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Persistent cannabis users show neuropsychological decline from childhood to midlife
Open accessAbstract
Recent reports show that fewer adolescents believe that regular cannabis use is harmful to health. Concomitantly, adolescents are initiating cannabis use at younger ages, and more adolescents are using cannabis on a daily basis. The purpose of the present study was to test the association between persistent cannabis use and neuropsychological decline and determine whether decline is concentrated among adolescent-onset cannabis users. Participants were members of the Dunedin Study, a prospective study of a birth cohort of 1,037 individuals followed from birth (1972/1973) to age 38 y. Cannabis use was ascertained in interviews at ages 18, 21, 26, 32, and 38 y. Neuropsychological testing was conducted at age 13 y, before initiation of cannabis use, and again at age 38 y, after a pattern of persistent cannabis use had developed. Persistent cannabis use was associated with neuropsychological decline broadly across domains of functioning, even after controlling for years of education. Informants also reported noticing more cognitive problems for persistent cannabis users. Impairment was concentrated among adolescent-onset cannabis users, with more persistent use associated with greater decline. Further, cessation of cannabis use did not fully restore neuropsychological functioning among adolescent-onset cannabis users. Findings are suggestive of a neurotoxic effect of cannabis on the adolescent brain and highlight the importance of prevention and policy efforts targeting adolescents.
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“In humans, studies have reported effects of ACE on academic achievement [144], IQ [145], and performance on specific cognitive tasks [146, 147] (but see also [148]).”
From Consequences of adolescent drug use (2023) · cites this paper as [145]
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“In humans, studies have reported effects of ACE on academic achievement [144], IQ [145], and performance on”
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“Whilst cognitive deficits have also been shown to be associated with cannabis use (63) these studies suffer from the same issues as discussed above regarding establishing whether association from observational studies are causal or not.”
From Association Between Cannabis and Psychosis: Epidemiologic Evidence (2016) · cites this paper as [63]
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Towe, S. L., Meade, C. S., Cloak, C. C., Bell, R. P., Baptiste, J., & Chang, L. (2020) · Journal of Neuroimmune Pharmacology · doi:10.1007/s11481-020-09921-y · Cited by 18
“…regular cannabis use was associated with broad neuropsychological decline over time, particularly among early initiators (people who began using cannabis before 18 years of age), and that cessation of use did not lead to fully restored cognitive function among early initiators (Meier et al. 2012).”
BackgroundVape shop owners’/managers’ attitudes about CBD, THC, and marijuana legal markets
Berg, C. J., Getachew, B., Pulvers, K. M., Sussman, S. Y., Wagener, T. L., Meyers, C., Park, A., Dorvil, S., Patterson, A., Weber, A. A., et al. (2020) · Preventive Medicine Reports · doi:10.1016/j.pmedr.2020.101208 · Cited by 18
“…Academies of Sciences E, and Medicine, 2017; Cohen et al., 2019; Meier et al., 2016; Auer et al., 2016; Volkow et al., 2014; Epstein et al., 2015; Meier, 2012; Toumbourou et al., 2007; Tucker et al., 2005; Crane et al., 2013; Ramaekers et al., 2006; , Johnston, 2016; Monitoring the Future.,…”
