The DOI matches its Crossref record; 58 of the 58 references it cites were found in a registry or an index.
Cannabis Use Is Quantitatively Associated with Nucleus Accumbens and Amygdala Abnormalities in Young Adult Recreational Users
Open accessAbstract
Marijuana is the most commonly used illicit drug in the United States, but little is known about its effects on the human brain, particularly on reward/aversion regions implicated in addiction, such as the nucleus accumbens and amygdala. Animal studies show structural changes in brain regions such as the nucleus accumbens after exposure to Δ9-tetrahydrocannabinol, but less is known about cannabis use and brain morphometry in these regions in humans. We collected high-resolution MRI scans on young adult recreational marijuana users and nonusing controls and conducted three independent analyses of morphometry in these structures: (1) gray matter density using voxel-based morphometry, (2) volume (total brain and regional volumes), and (3) shape (surface morphometry). Gray matter density analyses revealed greater gray matter density in marijuana users than in control participants in the left nucleus accumbens extending to subcallosal cortex, hypothalamus, sublenticular extended amygdala, and left amygdala, even after controlling for age, sex, alcohol use, and cigarette smoking. Trend-level effects were observed for a volume increase in the left nucleus accumbens only. Significant shape differences were detected in the left nucleus accumbens and right amygdala. The left nucleus accumbens showed salient exposure-dependent alterations across all three measures and an altered multimodal relationship across measures in the marijuana group. These data suggest that marijuana exposure, even in young recreational users, is associated with exposure-dependent alterations of the neural matrix of core reward structures and is consistent with animal studies of changes in dendritic arborization.
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The check wasn’t confident either way, so it gives no verdict — never disputed.
In the citing paper
“Adolescent rats treated with THC also have fewer synaptic contacts during adulthood and reduced efficiency of hippocampal networks 75”
From Association of Cannabis Use in Adolescence and Risk of Depression, Anxiety, and Suicidality in Young Adulthood (2019) · cites this paper as [75]
Experimental — accuracy not yet measuredIn the citing paper
“We provide a weak recommendation against the use of cannabinoids in neuropathic pain, mainly because of negative results, potential misuse, abuse, diversion and long term mental health risks particularly in susceptible individuals.66–71”
From Pharmacotherapy for neuropathic pain in adults: a systematic review and meta-analysis (2015) · cites this paper as [70]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
Hamilton, M. (1960) · Journal of Neurology, Neurosurgery & Psychiatry · doi:10.1136/jnnp.23.1.56 · Cited by 32,817 · cited 5×
“All participants also completed the State Trait Anxiety Inventory Form (STAI; Spielberger et al., 1983) to assess anxiety, the Hamilton Depression Rating Scale (HAM-D; Hamilton, 1960) to assess depression, and the Ten-Item Personality Inventory (TIPI; Gosling et al., 2003) to assess personality characteristics.”
BackgroundMethodInfluential(1970) · Cited by 24,983
SAUNDERS, J. B., AASLAND, O. G., BABOR, T. F., DE LA FUENTE, J. R., & GRANT, M. (1993) · Addiction · doi:10.1111/j.1360-0443.1993.tb02093.x · Cited by 13,597 · cited 1×
“All participants completed the Alcohol Use Disorder Identification Test (AUDIT; Saunders et al., 1993) to check for problem drinking; any potential participant scoring above an 8 was excluded from inclusion in the final cohort of matched participants.”
MethodVoxel-Based Morphometry—The Methods
Ashburner, J., & Friston, K. J. (2000) · NeuroImage · doi:10.1006/nimg.2000.0582 · Cited by 8,676 · cited 1×
“In voxel-based morphometry analyses, gray matter density is compared across the entire brain at every voxel, allowing the detection of differences in small or large regions, which can be topographically specified with high accuracy (Ashburner and Friston, 2000) even though all brains have been normalized.”
