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Prospective, longitudinal study to isolate the impacts of marijuana use on neurocognitive functioning in adolescents.

Wen Ren, Diana H Fishbein

Frontiers in Psychiatry 2023 DOI: 10.3389/fpsyt.2023.1048791 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Prospective longitudinal study Peer reviewed
Sample size 529
Population Early adolescents who were substance-naïve at baseline, aged 10-12, tracked into adolescence
Duration Three subsequent waves of data collection, approximately 18 months apart
Topics Cannabis
Keywords Adolescence Emotion recognition Legalization Longitudinal Marijuana use Neurocognitive functioning Substance-naïve baseline
Key findings Marijuana use may be specifically related to a short-term decline in verbal learning ability and longer-term declines in emotion recognition, attention, and inhibition among adolescents who initiated use. The authors suggest these preliminary findings indicate marijuana use has the potential to adversely impact vulnerable neurodevelopmental processes during adolescence.

Abstract

Policies to legalize possession and use of marijuana have been increasingly supported across the United States. Although there are restrictions on use in minors, many substance abuse scientists anticipate that these policy changes may alter use patterns among adolescents due to its wider availability and a softening of beliefs about its potentially harmful consequences. Despite the possibility that these policies may increase the prevalence of use among adolescents, the effects of marijuana on neurodevelopment remain unclear, clouding arguments in favor of or opposition to these policies. The present prospective, longitudinal study was designed to isolate the neurodevelopmental consequences of marijuana use from its precursors during adolescence-a period of heightened vulnerability for both substance use and disrupted development due to environmental insults. Early adolescents who were substance-naïve at baseline (N = 529, aged 10-12) were recruited and tracked into adolescence when a subgroup initiated marijuana use during one of three subsequent waves of data collection, approximately 18 months apart. Results suggest that marijuana use may be specifically related to a decline in verbal learning ability in the short term and in emotion recognition, attention, and inhibition in the longer-term. These preliminary findings suggest that marijuana use has potential to adversely impact vulnerable neurodevelopmental processes during adolescence. Intensive additional investigation is recommended given that state-level policies regulating marijuana use and possession are rapidly shifting in the absence of good scientific information.

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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