BackgroundRaymond, D. R., Paneto, A., Yoder, K. K., O’Donnell, B. F., Brown, J. W., Hetrick, W. P., & Newman, S. D. (2020) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2020.599256 · Cited by 22
Naturalistic exploratory study of the associations of substance use on ADHD outcomes and function
MacDonald, B., & Sadek, J. R. (2021) · BMC Psychiatry · doi:10.1186/s12888-021-03263-6 · Cited by 24
Radoman, M., Hoeppner, S. S., Schuster, R. M., Evins, A. E., & Gilman, J. M. (2019) · Cognitive Affective & Behavioral Neuroscience · doi:10.3758/s13415-019-00704-4 · Cited by 18
Luciana, M. M., & Ewing, S. W. F. (2015) · Developmental Cognitive Neuroscience · doi:10.1016/j.dcn.2015.10.005 · Cited by 22
What to make of cannabis and cognition in MS: In search of clarity amidst the haze
Feinstein, A., Banwell, E., & Pavisian, B. (2015) · Multiple Sclerosis Journal · doi:10.1177/1352458515607652 · Cited by 17
Chooi, W.-T., Zaharim, N. M., Desrosiers, A., Ahmad, I., Yasin, M. A. M., Jaapar, S. Z. S., Schottenfeld, R. S., Vicknasingam, B. K., & Chawarski, M. C. (2017) · Journal of Psychoactive Drugs · doi:10.1080/02791072.2017.1342152 · Cited by 16
“…age 18 had reduced verbal IQ (Pope Jr. et al. 2003); those who initiated use before age 16 performed worse on tasks engaging executive functions (Meier et al. 2012); those who initiated use before age 15 exhibited poorer sustained attention, cognitive inhibition, and abstract reasoning (Fontes…”
MethodLogics of Legitimation in Swedish Treatment for Youth Cannabis Use
Ekendahl, M., Karlsson, P., & Månsson, J. (2018) · Contemporary Drug Problems · doi:10.1177/0091450918764128 · Cited by 17
“Some research suggests that cannabis use is correlated with adverse health effects among young people (Meier et al., 2012) and that low-risk perceptions in this group are related to cannabis use (Andersson, Miller, Beck, & Chomynova, 2009; Bachman, Johnson, & O’Malley, 1998; Chomynova, Miller, &…”
BackgroundJacobs-Brichford, E., Manson, K. F., & Roitman, J. D. (2018) · Physiology & Behavior · doi:10.1016/j.physbeh.2018.12.006 · Cited by 17
“, 2011), increased cognitive impairment (Meier et al., 2012), and heightened risk of psychosis or schizophrenia in individuals with a predisposition (Caspi et al.”
BackgroundAyesa‐Arriola, R., de la Foz, V. O., Murillo‐García, N., Vázquez-Bourgón, J., Juncal‐Ruíz, M., Gómez‐Revuelta, M., Suárez‐Pinilla, P., Setién‐Suero, E., & Crespo‐Facorro, B. (2021) · Psychological Medicine · doi:10.1017/s0033291721003536 · Cited by 17
“As stated by Meier et al. (2012), based on their results observed in the prospective study conducted with the Dunedin cohort, cannabis could have a remarkable neurotoxic effect on the adolescent brain.”
An Interpretable and Predictive Connectivity-Based Neural Signature for Chronic Cannabis Use
Kulkarni, K. R., Schafer, M., Berner, L. A., Fiore, V. G., Heflin, M., Hutchison, K. E., Calhoun, V. D., Filbey, F. M., Pandey, G. S., Schiller, D., et al. (2022) · Biological Psychiatry Cognitive Neuroscience and Neuroimaging · doi:10.1016/j.bpsc.2022.04.009 · Cited by 17
Wade, N. E., Wallace, A. L., Huestis, M. A., Lisdahl, K. M., Sullivan, R. M., & Tapert, S. F. (2023) · Addictive Behaviors · doi:10.1016/j.addbeh.2023.107930 · Cited by 19
Cannabis Use and Cognitive Functioning Across the Lifespan
Meier, M. H., Olive, M. F., Jenks, O. A., & Wernik, S. R. (2024) · Current Addiction Reports · doi:10.1007/s40429-024-00571-1 · Cited by 20
“Work from one of us on the Dunedin Longitudinal Study, which followed a representative birth cohort from childhood to midlife, suggested that it is long-term use from adolescence onward that is most strongly associated with cognitive decline [64].”
