The DOI matches its Crossref record; 48 of the 49 references it cites were found in a registry or an index.
The persistence of the association between adolescent cannabis use and common mental disorders into young adulthood
Abstract
AIMS: Debate continues about whether the association between cannabis use in adolescence and common mental disorders is causal. Most reports have focused on associations in adolescence, with few studies extending into adulthood. We examine the association from adolescence until the age of 29 years in a representative prospective cohort of young Australians. DESIGN: Nine-wave, 15-year representative longitudinal cohort study, with six waves of data collection in adolescence (mean age 14.9-17.4 years) and three in young adulthood (mean age 20.7, 24.1 and 29.1 years). PARTICIPANTS: Participants were a cohort of 1943 recruited in secondary school and surveyed at each wave when possible from mid-teen age to their late 20s. SETTING: Victoria, Australia. MEASUREMENTS: Psychiatric morbidity was assessed with the Revised Clinical Interview Schedule (CIS-R) at each adolescent wave, and as Composite International Diagnostic Interview (CIDI)-defined ICD-10 major depressive episode and anxiety disorder at 29 years. Frequency of cannabis use was measured in the past 6 months in adolescence. Cannabis use frequency in the last year and DSM-IV cannabis dependence were assessed at 29 years. Cross-sectional and prospective associations of these outcomes with cannabis use and dependence were estimated as odds ratios (OR), using multivariable logistic regression models, with the outcomes of interest, major depressive episode (MDE) and anxiety disorder (AD) at 29 years. FINDINGS: There were no consistent associations between adolescent cannabis use and depression at age 29 years. Daily cannabis use was associated with anxiety disorder at 29 years [adjusted OR 2.5, 95% confidence interval (CI):< 1.2-5.2], as was cannabis dependence (adjusted OR 2.2, 95% CI: 1.1-4.4). Among weekly+ adolescent cannabis users, those who continued to use cannabis use daily at 29 years remained at significantly increased odds of anxiety disorder (adjusted OR 3.2, 95% CI: 1.1-9.2). CONCLUSIONS: Regular (particularly daily) adolescent cannabis use is associated consistently with anxiety, but not depressive disorder, in adolescence and late young adulthood, even among regular users who then cease using the drug. It is possible that early cannabis exposure causes enduring mental health risks in the general cannabis-using adolescent population.
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“Interestingly, the higher risk for depression and anxiety in adolescents that continue to smoke until age 29 years was also confirmed by Degenhardt et al, 38 suggesting that even the chronic use in young age is detrimental for mental health.”
From Association of Cannabis Use in Adolescence and Risk of Depression, Anxiety, and Suicidality in Young Adulthood (2019) · cites this paper as [38]
Citations
Cites
Diagnostic and Statistical Manual of Mental Disorders
Williams, J. B. W., & First, M. B. (2013) · Oxford University Press eBooks · doi:10.1093/acrefore/9780199975839.013.104 · Cited by 109,845
Multiple Imputation for Nonresponse in Surveys
Rubin, D. B. (1987) · Wiley Series in Probability and Statistics · doi:10.1002/9780470316696 · Cited by 20,701
Kessler, R. C. (1994) · Archives of General Psychiatry · doi:10.1001/archpsyc.1994.03950010008002 · Cited by 12,370
Kessler, R. C., & Üstün, T. B. (2004) · International Journal of Methods in Psychiatric Research · doi:10.1002/mpr.168 · Cited by 4,771
Comprehensive Textbook of Psychiatry
Freedman, A. M., & Kaplan, H. I. (1967) · The American Journal of the Medical Sciences · doi:10.1097/00000441-196712000-00052 · Cited by 3,825
The detection of psychiatric illness by questionnaire
Levy, R. (1973) · Journal of Psychosomatic Research · doi:10.1016/0022-3999(73)90039-1 · Cited by 2,707
The world health organization composite international diagnostic interview short-form (CIDI-SF)
Kessler, R. C., Andrews, G., Mroczek, D., Ustun, B., & Wittchen, H. (1998) · International Journal of Methods in Psychiatric Research · doi:10.1002/mpr.47 · Cited by 2,242
Cannabis use and risk of psychotic or affective mental health outcomes: a systematic review.
Moore, T. H., Zammit, S., Lingford-Hughes, A., Barnes, T. R., Jones, P. B., Burke, M., & Lewis, G. (2007) · The Lancet · doi:10.1016/s0140-6736(07)61162-3 · Cited by 2,224
Jablensky, A., Sartorius, N., Ernberg, G., Anker, M., Korten, A., Cooper, J. E., Day, R., & Bertelsen, A. (1992) · Psychological Medicine. Monograph Supplement · doi:10.1017/s0264180100000904 · Cited by 1,769
Psychiatric disorders in America
Robins, L. N. (1991) · Medical Entomology and Zoology · Cited by 1,567
Research works printed but not linked: 1
- Institute of Medicine, 1996, Pathways of Addiction
Cited by
Sorted by citations
Items 201–236 of 236
Prescrire du cannabis fumé pour la douleur chronique non cancéreuse: Recommandations préliminaires
Kahan, M., Srivastava, A., Spithoff, S. M., & Bromley, L. A. (2014) · Europe PMC (PubMed Central)
The Moderating Role of Peer Problems on the Relationship Between Substance Use and Mental Health
Mason, M. J., Campbell, L. F., King, L., & Sonenklar, N. (2015) · Journal of Child & Adolescent Substance Abuse · doi:10.1080/1067828x.2014.948249 · Cited by 1
“Specifically, cannabis use in adolescence is positively associated with depressive symptoms in young adulthood (Harder, Stuart, & Anthony, 2008) and heavy users (weekly C) are at twice the risk for anxiety disorders at age 29 relative to nonheavy users (Degenhardt et al., 2012).”
