scp>\n                    in Insomnia: A Pilot Randomised Controlled Trial"],"prefix":"10.1111","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5993-2246","authenticated-orcid":false,"given":"Anastasia","family":"Suraev","sequence":"first","affiliation":[{"name":"Centre for Sleep and Chronobiology Woolcock Institute of Medical Research, Macquarie University  Sydney New South Wales Australia"},{"name":"University of Sydney Lambert Initiative for Cannabinoid Therapeutics  Sydney New South Wales Australia"},{"name":"University of Sydney, Faculty of Science School of Psychology  Sydney New South Wales Australia"},{"name":"University of Sydney Brain and Mind Centre  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iain S.","family":"McGregor","sequence":"additional","affiliation":[{"name":"University of Sydney Lambert Initiative for Cannabinoid Therapeutics  Sydney New South Wales Australia"},{"name":"University of Sydney, Faculty of Science School of Psychology  Sydney New South Wales Australia"},{"name":"University of Sydney Brain and Mind Centre  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7783-5220","authenticated-orcid":false,"given":"Danielle","family":"McCartney","sequence":"additional","affiliation":[{"name":"University of Sydney Lambert Initiative for Cannabinoid Therapeutics  Sydney New South Wales Australia"},{"name":"University of Sydney, Faculty of Science School of Psychology  Sydney New South Wales Australia"},{"name":"University of Sydney Brain and Mind Centre  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9014-1397","authenticated-orcid":false,"given":"Nathaniel S.","family":"Marshall","sequence":"additional","affiliation":[{"name":"Centre for Sleep and Chronobiology Woolcock Institute of Medical Research, Macquarie University  Sydney New South Wales Australia"},{"name":"Macquarie University, Faculty of Medicine, Health and Human Sciences Department of Health Science  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chien\u2010Hui","family":"Kao","sequence":"additional","affiliation":[{"name":"Centre for Sleep and Chronobiology Woolcock Institute of Medical Research, Macquarie University  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rick","family":"Wassing","sequence":"additional","affiliation":[{"name":"Centre for Sleep and Chronobiology Woolcock Institute of Medical Research, Macquarie University  Sydney New South Wales Australia"},{"name":"Macquarie University, Faculty of Medicine, Health and Human Sciences School of Psychological Sciences  Sydney New South Wales Australia"},{"name":"Sydney Local Health District  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8564-796X","authenticated-orcid":false,"given":"Angela L.","family":"D'Rozario","sequence":"additional","affiliation":[{"name":"Centre for Sleep and Chronobiology Woolcock Institute of Medical Research, Macquarie University  Sydney New South Wales Australia"},{"name":"Macquarie University, Faculty of Medicine, Health and Human Sciences School of Psychological Sciences  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keith K. H.","family":"Wong","sequence":"additional","affiliation":[{"name":"Centre for Sleep and Chronobiology Woolcock Institute of Medical Research, Macquarie University  Sydney New South Wales Australia"},{"name":"University of Sydney, Faculty of Medicine and Health  Sydney New South Wales Australia"},{"name":"Royal Prince Alfred Hospital  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brendon J.","family":"Yee","sequence":"additional","affiliation":[{"name":"Centre for Sleep and Chronobiology Woolcock Institute of Medical Research, Macquarie University  Sydney New South Wales Australia"},{"name":"University of Sydney, Faculty of Medicine and Health  Sydney New South Wales Australia"},{"name":"Royal Prince Alfred Hospital  Sydney New South Wales 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