Fischl, B., Salat, D. H., Busa, E., Albert, M., Dieterich, M., Haselgrove, C., van der Kouwe, A., Killiany, R., Kennedy, D., Klaveness, S., et al. (2002) · Neuron · doi:10.1016/s0896-6273(02)00569-x · Cited by 8,610
Self-citationA very brief measure of the Big-Five personality domains
Gosling, S. D., Rentfrow, P. J., & Swann, W. B. (2003) · Journal of Research in Personality · doi:10.1016/s0092-6566(03)00046-1 · Cited by 8,307 · cited 5×
“All participants also completed the State Trait Anxiety Inventory Form (STAI; Spielberger et al., 1983) to assess anxiety, the Hamilton Depression Rating Scale (HAM-D; Hamilton, 1960) to assess depression, and the Ten-Item Personality Inventory (TIPI; Gosling et al., 2003) to assess personality characteristics.”
BackgroundMethodInfluentialNonparametric permutation tests for functional neuroimaging: A primer with examples
Nichols, T. E., & Holmes, A. P. (2002) · Human Brain Mapping · doi:10.1002/hbm.1058 · Cited by 6,256
Koob, G. F., & Volkow, N. D. (2010) · Neuropsychopharmacology · doi:10.1038/npp.2009.110 · Cited by 5,340 · cited 1×
“Converging findings in the addiction literature implicate these regions as being important to the impact that marijuana may have on the brain (for review, see Koob and Volkow, 2010).”
BackgroundBlood, A. J., & Zatorre, R. J. (2001) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.191355898 · Cited by 2,814 · cited 2×
“First, the nucleus accumbens and amygdala have been implicated in non-drug reward processing (Blood and Zatorre, 2001; Breiter et al., 2001), as well as with the euphoria associated with the rewarding effects of drugs (Breiter et al., 1997; Gálvez-Buccollini et al., 2008; Gilman et al., 2008).”
BackgroundSelf-citationLimbic Activation During Cue-Induced Cocaine Craving
Childress, A. R., Mozley, P. D., McElgin, W., Fitzgerald, J., Reivich, M., & O’Brien, C. P. (1999) · American Journal of Psychiatry · doi:10.1176/ajp.156.1.11 · Cited by 1,513 · cited 1×
“Our observations indicate that such changes may occur before dependence, which is intriguing in the context that the amygdala appears to play an important role in drug craving (Breiter et al., 1997; Childress et al., 1999; Bonson et al., 2002).”
Background
Research works printed but not linked: 2
- First MB Spitzer Robert L Gibbon Miriam Williams Janet B.W (2002) Structured clinical interview for DSM-IV-TR axis I disorders, research version, patient edition (SCID-I/P) (Biometrics Research, New York State Psychiatric Institute, New York).
- 10.1176/appi.neuropsych.18.3.318 · DOI
Cited by
Sorted by citations
Items 201–250 of 250
Executive functioning and substance use disorders
Kluwe‐Schiavon, B., Sanvicente‐Vieira, B., Viola, T. W., & Moustafa, A. A. (2020) · Elsevier eBooks · doi:10.1016/b978-0-12-816979-7.00001-7 · Cited by 3
The problem of substance abuse in people with schizophrenia
DeLisi, L. E., & Fleischhacker, W. W. (2015) · Current Opinion in Psychiatry · doi:10.1097/yco.0000000000000150 · Cited by 2
Butler, A. E. (2018) · UWSpace (University of Waterloo) · Cited by 2
Owens, M. M., MacKillop, J. M., & Sweet, L. H. (2019) · PsyArXiv (OSF Preprints) · doi:10.31234/osf.io/3xytq · Cited by 2
The science behind medical marijuana and research challenges
Knežević, N. N., & Pirvulescu, I. (2021) · Zdravstvena zastita · doi:10.5937/zdravzast50-35543 · Cited by 1
Pickering, C. R., Lorenzetti, V., Jones, A., Guest, M., Christiansen, P., & Roberts, C. A. (2025) · Journal of Psychopharmacology · doi:10.1177/02698811251358814 · Cited by 1
“Regular cannabis use has been associated with neuroadaptations in these areas, particularly in the prefrontal cortex (PFC), anterior cingulate cortex (ACC) and orbitofrontal cortex (OFC; Gilman et al., 2014; Lorenzetti et al., 2019; Zhou et al., 2018).”
