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ABSTRACT: Rationale
For decades, cannabis has been the most widely used illicit substance in the world, particularly among youth. Research suggests that mental health problems associated with cannabis use may result from its effect on reward brain circuit, emotional processes, and cognition. However, findings are mostly derived from correlational studies and inconsistent, particularly in adolescents.Objectives and methods
Using data from the IMAGEN study, participants (non-users, persistent users, abstinent users) were classified according to their cannabis use at 19 and 22 years-old. All participants were cannabis-naïve at baseline (14 years-old). Psychopathological symptoms, cognitive performance, and brain activity while performing a Monetary Incentive Delay task were used as predictors of substance use and to analyze group differences over time.Results
Higher scores on conduct problems and lower on peer problems at 14 years-old (n = 318) predicted a greater likelihood of transitioning to cannabis use within 5 years. At 19 years of age, individuals who consistently engaged in low-frequency (i.e., light) cannabis use (n = 57) exhibited greater conduct problems and hyperactivity/inattention symptoms compared to non-users (n = 52) but did not differ in emotional symptoms, cognitive functioning, or brain activity during the MID task. At 22 years, those who used cannabis at both 19 and 22 years-old n = 17), but not individuals that had been abstinent for ≥ 1 month (n = 19), reported higher conduct problems than non-users (n = 17).Conclusions
Impairments in reward-related brain activity and cognitive functioning do not appear to precede or succeed cannabis use (i.e., weekly, or monthly use). Cannabis-naïve adolescents with conduct problems and more socially engaged with their peers may be at a greater risk for lighter yet persistent cannabis use in the future.
SUBMITTER: Macedo I
PROVIDER: S-EPMC11199211 | biostudies-literature | 2024 Jul
REPOSITORIES: biostudies-literature
Macedo Inês I Paiva Tiago O TO Pasion Rita R Daedelow Laura L Heinz Andreas A Magalhães Ana A Banaschewski Tobias T Bokde Arun L W ALW Desrivières Sylvane S Flor Herta H Grigis Antoine A Garavan Hugh H Gowland Penny P Brühl Rüdiger R Martinot Jean-Luc JL Martinot Marie-Laure Paillère MP Artiges Eric E Nees Frauke F Orfanos Dimitri Papadopoulos DP Paus Tomáš T Poustka Luise L Hohmann Sarah S Holz Nathalie N Fröhner Juliane H JH Smolka Michael N MN Vaidya Nilakshi N Walter Henrik H Whelan Robert R Schumann Gunter G Barbosa Fernando F
Psychopharmacology 20240326 7
<h4>Rationale</h4>For decades, cannabis has been the most widely used illicit substance in the world, particularly among youth. Research suggests that mental health problems associated with cannabis use may result from its effect on reward brain circuit, emotional processes, and cognition. However, findings are mostly derived from correlational studies and inconsistent, particularly in adolescents.<h4>Objectives and methods</h4>Using data from the IMAGEN study, participants (non-users, persisten ...[more]