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Cortical thinness and volume differences associated with marijuana abuse in emerging adults.

Yasmin Mashhoon, S Sava, Jennifer T Sneider, L D Nickerson, Marisa M Silveri

Drug and Alcohol Dependence October 1, 2015 DOI: 10.1016/j.drugalcdep.2015.06.016 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Case-control study Peer reviewed
Sample size 30
Population Emerging adults: 15 marijuana users (mean age 21.8±3.6, 2 females) and 15 non-users (mean age 22.3±3.5, 2 females), matched on age, education, and alcohol use
Measures Freesurfer (cortical thickness and volumetric analyses), Barratt Impulsiveness Scale (non-planning and overall impulsivity subscales)
Topics Cannabis
Keywords Cortical thickness Fusiform gyrus Thalamus Volume Young adults
Key findings Marijuana users showed significantly less cortical thickness in the right fusiform gyrus and smaller thalamic volumes (right p=0.05; left p=0.01) than non-users, with smaller thalamic volume associated with greater non-planning and overall impulsivity. No significant group differences appeared in the a priori regions of interest. The authors suggest altered thalamic and right fusiform structural integrity may interfere with visuoperceptual and object information processing.

Abstract

The prevalence of marijuana (MJ) use among youth and its legalization for medical or recreational use has intensified public health endeavors of understanding MJ effects on brain structure and function. Studies indicate that MJ use is related to impaired cognitive performance, and altered functional brain activation and chemistry in adolescents and adults, but MJ effects on brain morphology in emerging adults are less understood. Fifteen MJ users (age 21.8±3.6, 2 females) and 15 non-user (NU) participants (age 22.3±3.5, 2 females) were included, demographically matched on age, education and alcohol use. High-resolution structural MR images were acquired at 3Tesla. Cortical thickness (CT) and volumetric analyses were performed using Freesurfer. A priori regions of interest (ROI) included orbitofrontal and cingulate cortices, amygdala, hippocampus and thalamus. Whole brain CT analysis did not result in significant group differences in a priori ROIs but revealed MJ users had significantly less CT (i.e., thinness) in right fusiform gyrus (rFG) compared to NU (p<0.05). Thalamic volume was significantly smaller in MJ users compared to NU (right, p=0.05; left, p=0.01) and associated with greater non-planning (p<0.01) and overall impulsivity (p=0.04). There were no other group differences. RFG cortical thinness and smaller thalamic volume in emerging adults is associated with MJ abuse. Furthermore, smaller thalamic volume associated with greater impulsivity contributes to growing evidence that the thalamus is neurobiologically perturbed by MJ use. Collectively, altered thalamic and rFG structural integrity may interfere with their known roles in regulating visuoperceptual and object information processing.

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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