Effect of cannabidiol on sleep disruption induced by the repeated combination tests consisting of open field and elevated plus-maze in rats
Abstract
Patients with post-traumatic stress disorder (PTSD) frequently complain of having sleep disturbances, such as insomnia and rapid eye movement (REM) sleep abnormality. Cannabidiol (CBD), a psycho-inactive constituent of marijuana, reduces physiological non-REM (NREM) sleep and REM sleep in normal rats, in addition to generating its anxiolytic effect. However, the effects of CBD on anxiety-induced sleep disturbances remain unclear. Because anxiety progression is caused by persistent stress for a period of time, we employed the repeated combination tests (RCT) consisting of a 50-min open field (OF) and a subsequent 10-min elevated plus-maze (EPM) for four consecutive days to simulate the development of anxiety. Time spent in the centre arena of OF and during open arms of the EPM was substantially decreased in latter days of RCT, suggesting the habituation, which potentially lessens anxiety-mediated behavioural responses, was not observed in current tests. CBD microinjected into the central nucleus of amygdala (CeA) significantly enhanced time spent in centre arena of OF, increased time during the open arms and decreased frequency of entry to the enclosed arms of EPM, further confirming its anxiolytic effect. The decrease of NREM sleep during the first hour and the suppression of REM sleep during hours 4-10 after the RCT represent the similar clinical observations (e.g. insomnia and REM sleep interruption) in PTSD patients. CBD efficiently blocked anxiety-induced REM sleep suppression, but had little effect on the alteration of NREM sleep. Conclusively, CBD may block anxiety-induced REM sleep alteration via its anxiolytic effect, rather than via sleep regulation per se. This article is part of a Special Issue entitled 'Anxiety and Depression'.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Microinjections of CBD into the central nucleus of the amygdala produce anxiolytic-like effects.
“Similar effects can be produced by microinjections of CBD into brain regions including the central nucleus of the amygdala (Hsiao et al., 2012)”
From The endocannabinoid system as a target for novel anxiolytic drugs (2017) · cites this paper as Hsiao et al., 2012
Cites
Diagnostic and Statistical Manual of Mental Disorders
Williams, J. B. W., & First, M. B. (2013) · Oxford University Press eBooks · doi:10.1093/acrefore/9780199975839.013.104 · Cited by 109,841 · see citing works
The rat brain in stereotaxic coordinates
Palkovits, M. (1983) · Neuropeptides · doi:10.1016/0143-4179(83)90049-5 · Cited by 28,959 · see citing works
The Rat Brain in Stereotaxic Coordinates
Paxinos, G., & Watson, C. (1983) · Elsevier eBooks · doi:10.1016/c2009-0-63235-9 · Cited by 28,585 · see citing works
Validation of open:closed arm entries in an elevated plus-maze as a measure of anxiety in the rat
Pellow, S., Chopin, P., File, S. E., & Briley, M. (1985) · Journal of Neuroscience Methods · doi:10.1016/0165-0270(85)90031-7 · Cited by 5,822 · see citing works
The open field as a paradigm to measure the effects of drugs on anxiety-like behaviors: a review.
Prut, L., & Belzung, C. (2003) · European Journal of Pharmacology · doi:10.1016/s0014-2999(03)01272-x · Cited by 3,190 · see citing works
The role of the amygdala in fear and anxiety
Davis, M. (1992) · Annual Review of Neuroscience · doi:10.1146/annurev.ne.15.030192.002033 · Cited by 2,357 · see citing works
ENDOCANNABINOID-MEDIATED SYNAPTIC PLASTICITY IN THE CNS