BackgroundThe Association between Adolescent Marijuana Use and Early Adulthood Depression
Fritz, M. L. (2016) · CU Scholar (University of Colorado Boulder)
Contributions to the epidemiology and mental health consequences of cannabis smoking
Fairman, B. J. (2014) · Michigan State University Libraries · doi:10.25335/m50t57
Kashyap, S. (2016) · Research and reviews : journal of chemistry
Practical Aspects of Discussing Marijuana in a New Era
LeNoue, S. R., Wongngamnit, N., & Thurstone, C. (2016) · Journal of Psychiatric Practice · doi:10.1097/pra.0000000000000189
Biologist and Former Head of Health Education
Brett, M. (2016)
Sex Differences in the Anxiety Effects of Cannabinoids
French, H. T. (2017) · CUNY Academic Works (City University of New York)
Sidhu, N., Patel, S., & Parekh, R. (2017) · FOCUS The Journal of Lifelong Learning in Psychiatry · doi:10.1176/appi.focus.20170003
da Silva, D. C., Boff, R. D. M., Wendling, M. I., & Oliveira, M. D. S. (2018) · Estudos e Pesquisas em Psicologia · doi:10.12957/epp.2016.31676
ROLE OF CANNABIS IN PSYCHIATRIC ILLNESSES: A MINI-LITERATURE REVIEW.
WajihUllah, M., Ashraf, F., SamartaAliasMonika, F., Siddiq, W., Fatiwala, Z., Zaheer, S., & Dp., N. (2018) · International Journal of Advanced Research · doi:10.21474/ijar01/7628
“Some studies propose that there is a significant association between the baseline use of cannabinoids and development of depression later in life [8-9], while others conclude that the risk of developing depression is equal in cannabinoids users and non-users [10-11].”
BackgroundHamza, D. M. (2017) · ERA: Education and Research Archive (University of Alberta) · doi:10.7939/r31v5br91
Perspectives on the legalization of cannabis in Canada and how this may impact university life
Hussey, M. H. (2018) · Memorial University Research Repository (Memorial University)
Management of Adolescent Substance Use Disorders, With an Emphasis on Cannabis Use Disorders
Wilkins, J. N. (2019) · FOCUS The Journal of Lifelong Learning in Psychiatry · doi:10.1176/appi.focus.20190006
Zhou, P.-Y., Wong, A. K. C., Yang, Y., Leatherdale, S. T., Battista, K., Butt, Z. A., Michalopoulos, G., & Chen, H. (2021) · Research Square · doi:10.21203/rs.3.rs-928545/v1
Barriage, S., Choi, H. J., Ray, A. E., Hecht, M. L., Greene, K. L., & Glenn, S. D. (2022) · Lecture notes in computer science · doi:10.1007/978-3-030-96960-8_8
“,sexualviolence,suicideattempts,mentalhealthissues,and substanceabuselastingintoadulthood[10,11,30,45].”
Complications and Adverse Events from Cannabis Use
Finlayson, A., & Palatnick, W. (2022) · Springer eBooks · doi:10.1007/978-3-031-12722-9_12
Amone‐P’Olak, K., & Omech, B. (2023) · African Journal of Drug and Alcohol Studies · doi:10.4314/ajdas.v20i2.4
“Several previous studies have demonstrated a link between cannabis use and anxiety disorders (Degenhardt et al. 2001; Degenhardt et al. (2013), panic disorder (Zvolensky et al., 2006) and generalized anxiety disorder (Kessler et al., 2002).”
BackgroundModelling the risk ecosystem of depression using machine learning in a population of young adultsPreprint
Fraser, H., Kwong, A. S. F., Brooks, M., Davidson, B. I., McConville, R., & Pearson, R. M. (2023) · medRxiv · doi:10.1101/2023.08.15.23294062
“…is not consistently agreed upon in the literature; whilst some older evidence suggests that depression and cannabis use do co-occur 46,47 , other findings show that cannabis users were not more likely than non-users to be diagnosed with major depressive disorder (MDD) over their life time 48 .”
