{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T21:23:10Z","timestamp":1777929790441,"version":"3.51.4"},"reference-count":79,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T00:00:00Z","timestamp":1753833600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Qual Health Res"],"abstract":"<jats:p>\n                    In the last two decades, the use of cannabis for medical purposes has become legal in many countries and its use is steadily increasing. One of the most frequently cited reasons for prescribing medicinal cannabis (MC) is management of chronic pain, and in recent years MC has also been used as a treatment of psychiatric conditions such as post-traumatic stress disorder (PTSD). However, little is known about patients\u2019 experiences of the long-term physiological and psycho-social effects of MC use. In this study, we focused on Israeli MC patients\u2019 experiences in order to gain further understanding of the long-term effects of MC and explore narratives evolving from chronic pain and PTSD patients regarding their MC treatment. In-depth semi-structured interviews were conducted among participants prescribed MC for chronic pain or PTSD (\n                    <jats:italic>n<\/jats:italic>\n                    = 25), predominantly men. Thematic analysis was applied to characterize content, semantics, experience, and narratives of participants regarding their MC use. Two main themes were developed: (1)\n                    <jats:italic>Coping mechanisms<\/jats:italic>\n                    related to the adverse effects of MC use, which included\n                    <jats:italic>Concealment, Justification, Protective behavioral<\/jats:italic>\n                    strategies, and\n                    <jats:italic>Rejection of \u201cpothead\u201d identity<\/jats:italic>\n                    ; and (2\n                    <jats:italic>) Utilization<\/jats:italic>\n                    of MC\u2019s positive effects, which included\n                    <jats:italic>Forget\/Disconnect, Helplessness\/Despair<\/jats:italic>\n                    , and\n                    <jats:italic>Camaraderie against authorities<\/jats:italic>\n                    . MC patients described coping strategies with experienced negative effects of MC use and utilization of MC treatment for various psychiatric, psychological, and social needs.\n                  <\/jats:p>","DOI":"10.1177\/10497323251361328","type":"journal-article","created":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T23:30:36Z","timestamp":1753918236000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["A Qualitative Investigation Into the Experiences of Medicinal Cannabis Use Among Chronic Pain and PTSD Patients in Israel"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6921-6895","authenticated-orcid":false,"given":"Or","family":"Gliksberg","sequence":"first","affiliation":[{"name":"Department of Psychology, Ariel University, Ariel, Israel"},{"name":"Israel Center for Addiction and Mental Health (ICAMH), Jerusalem, Israel"},{"name":"Department of Psychology, The Hebrew University of Jerusalem, Jerusalem, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amany","family":"Hulaihel","sequence":"additional","affiliation":[{"name":"School of Public Health, University of Haifa, Haifa, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sharon R.","family":"Sznitman","sequence":"additional","affiliation":[{"name":"School of Public Health, University of Haifa, Haifa, Israel"},{"name":"Institute of Primary Health Care (BIHAM), University of Bern, Bern, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Silviu","family":"Brill","sequence":"additional","affiliation":[{"name":"Institute of Pain Medicine, Tel Aviv Medical Center, Tel Aviv, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ben H.","family":"Amit","sequence":"additional","affiliation":[{"name":"Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel"},{"name":"Cannabis Clinic, Reuth Rehabilitation Center, Tel Aviv, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shaul","family":"Lev-ran","sequence":"additional","affiliation":[{"name":"Israel Center for Addiction and Mental Health (ICAMH), Jerusalem, Israel"},{"name":"Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel"},{"name":"Lev Hasharon Medical Center, Netanya, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Talma","family":"Kushnir","sequence":"additional","affiliation":[{"name":"Department of Psychology, Ariel University, Ariel, Israel"},{"name":"Adelson School of Medicine, Ariel University, Ariel, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Feingold","sequence":"additional","affiliation":[{"name":"Department of Psychology, Achva Academic College, Achva, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,7,30]]},"reference":[{"key":"e_1_3_5_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/fampra\/cmab108"},{"key":"e_1_3_5_3_1","volume-title":"Diagnostic and statistical manual of mental disorders (DSM-4)","author":"American Psychiatric Association","year":"1994","unstructured":"American Psychiatric Association. 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