Chevaleyre, V., Takahashi, K. A., & Castillo, P. E. (2006) · Annual Review of Neuroscience · doi:10.1146/annurev.neuro.29.051605.112834 · Cited by 779 · see citing works
Choleris, E. (2001) · Neuroscience & Biobehavioral Reviews · doi:10.1016/s0149-7634(01)00011-2 · Cited by 761 · see citing works
Neural circuits and mechanisms involved in Pavlovian fear conditioning: A critical review
Kim, J. J., & Jung, M. W. (2006) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2005.06.005 · Cited by 636 · see citing works
Anxiogenic stimuli in the elevated plus-maze
Treit, D., Menard, J., & Royan, C. (1993) · Pharmacology Biochemistry and Behavior · doi:10.1016/0091-3057(93)90492-c · Cited by 628 · see citing works
Co-Occurring Mental and Substance Use Disorders: The Neurobiological Effects of Chronic Stress
Brady, K. T., & Sinha, R. (2005) · American Journal of Psychiatry · doi:10.1176/appi.ajp.162.8.1483 · Cited by 551 · see citing works
Cannabidiol: An Overview of Some Pharmacological Aspects
Mechoulam, R., Parker, L. A., & Gallily, R. (2002) · The Journal of Clinical Pharmacology · doi:10.1002/j.1552-4604.2002.tb05998.x · Cited by 511 · see citing works
Mechoulam, R. (1970) · Science · doi:10.1126/science.168.3936.1159 · Cited by 494 · see citing works
Harvey, A. G., & Bryant, R. A. (1998) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.66.3.507 · Cited by 469 · see citing works
Neylan, T. C., Marmar, C. R., Metzler, T. J., Weiss, D. S., Zatzick, D., Delucchi, K., Wu, R. M., & Schoenfeld, F. B. (1998) · American Journal of Psychiatry · doi:10.1176/ajp.155.7.929 · Cited by 455 · see citing works
Germain, A., Buysse, D. J., & Nofzinger, E. (2008) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2007.09.003 · Cited by 421 · see citing works
REM sleep and the early development of posttraumatic stress disorder
Mellman, T. A., Bustamante, V., Fins, A. I., Pigeon, W. R., & Nolan, B. (2002) · American Journal of Psychiatry · doi:10.1176/appi.ajp.159.10.1696 · Cited by 414 · cited 16× · see citing works
“All rights reserved. difficulties staying asleep, restless sleep, and unrefreshing sleep (American Psychiatry Association, 1994; Anderson et al., 1984), and persistent symptoms of increased arousal, insomnia, nightmares and disrupted rapid eye movement (REM) sleep are common sleep disorders in patients with PTSD (Amer…”
InfluentialThe elevated T-maze as an experimental model of anxiety
Graeff, F. G., Netto, C. F., & Zangrossi, H. (1998) · Neuroscience & Biobehavioral Reviews · doi:10.1016/s0149-7634(98)00024-4 · Cited by 393 · see citing works
Koren, D., Arnon, I., Lavie, P., & Klein, E. (2002) · American Journal of Psychiatry · doi:10.1176/appi.ajp.159.5.855 · Cited by 384 · see citing works
Antianxiety effect of cannabidiol in the elevated plus-maze
Guimarães, F. S., Chiaretti, T. M., Graeff, F. G., & Zuardi, A. W. (1990) · Psychopharmacology · doi:10.1007/bf02244012 · Cited by 379 · cited 3× · see citing works
“The pharmacological property of the anxiolytic effect of CBDhas been demonstrated in both animal researches (Guimaraes et al., 1990; Mechoulam et al., 2002; Pickens, 1981) and human studies (Crippa et al., 2004; Fusar-Poli et al., 2010), and becomes significant for therapeutic purposes.”
MethodEffects of ipsapirone and cannabidiol on human experimental anxiety
Zuardi, A. W., Cosme, R. A., Graeff, F. G., & Guimarães, F. S. (1993) · Journal of Psychopharmacology · doi:10.1177/026988119300700112 · Cited by 364 · see citing works
Harvey, A. G., & Bryant, R. A. (1998) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.66.3.507 · Cited by 360 · see citing works
Emotional behavior in the rat. III. The relationship between emotionality and ambulatory activity.