InfluentialSelf-citationNo additive effect of cannabis on cognition in schizophrenia
Power, B., Dragović, M., Badcock, J. C., Morgan, V. A., Castle, D. J., Jablensky, A. V., & Stefanis, N. C. (2015) · Schizophrenia Research · doi:10.1016/j.schres.2015.06.026 · Cited by 18
“Studies in healthy individuals suggest that persistent cannabis use beginning in adolescence is prospectively associated with global cognitive decline, with more severe and prolonged neuropsychological impairment in those who use cannabis earlier, more frequently and for prolonged periods (Bolla et al., 2002; Messinis…”
InfluentialPsychometric assessment of the marijuana adolescent problem inventory
Knapp, A. A., Babbin, S. F., Budney, A. J., Walker, D. D., Stephens, R. S., Scherer, E. A., & Stanger, C. (2017) · Addictive Behaviors · doi:10.1016/j.addbeh.2017.12.013 · Cited by 17
“For example, a recent longitudinal study detected relations between persistent adolescent cannabis use and neuropsychological impairment in adulthood, suggesting persistent use during the developmental period of adolescence may have negative consequences on neurodevelopment (Meier et al., 2012).”
BackgroundSetién‐Suero, E., Martínez‐García, O., de la Foz, V. O., Vázquez-Bourgón, J., Correa‐Ghisays, P., Ferro, A., Crespo‐Facorro, B., & Ayesa‐Arriola, R. (2018) · Schizophrenia Research · doi:10.1016/j.schres.2018.05.036 · Cited by 17
Elam, K. K., Clifford, S., Ruof, A., Shaw, D. S., Wilson, M. N., & Lemery‐Chalfant, K. (2020) · Development and Psychopathology · doi:10.1017/s0954579420001066 · Cited by 20
“Identifying developmental pathways to adolescent marijuana use is important based on increases in marijuana use with legalization and evidence that early chronic marijuana use can adversely affect cognitive functioning across the lifespan (Meier et al., 2012; Volkow et al., 2016).”
BackgroundWinters, A. M., Malouff, J. M., & Schutte, N. S. (2022) · Personality and Individual Differences · doi:10.1016/j.paid.2022.111635 · Cited by 20
Kokotovič, K. O., Pšunder, M., & Kirbiš, A. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19138080 · Cited by 17
“Cannabis use is associated with an increased risk of dropping out of secondary school, not enrolling in university, failing to attain a degree, and other adverse adolescent outcomes [2,8,10,11,13,76].”
BackgroundHIV-Related Neurocognitive Disorders and Drugs of Abuse: Mired in Confound, Surrounded by Risk
Kennedy, C. A., & Zerbo, E. A. (2014) · Current Addiction Reports · doi:10.1007/s40429-014-0028-5 · Cited by 17
Forensic Assessment of Adults Reporting Childhood Sexualized Assault: Risk, Resilience, and Impacts
Barnes, R., & Josefowitz, N. (2014) · Psychological Injury and Law · doi:10.1007/s12207-014-9184-0 · Cited by 18
Hirst, R. B., Young, K. R., Sodos, L. M., Wickham, R. E., & Earleywine, M. (2016) · Journal of Clinical and Experimental Neuropsychology · doi:10.1080/13803395.2016.1237617 · Cited by 17
Aguilar, M. A., Ledesma, J., Rodríguez‐Arias, M., Penalva, C., Manzanedo, C., Miñarro, J., & Arenas, M. C. (2017) · International Journal of Molecular Sciences · doi:10.3390/ijms18061326 · Cited by 17
Maher, D. P., Carr, D. B., Hill, K. P., McGeeney, B. E., Weed, V. F., Jackson, W., DiBenedetto, D. J., Moriarty, E. M., & Kulich, R. J. (2017) · Pain Medicine · doi:10.1093/pm/pnx143 · Cited by 16
Mun, C. J., Dishion, T. J., Tein, J., & Otten, R. (2017) · Development and Psychopathology · doi:10.1017/s0954579417001742 · Cited by 17
“…psychosocial problems, including psychosis, neurocognitive decline, sexually transmitted diseases, dropout from school, legal issues, and loss of educational and occupational aspirations (Budney, Roffman, Stephens, & Walker, 2007; Di Forti et al., 2012; Meier et al., 2012; Rubino & Parolaro, 2016).”
