PMID- 17345601 OWN - NLM STAT- MEDLINE DCOM- 20080625 LR - 20151119 IS - 1091-4269 (Print) IS - 1091-4269 (Linking) VI - 25 IP - 3 DP - 2008 TI - Major depression: the relative contribution of gender, MDMA, and cannabis use. PG - 241-7 AB - Previous research has suggested that 3,4-methylenedioxymethamphetamine (MDMA; ecstasy) users have elevated depressive symptomatology, although it is not clear whether this is due to MDMA or other drug use. This study aimed to investigate the contributions of MDMA and cannabis use to Major Depressive Disorder in MDMA users. A total of 226 MDMA users were studied. Participants (65% male) reported an average number of 35.8 uses of MDMA (SD = 45.6, range = 2-400). Participants were administered a Structured Clinical Interview for DSM-IV. Twenty-six individuals (11.5%) met lifetime criteria for Major Depressive Disorder. High rates of lifetime Cannabis Abuse (30.1%) and Cannabis Dependence (12.4%) were reported. No association was found between number of uses of MDMA and Major Depressive Disorder. Those with lifetime major depression were found, however, to have higher rates of lifetime cannabis use disorder (adjusted OR = 2.40). A logistic regression indicated that lifetime cannabis use disorder, but not MDMA use, was significantly associated with lifetime Major Depressive Disorder. Stratified analyses suggested that for males, neither drug use variable was associated with major depression. For females, a lifetime cannabis use disorder (adjusted OR = 4.99), but not MDMA use, was associated with lifetime Major Depressive Disorder. Results of this study suggest that although MDMA use was not found to be significantly associated with major depression for either gender, a lifetime cannabis use disorder was significantly associated with lifetime major depression for female, but not male, users of MDMA. FAU - Durdle, Heather AU - Durdle H AD - Department of Psychiatry and Behavioral Neurosciences, Wayne State University School of Medicine, Detroit, Michigan 48207, USA. FAU - Lundahl, Leslie H AU - Lundahl LH FAU - Johanson, Chris-Ellyn AU - Johanson CE FAU - Tancer, Manuel AU - Tancer M LA - eng GR - DA14874/DA/NIDA NIH HHS/United States PT - Comparative Study PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PL - United States TA - Depress Anxiety JT - Depression and anxiety JID - 9708816 RN - KE1SEN21RM (N-Methyl-3,4-methylenedioxyamphetamine) SB - IM MH - Adult MH - Comorbidity MH - Depressive Disorder, Major/diagnosis/*epidemiology/psychology MH - Diagnostic and Statistical Manual of Mental Disorders MH - Educational Status MH - Female MH - Humans MH - Male MH - Marijuana Abuse/diagnosis/*epidemiology/psychology MH - N-Methyl-3,4-methylenedioxyamphetamine/*adverse effects MH - Psychiatric Status Rating Scales/statistics & numerical data MH - Regression Analysis MH - Sex Factors MH - Substance-Related Disorders/diagnosis/*epidemiology/psychology MH - Surveys and Questionnaires EDAT- 2007/03/09 09:00 MHDA- 2008/06/26 09:00 CRDT- 2007/03/09 09:00 PHST- 2007/03/09 09:00 [pubmed] PHST- 2008/06/26 09:00 [medline] PHST- 2007/03/09 09:00 [entrez] AID - 10.1002/da.20297 [doi] PST - ppublish SO - Depress Anxiety. 2008;25(3):241-7. doi: 10.1002/da.20297.