Hall, C. S. (1936) · Journal of comparative psychology · doi:10.1037/h0059253 · Cited by 334 · see citing works
Signs and Symptoms of Posttraumatic Stress Disorder
Horowitz, M. J. (1980) · Archives of General Psychiatry · doi:10.1001/archpsyc.1980.01780140087010 · Cited by 319 · see citing works
Effects of cannabidiol (CBD) on regional cerebral blood flow
Crippa, J. A. D. S., Zuardi, A. W., Garrido, G. E. J., Wichert-Ana, L., Guarnieri, R., Ferrari, L., Azevedo-Marques, P. M., Hallak, J. E. C., McGuire, P. K., & Busatto, G. F. (2004) · Neuropsychopharmacology · doi:10.1038/sj.npp.1300340 · Cited by 307 · see citing works
Cannabis and cannabinoids: pharmacology, toxicology, and therapeutic potential
(2003) · Choice Reviews Online · doi:10.5860/choice.40-3432 · Cited by 293 · see citing works
Rapid eye movement sleep disturbance in posttraumatic stress disorder
Ross, R. J. M., Ball, W. A., Dinges, D. F., Kribbs, N. B., Morrison, A. R., Silver, S. M., & Mulvaney, F. D. (1994) · Biological Psychiatry · doi:10.1016/0006-3223(94)91152-5 · Cited by 221 · see citing works
Immobilisation stress induces a paradoxical sleep rebound in rat
Rampin, C., Cespuglio, R., Chastrette, N., & Jouvet, M. (1991) · Neuroscience Letters · doi:10.1016/0304-3940(91)90532-x · Cited by 221 · see citing works
Long-term effects of extreme situational stress on sleep and dreaming
HEFEZ, A., Metz, L., & Lavie, P. (1987) · American Journal of Psychiatry · doi:10.1176/ajp.144.3.344 · Cited by 218 · see citing works
Sleep in Lifetime Posttraumatic Stress Disorder
Breslau, N., Roth, T. G., Burduvali, E., Kapke, A., Schultz, L. R., & Roehrs, T. (2004) · Archives of General Psychiatry · doi:10.1001/archpsyc.61.5.508 · Cited by 216 · see citing works
A comparison of panic disorder and generalized anxiety disorder
Anderson, D. J., Noyes, R., & Crowe, R. R. (1984) · American Journal of Psychiatry · doi:10.1176/ajp.141.4.572 · Cited by 189 · see citing works
Stress-induced changes in sleep in rodents: Models and mechanisms
Pawlyk, A. C., Morrison, A. R., Ross, R. J., & Brennan, F. X. (2008) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2007.06.001 · Cited by 176 · see citing works
“Free” versus “Forced” Exploration of a Novel Situation by Rats
Welker, W. I. (1957) · Psychological Reports · doi:10.2466/pr0.1957.3.g.95 · Cited by 167 · see citing works
Fusar-Poli, P., Allen, P., Bhattacharyya, S., Crippa, J. A., Mechelli, A., Borgwardt, S., Martin-Santos, R., Seal, M. L., O'Carrol, C., Atakan, Z., et al. (2010) · The International Journal of Neuropsychopharmacology · doi:10.1017/s1461145709990617 · Cited by 163 · see citing works
Kapp, B. S., Supple, W. F., & Whalen, P. J. (1994) · Behavioral Neuroscience · doi:10.1037//0735-7044.108.1.81 · Cited by 152 · see citing works
Dreams in the acute aftermath of trauma and their relationship to PTSD
Mellman, T. A., David, D., Bustamante, V., Torres, J., & Fins, A. (2001) · Journal of Traumatic Stress · doi:10.1023/a:1007812321136 · Cited by 149 · see citing works
Long-term effects of traumatic war-related events on sleep
Lavie, P., HEFEZ, A., Halperin, G., & Enoch, D. (1979) · American Journal of Psychiatry · doi:10.1176/ajp.136.2.175 · Cited by 139 · see citing works
Kapp, B. S., Supple, W. F., & Whalen, P. J. (1994) · Behavioral Neuroscience · doi:10.1037/0735-7044.108.1.81 · Cited by 120 · see citing works
Cannabidiol, a constituent of Cannabis sativa, modulates sleep in rats
Murillo‐Rodríguez, E., Millán‐Aldaco, D., Palomero‐Rivero, M., Mechoulam, R., & Drucker-Colı́n, R. (2006) · FEBS Letters · doi:10.1016/j.febslet.2006.04.102 · Cited by 116 · see citing works
Blockade of corticotropin-releasing hormone receptors reduces spontaneous waking in the rat
Chang, F., & Opp, M. R. (1998) · American Journal of Physiology-Regulatory, Integrative and Comparative Physiology · doi:10.1152/ajpregu.1998.275.3.r793 · Cited by 112 · see citing works
Self-citation(1985) · PubMed · Cited by 94 · see citing works
A Study of validity of open-field measures
Ivinskis, A. (1970) · Australian Journal of Psychology · doi:10.1080/00049537008254571 · Cited by 93 · see citing works
Hypnoticlike effects of cannabidiol in the rat