Sawyer, K., Freeman, T. P., Skumlien, M., Walton, E., Lancaster, T. M., Treur, J. L., Lorenzetti, V., Blackwell, A. K. M., Burke, C., Carr, R., et al. (2026) · Addiction · doi:10.1111/add.70361 · Cited by 1
Appraising the risks of reefer madness.
Murray, R. M. (2015) · PubMed Central · Cited by 1
The Ecology of Wild Cannabis sativa
Small, E. (2016) · CRC Press eBooks · doi:10.1201/9781315367583-12 · Cited by 1
Palkar, P. (2021) · Journal of Drugs Addiction & Therapeutics · doi:10.47363/jdat/2021(2)114 · Cited by 1
Cannabis Chemistry: Cannabinoids in Cannabis, Humans, and Other Species
Small, E. (2016) · CRC Press eBooks · doi:10.1201/9781315367583-20 · Cited by 1
Development of a Preclinical Inhalation Model to Test Vaporized Cannabis Distillates
Gorgani, R., Orsat, V., Eidelman, D. H., & Baglole, C. J. (2025) · Journal of Visualized Experiments · doi:10.3791/68094 · Cited by 1
Fitzcharles, M., Hazel, E. M., Taylor, G., & Tucker, L. (2016) · The Journal of Rheumatology · doi:10.3899/jrheum.150103 · Cited by 1
La neurotoxicité du cannabis : analyse des données de neuro-imagerie structurelle
ZULLINO, D. F., Calzada, G., Gaspoz, J., Achab, S., & Thorens, G. (2017) · Psychotropes · doi:10.3917/psyt.232.0111 · Cited by 1
El consumo de drogas como sostén narcisista en la adolescencia
Gamboa, A. B., & Portilla, R. C. (2018) · Revista Latinoamericana de Psicopatologia Fundamental · doi:10.1590/1415-4714.2018v21n4p715.3 · Cited by 1
“Gilman, J. M., Kuster, J. K., Lee, S., Lee, M. J., Kim, B. W., Makris, N., Van der Kouwe, A, Blood, A., & Breiter, H. C. (2014).”
BackgroundFrom Bud to Brain: A Psychiatrist's View of Marijuana
Cermak, T. L. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108653428 · Cited by 1
Smoke and Mirrors: The Recreational Marijuana Debate
Millea, T. P. (2020) · The Linacre Quarterly · doi:10.1177/0024363920916284 · Cited by 1
“This change in these “core reward structures,” particularly the amygdala and nucleus accumbens, is consistent with earlier animal studies demonstrating changes in dendritic arborization (Gilman et al. 2014).”
ResultClarity on Cannabinoid-Based Products in Medicine
Maldonado, R. J., Centonze, D., & Müller‐Vahl, K. (2021) · EMJ Neurology · doi:10.33590/emjneurol/21-07-suppl-3 · Cited by 1
Cannabis effects on the adolescent brain
Murlanova, K., Hasegawa, Y., Kamiya, A., & Pletnikov, M. V. (2022) · Elsevier eBooks · doi:10.1016/b978-0-12-823490-7.00007-1 · Cited by 2
Neglect of Legal Statute Influence on Health Outcomes in Studies about Human Cannabis UsePreprint
Moulin, T. C., Alves, J. A. J., & de Menezes, J. R. L. (2020) · Preprints.org · doi:10.20944/preprints202009.0417.v1
PARENTAL AWARENESS ON PRENATAL CONCERNS: AN EDUCATIONAL PERSPECTIVE
Rathee, N. K., & Bajwa, S. K. (2015)
Sequelae of Cannabis as Medicine
Finn, K. P. (2015) · Pain Medicine · doi:10.1111/pme.12736
Understanding the Importance of Heterogeneity When Analyzing Medical Marijuana Laws
Sabet, K. A. (2014) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2014.05.006
Medical cannabis: what advice should we be giving our rheumatology patients?
