Sleep and anxiety scores, using validated instruments, at baseline and after CBD treatment.
These results must be interpreted cautiously because this was a naturalistic study, all patients were receiving open-label treatment, and there was no comparison group. Concurrent psychiatric medications were employed as in routine clinical care. This is both a limitation and strength, as very few publications exist in this population. Other researchers have noted that the large societal notoriety about cannabis and medical marijuana probably contributes to a larger-than-normal placebo effect.20 Any study that explores efficacy in this therapy probably will struggle with a potentially inflated placebo effect that will make these determinations more difficult. Likewise, the clinical population in this case series is skewed younger than typical for our clinic, and future studies could explore the possible selection bias inherent in this treatment option. Most patients were also taking psychiatric medications and receiving other mental health services, such as counseling, which limits the ability to make any causal links to CBD treatment. Clinical attrition is evident in the dataset. The reason for this might be related to CBD ingestion or not, so the overall component remains unclear. Furthermore, patients at our clinic often express a desire to reduce or to avoid use of psychiatric medications, which may contribute to an enhanced placebo effect or additional bias. The length of clinical monitoring may help to decrease this concern. However, the clinical data in this analysis show a trend toward clinically significant relief of anxiety upon the start of CBD treatment.
Legality of Cannabidiol
Sleep and anxiety were the targets of this descriptive report. Sleep concerns were tracked at monthly visits using the Pittsburg Sleep Quality Index. Anxiety levels were monitored at monthly visits using the Hamilton Anxiety Rating Scale. Both scales are nonproprietary. The Hamilton Anxiety Rating Scale is a widely used and validated anxiety measure with 14 individual questions. It was first used in 1959 and covers a wide range of anxiety-related concerns. The score ranges from 0 to 56. A score under 17 indicates mild anxiety, and a score above 25 indicates severe anxiety. The Pittsburg Sleep Quality Index is a self-report measure that assesses the quality of sleep during a 1-month period. It consists of 19 items that have been found to be reliable and valid in the assessment of a range of sleep-related problems. Each item is rated 0 to 3 and yields a total score from 0 to 21. A higher number indicates more sleep-related concerns. A score of 5 or greater indicates a “poor sleeper.”
What really sets the CBDfx formula apart from the others, though, is that they have included Melatonin in their Sleep Tincture. The same proven, over-the-counter sleep medicine that people have been taking for years is now included in a CBD and CBN product for better and easier sleep.
Findings around how and why CBD oils help with sleep generally rely on observation, at this point. That is to say, there hasn’t been enough study into the chemistry going on in the brain when CBD attaches to endocannabinoid receptors, and how that chemistry promotes sleep. But the effects for many people have been real, and they are discovering better sleep with CBD oil.
Current #1 Recommendation
When you do some research into CBD oil products, you may find that a number of them use the same farms in Colorado. There are a number of good reasons for this, and there’s nothing wrong with that, at all. But Spruce has a unique strand of hemp that is over two hundred years old, and it’s part of what makes them our Best Overall CBD oil for sleep.
Charlotte’s Web: Best Reputation
While nearly every product we researched came with a measure of being natural, some products stuck out as especially from-the-earth. For the absolute most natural, we had to give it to CBDPure.