BackgroundPadovano, H. T., & Miranda, R. (2018) · Journal of Studies on Alcohol and Drugs · doi:10.15288/jsad.2018.79.190 · Cited by 18
“Cannabis misuse among youth is potentially damaging to long-term health (Crean et al., 2011; Meier et al., 2012; Volkow et al., 2014); yet, the majority of youth who receive treatment will not show lasting reductions in use (Bender et al., 2011; Davis et al., 2015).”
BackgroundManolis, T. A., Manolis, A. S., & Manolis, A. S. (2018) · Mini-Reviews in Medicinal Chemistry · doi:10.2174/1389557518666181114113947 · Cited by 17
Pharmacotherapies for Cannabis Use Disorders: Clinical Challenges and Promising Therapeutic Agents
Nielsen, S., Sabioni, P., Gowing, L., & Foll, B. L. (2019) · Handbook of experimental pharmacology · doi:10.1007/164_2019_258 · Cited by 17
Cannabis and the adolescent brain
Shen, H. H. (2020) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1920325116 · Cited by 17
Poulton, R., Robertson, K., Boden, J. M., Horwood, L. J., Theodore, R. F., Potiki, T., & Ambler, A. P. (2020) · Journal of the Royal Society of New Zealand · doi:10.1080/03036758.2020.1750435 · Cited by 17
“…researchers have recommended that prevention and policy-making should concentrate on delaying the onset of cannabis use until adulthood and that education programmes should be used to target adolescents with messages about how cannabis can affect their brain development (Meier et al. 2012).”
BackgroundInfluentialSelf-citationSingh, D., & Lippmann, S. (2017) · Postgraduate Medicine · doi:10.1080/00325481.2018.1413281 · Cited by 17
“Neurological and psychological functioning declines among marijuana users, especially if started at a young age; [16] a higher decrement is documented in frequent consumers [16].”
Background
Metadata
- Authors
- Meier, M. H., Caspi, A., Ambler, A., Harrington, H., Houts, R., Keefe, R. S. E., McDonald, K., Ward, A., Poulton, R., & Moffitt, T. E.
- Affiliations
- Duke University (US)
- King's College London (GB)
- University of Otago (NZ)
- ORCID
- Venue
- Proceedings of the National Academy of Sciences
- Publisher
- National Academy of Sciences
- Published
- 2012-08-27
- Volume
- 109
- Issue
- 40
- Pages
- E2657-64
- ISSN
- 0027-8424 (ISSN-L)
- 1091-6490
- PMC
- PMC3479587
- OpenAlex
- W2153739923
- Cited by
- 1,523
- References
- 59
- Citations by year
- 2026: 48 · 2025: 69 · 2024: 57 · 2023: 103 · 2022: 86 · 2021: 112 · 2020: 144 · 2019: 139 · 2018: 119 · 2017: 149 · 2016: 152 · 2015: 130 · 2014: 114 · 2013: 83 · 2012: 15
- FWCI
- 80.45
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Proceedings of the National Academy of Sciences (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Research Portal (King's College London) (submittedVersion)
- Funders
- Jacobs Foundation (AG032282)
- Medical Research Council (MR/K00381X, MR/K00381X/1, AG032282, G0100527)
- National Institute on Aging (AG-032282, R01AG032282)
- National Institute of Mental Health (MH-077874, R01MH077874)
- National Institute on Drug Abuse (P30DA023026)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (P2CHD065563, R24HD065563)
- Topics
- Health Sciences › Medicine › Pharmacology (medical) › Cannabis and Cannabinoid Research
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Prenatal Substance Exposure Effects
- Keywords
- cannabis use, neuropsychological decline, cognitive impairment, adolescent brain development, neurotoxicity, cannabis cessation, Dunedin Study, birth cohort
- MeSH terms
- Adolescent, Adult, Age Factors, Humans, Longitudinal Studies, Marijuana Smoking, Mental Processes, Neuropsychological Tests, Prospective Studies, Regression Analysis, Cohort Studies, Least-Squares Analysis
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