Behavioral and Self-Report Cognitive Impairment Differences between Fast-Acting, Standard, and Placebo Cannabis Edibles
Samuel M. DiCecco, Emma E Smith, Kira L. Sturgess, Mohammad Habib, Hollis C Karoly, Charles Villanueva, Michael Hennesy, Bradley T. Conner
Research Square May 18, 2026 preprint DOI: 10.21203/rs.3.rs-9621757/v1 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Double-blind, within-subject crossover study |
|---|---|
| Sample size | 20 |
| Population | Adult individuals who frequently use cannabis |
| Intervention | Placebo edible |
| Duration | Assessed repeatedly over 270 minutes |
| Measures | DRUID impairment app, Subjective High Assessment Scale (SHAS) |
| Topics | Cannabis |
| Key points | Both active edibles produced several hours of subjective impairment, with elevations in clumsiness and distorted time perception versus placebo, but the fast-acting edible did not consistently produce significantly earlier cognitive effects than the standard edible, and behavioral impairment showed no clear pattern over time. |
Abstract
Abstract
Rationale: Fast-acting edible cannabis products are marketed as producing quicker effects than standard edibles, but whether faster absorption translates into earlier cognitive impairment due to cannabis intoxication is unclear. Objectives : We compared fast-acting, standard, and placebo edibles in a double-blind, within-subject crossover study of 20 adult individuals who frequently use cannabis.
Methods: Participants completed three mobile laboratory sessions after ingesting either a fast-acting, standard, or placebo cannabis edible and were assessed repeatedly over 270 minutes using the DRUID impairment app and selected self-report items from the Subjective High Assessment Scale (SHAS).
Results: Mixed-effects models showed limited evidence that the fast-acting edible produced significantly earlier impairment than the standard edible. Behavioral impairment showed no clear pattern over time. Self-reported effects were more consistent across both active edibles, with elevations in clumsiness, distorted time perception, and other subjective impairment outcomes relative to placebo. However, the fast-acting and standard edibles generally showed similar time courses, with little evidence of a meaningful advantage for the fast-acting formulation.
Conclusions: Both active edibles produced several hours of subjective impairment, but the fast-acting product did not consistently yield significantly earlier cognitive effects than the standard edible.
Comparable studies
Other randomized controlled trials on cannabis, most cited first.
| Study | Year | Design | Participants |
|---|---|---|---|
| Cannabidiol inhibits THC-elicited paranoid symptoms and hippocampal-dependent memory impairment Healthy participants | 2012 | Randomized controlled trial | n = 48 |
| Distinct Effects of Δ9-Tetrahydrocannabinol and Cannabidiol on Neural Activation During Emotional Processing Healthy, English-native, right-handed men who had used cannabis 15 times or less in... | 2009 | Double-blind, randomized, placebo-controlled crossover trial | n = 15 |
| Acute Effects of a Single, Oral dose of d9-tetrahydrocannabinol (THC) and Cannabidiol (CBD) Administration in Healthy Volunteers Healthy male subjects | 2012 | Randomized controlled trial | n = 16 |
| Modulation of Mediotemporal and Ventrostriatal Function in Humans by Δ9-Tetrahydrocannabinol Healthy, native English-speaking, right-handed men of white race/ethnicity who had used... | 2009 | Randomized controlled trial | n = 15 |
| Cannabidiol (CBD) content in vaporized cannabis does not prevent tetrahydrocannabinol (THC)-induced impairment of driving and cognition Healthy volunteers with a history of light cannabis use | 2019 | Randomized, double-blind, within-subjects crossover | n = 14 |