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Longitudinal changes in white matter microstructure after heavy cannabis use.

Mary P. Becker, Paul F Collins, Kelvin O Lim, R L Muetzel, M Luciana

Developmental Cognitive Neuroscience December 2015 DOI: 10.1016/j.dcn.2015.10.004 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Longitudinal observational study Cross-sectional Peer reviewed
Sample size 46
Population Young adults aged 18-20 at baseline: 23 regular cannabis users with onset before age 17 and 23 age-, sex-, and IQ-matched non-using controls with limited substance use histories
Duration 2-year follow-up
Topics Cannabis
Keywords Dti Longitudinal White matter Young adult
Key findings Cannabis users showed reduced longitudinal growth in fractional anisotropy in the superior longitudinal fasciculus, corticospinal tract, and anterior thalamic radiation, and less reduction in radial diffusion in some tracts, compared with controls. Greater cannabis use correlated with reduced fractional anisotropy growth and with poorer verbal learning. The authors suggest that continued heavy cannabis use during adolescence and young adulthood alters white matter development and contributes to functional impairment.

Abstract

Diffusion tensor imaging (DTI) studies of cannabis users report alterations in brain white matter microstructure, primarily based on cross-sectional research, and etiology of the alterations remains unclear. We report findings from longitudinal voxelwise analyses of DTI data collected at baseline and at a 2-year follow-up on 23 young adult (18-20 years old at baseline) regular cannabis users and 23 age-, sex-, and IQ-matched non-using controls with limited substance use histories. Onset of cannabis use was prior to age 17. Cannabis users displayed reduced longitudinal growth in fractional anisotropy in the central and parietal regions of the right and left superior longitudinal fasciculus, in white matter adjacent to the left superior frontal gyrus, in the left corticospinal tract, and in the right anterior thalamic radiation lateral to the genu of the corpus callosum, along with less longitudinal reduction of radial diffusion in the right central/posterior superior longitudinal fasciculus, corticospinal tract, and posterior cingulum. Greater amounts of cannabis use were correlated with reduced longitudinal growth in FA as was relatively impaired performance on a measure of verbal learning. These findings suggest that continued heavy cannabis use during adolescence and young adulthood alters ongoing development of white matter microstructure, contributing to functional impairment.

Comparable studies

Other observational and cohort studies on cannabis, most cited first.

Study Year Design Participants
High-potency cannabis and the risk of psychosis People with first episode of psychosis and healthy controls from the local population 2009 Case-control study n = 454
Ayahuasca-Assisted Therapy for Addiction: Results from a Preliminary Observational Study in Canada Rural aboriginal population 2013 Observational study
Impaired cognitive performance in drug free users of recreational ecstasy (MDMA) Otherwise healthy young people 2000 Observational
Continued cannabis use and risk of incidence and persistence of psychotic symptoms: 10 year follow-up cohort study Individuals from the general population in Germany aged 14-24 at baseline 2011 Observational cohort n = 1,923
Cannabis-induced psychosis and subsequent schizophrenia-spectrum disorders: follow-up study of 535 incident cases Patients treated for cannabis-induced psychotic symptoms in Denmark between 1994 and... 2005 Observational cohort n = 535

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