BackgroundCannabis use amongst students attending an alternative provision in the United Kingdom
Humphreys, J., Atkinson, C., & Hennessey, A. (2024) · Pastoral Care in Education · doi:10.1080/02643944.2024.2325490
“A considerable number of past users linked CU with anxiety; a finding reflected in longitudinal studies investigating the impact of CU on adolescent mental health (Degenhardt et al., 2013).”
Understanding Early Stressful Experiences as a Risk Factor for Problematic Cannabis Use.
Aubin, K. C. M. (2024) · Carleton University's Institutional Repository (MacOdrum Library, Carleton University) · doi:10.22215/etd/2024-16255
Botsford, S. L., Yang, S., & George, T. P. (2025) · FOCUS The Journal of Lifelong Learning in Psychiatry · doi:10.1176/appi.focus.25023010
Cannabis Use and Psychiatric Symptoms in Adolescence
Costello, M. A., Schuster, R. M., Gilman, J. M., & Evins, A. E. (2025) · Springer eBooks · doi:10.1007/978-3-031-87990-6_16
Marvin, M. J., Ballinger, A. L., Stein, S. F., Fairchild, J. N., Bogat, G. A., Lonstein, J. S., Nuttall, A. K., Muzik, M., & Levendosky, A. A. (2025) · American Journal of Perinatology · doi:10.1055/a-2761-1601
“26 There is preliminary evidence to suggest that cannabis use can exacerbate anxiety, 12,27 although work in this area also has mixed fi ndings.”
Wadsworth, E., Fataar, F., Goodman, S., Smith, D. M., Renard, J., Gabrys, R. L., Jesseman, R., & Hammond, D. (2022) · Figshare · doi:10.6084/m9.figshare.21522185
Wadsworth, E., Fataar, F., Goodman, S., Smith, D. M., Renard, J., Gabrys, R. L., Jesseman, R., & Hammond, D. (2022) · Figshare · doi:10.6084/m9.figshare.21522182
Stress, Anxiety, and Depression
O’Brien, K., & Bosak, C. (2025) · Springer eBooks · doi:10.1007/978-3-032-01737-6_3 · Cited by 1
Censo, G. D., Thompson, K. R., & Bowden, J. A. (2026) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2026.113057
Pipitone, R. N., Banai, B., Walters, J., Dautrich, T., Schuller, K. L., Rosenthal, M. S., Provost, K., Hall, B., & Keeling, K. (2026) · Scientific Reports · doi:10.1038/s41598-026-39086-2
Anxiety in Underserved Populations: Identification, Assessment, and Treatment in Primary Care
Bitterman, M., Parkhurst, J. T., & Spencer, A. E. (2026) · American Academy of PediatricsItasca, IL eBooks · doi:10.1542/9781610028493-ch14
Chapter 7. Cannabis and Depression: An Update on Co-Occurrence and Underlying Mechanisms
Weinstein, A. M., & Feingold, D. (2024) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9798894550749.lg07
Sylvestre, M., Boulanger, L., Pelekanakis, A., Naja, M., Dubé, G., Doré, I., Bélanger, R. E., Haddad, S. H. S., & Leatherdale, S. T. (2026) · Addiction · doi:10.1111/add.70490
Censo, G. D., Edwards, R., Bowden, J. A., & Thompson, K. R. (2026) · International Journal of Drug Policy · doi:10.1016/j.drugpo.2026.105419
Mental Health Problems Among Unaccompanied Refugee Minors Treated for Substance Abuse
Ivert, A., & Magnusson, M.-M. (2026) · Springer eBooks · doi:10.1007/978-3-032-32399-6_8
Metadata
- Authors
- Degenhardt, L., Coffey, C., Romaniuk, H., Swift, W., Carlin, J. B., Hall, W. D., & Patton, G. C.
- Affiliations
- The University of Melbourne (AU)
- Royal Children's Hospital (AU)
- UNSW Sydney (AU)
- The University of Queensland (AU)
- Corresponding author
- Degenhardt, Louisa
- Venue
- Addiction
- Publisher
- Wiley
- Published
- 2012-10-18
- Volume
- 108
- Issue
- 1
- Pages
- 124-133
- ISSN
- 0965-2140 (ISSN-L)
- 1360-0443
- OpenAlex
- W2111932815
- Cited by
- 237
- References
- 49
- Citations by year
- 2026: 8 · 2025: 11 · 2024: 12 · 2023: 8 · 2022: 20 · 2021: 15 · 2020: 22 · 2019: 17 · 2018: 25 · 2017: 22 · 2016: 18 · 2015: 22 · 2014: 25 · 2013: 9 · 2012: 3
- FWCI
- 13.88
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Addiction (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pharmacology (medical) › Cannabis and Cannabinoid Research
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Keywords
- adolescent cannabis use, cannabis use disorder, anxiety disorders, major depressive episode, common mental disorders, early adulthood, daily cannabis use, long-term mental health outcomes, causal relationship
- MeSH terms
- Adolescent, Adult, Anxiety Disorders, Marijuana Abuse, Major Depressive Disorder, Depressive Disorder, Major, Female, Humans, Longitudinal Studies, Male, Marijuana Smoking, Young Adult
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