Monti, J. M. (1977) · Psychopharmacology · doi:10.1007/bf00497858 · Cited by 84 · see citing works
Sanford, L. D., Tejani‐Butt, S. M., Ross, R. J. M., & Morrison, A. R. (1995) · PubMed · Cited by 81 · see citing works
Role of corticotropin-releasing hormone in stressor-induced alterations of sleep in rat
Chang, F., & Opp, M. R. (2002) · American Journal of Physiology-Regulatory, Integrative and Comparative Physiology · doi:10.1152/ajpregu.00758.2001 · Cited by 54 · see citing works
Self-citationInfluence of Tetrodotoxin Inactivation of the Central Nucleus of the Amygdala on Sleep and Arousal
Tang, X., Yang, L., Liu, X., & Sanford, L. D. (2005) · SLEEP · doi:10.1093/sleep/28.8.923 · Cited by 52 · see citing works
PICKENS, J. T. (1981) · British Journal of Pharmacology · doi:10.1111/j.1476-5381.1981.tb09145.x · Cited by 48 · see citing works
Strain differences in the influence of open field exposure on sleep in mice
Tang, X., Xiao, J., Liu, X., & Sanford, L. D. (2004) · Behavioural Brain Research · doi:10.1016/j.bbr.2004.02.002 · Cited by 43 · see citing works
Temporal structure of open field behavior in inbred strains of mice
Makino, J., Kato, K., & Maes, F. W. (1991) · Japanese Psychological Research · doi:10.4992/psycholres1954.33.145 · Cited by 36 · see citing works
An investigation of slow-wave sleep processes in chronic PTSD patients
Fuller, K. H., Waters, W. F., & Scott, O. (1994) · Journal of Anxiety Disorders · doi:10.1016/0887-6185(94)90004-3 · Cited by 29 · see citing works
Cannabinoids and the Endocannabinoid System
Grotenhermen, F. (2006) · Cited by 25 · see citing works
Control-Related Beliefs and Sleep Characteristics of Posttraumatic Stress Disorder Patients
Mikulincer, M., Glaubman, H., Wasserman, O., Ben‐Porat, A., & Birger, M. (1989) · Psychological Reports · doi:10.2466/pr0.1989.65.2.567 · Cited by 23 · see citing works
POSSIBLE ANXIOLYTIC EFFECTS OF CANNABIDIOL
Musty, R. E. (1984) · Elsevier eBooks · doi:10.1016/b978-0-12-044620-9.50057-9 · Cited by 13 · see citing works
Yi, P.-L., Hsiao, Y.-T., Tsai, C., Jan, T., Lu, C.-Y., & Chang, F. (2008) · The Open Sleep Journal · doi:10.2174/1874620900801010058 · Cited by 5 · see citing works
Self-citation
Flagged first, then by citations
Cited by
Sorted by citations
Campos, A. C., Moreira, F. A., Gomes, F. V., Del Bel, E. A., & Guimarães, F. S. (2012) · Philosophical Transactions of the Royal Society B: Biological Sciences · doi:10.1098/rstb.2011.0389 · Cited by 475 · see citing works
The endocannabinoid system as a target for novel anxiolytic drugs
Patel, S., Hill, M. N., Cheer, J. F., Wotjak, C. T., & Holmes, A. (2017) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2016.12.033 · Cited by 233 · see citing works
Campos, A. C., Ferreira, F. R., & Guimarães, F. S. (2012) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2012.08.012 · Cited by 139 · see citing works
- Authors
- Hsiao, Y.-T., Yi, P.-L., Li, C.-L., & Chang, F.-C.
- Affiliations
- National Taiwan University (TW)
- Aletheia University (TW)
- Corresponding author
- Chang, Fang-Chia
- Venue
- Neuropharmacology
- Publisher
- Elsevier BV
- Published
- 2012-01
- Volume
- 62
- Issue
- 1
- Pages
- 373-384
- ISSN
- 0028-3908 (ISSN-L)
- OpenAlex
- W2027206234
- Cited by
- 91
- References
- 54
- Citations by year
- 2026: 7 · 2025: 7 · 2024: 5 · 2023: 4 · 2022: 11 · 2021: 14 · 2020: 8 · 2019: 5 · 2018: 5 · 2017: 8 · 2016: 5 · 2015: 3 · 2014: 3 · 2013: 3 · 2012: 3
- FWCI
- 2.11
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Neuropharmacology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Science Council (NSC96-2628-B-002-029-MY3)
- Topics
- Health Sciences › Medicine › Pharmacology › Cannabis and Cannabinoid Research
- Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Keywords
- cannabidiol, post-traumatic stress disorder, sleep disruption, REM sleep suppression, NREM sleep, anxiety, anxiolytic effects, central amygdala, microinjection, insomnia
- MeSH terms
- Acoustic Stimulation, Animals, Anxiety, Cannabidiol, Disease Models, Animal, Electroencephalography, Electromyography, Exploratory Behavior, Male, Sleep Wake Disorders, Time Factors, Rats, Wistar, Maze Learning, Rats
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review