Fitzcharles, M., & Ste‐Marie, P. A. (2014) · International Journal of Clinical Rheumatology · doi:10.2217/ijr.14.34
Longitudinal Change in Cognition and White Matter Integrity in Young Adult Cannabis Users
Becker, M. P. (2015) · University of Minnesota Digital Conservancy (University of Minnesota)
Basal Ganglion Involvement in Bonsai Intoxication: Case Report
Arslan, Z. İ., Alparslan, V., Kara, B., Baykara, N., Toker, K., & Solak, M. (2015) · Turkiye Klinikleri Journal of Anesthesiology Reanimation · doi:10.5336/anesthe.2015-44341
Brain Changes in Young Adult Recreational Cannabis Users
Joffe, A. (2014) · Journal watch · doi:10.1056/nejm-jw.na34470
Functional Brain Abnormalities Linked to Cognitive Impairments in MS Patients Who Use Marijuana
Hurley, D. (2014) · Neurology Today · doi:10.1097/01.nt.0000450999.79976.60
Top of mind at APA meeting: Adherence, opioids, PTSD
Park, S. K. (2014) · Pharmacy Today · doi:10.1016/s1042-0991(15)30855-0
Are illicit drug users more likely to receive mental health treatment?
Crum, A. B., Voss, M. W., Bounsanga, J., & Hung, M. (2016) · Drugs Education Prevention and Policy · doi:10.1080/09687637.2016.1209645
“One study of particular interest found significant differences between recreational cannabis users and non-users in grey matter density and shape of the nucleus accumbens and amygdala (Gilman et al., 2014).”
BackgroundDörr, A. P., Viani, S., & Gorostegui, M. E. (2017) · InTech eBooks · doi:10.5772/65058
“In turn, alterations in the neuronal organization of the nucleus accumbens and the amygdala, as well as in their volume and shape, have been reported in young marijuana smokers [17].”
BackgroundAlterações neurocognitivas e morfométricas cerebrais associadas ao uso do crack
Júnior, H. P. D. O. (2018) · Digital Library of Theses and Dissertations (Universidade de São Paulo) · doi:10.11606/t.5.2018.tde-12092018-082935
The Social Cost of Pain: Rejection Sensitivity, Social Rejection, and Cannabis Use in Young Adults
Dambreville, N. (2019) · CUNY Academic Works (City University of New York)
de Freitas, & Alyson, L. (2020)
High times: The effect of medical marijuana laws on student time use
Chu, Y. L., & Gershenson, S. (2021) · doi:10.26686/wgtn.14294645.v1
Marijuana for glaucoma treatment: a recipe for disaster
Daga, F. B., Almeida, I., Prata, T. S., & Paranhos, A. (2021) · Arquivos Brasileiros de Oftalmologia · doi:10.5935/0004-2749.20210056
“Others report that occasional and recreational marijuana use can lead to brain lesions in regions such as the nucleus accumbens(15).”
BackgroundThe Science of Marijuana and the Brain
Cermak, T. L. (2020)
Medical Cannabis in Chronic Pain Management – Where Are We Now?
Haider, S., & Liew, W. (2021) · Indian Journal of Pain · doi:10.4103/ijpn.ijpn_1_21
Cannabinoids in the rheumatic diseases
Fitzcharles, M. (2021) · Revista Paulista de Reumatologia · doi:10.46833/reumatologiasp.2021.20.2.45-51
Pieper, S. (2022) · Springer eBooks · doi:10.1007/978-3-662-63148-5_14
Sabet, K. A. (2023) · Elsevier eBooks · doi:10.1016/b978-0-323-91497-0.00255-1
Ha, J. C., Brad, T. L., & Ha, J. C. (2024) · CABI eBooks · doi:10.1079/9781800624566.0004
Cannabis in combat sports: position statement of the Association of Ringside Physicians
Stellpflug, S. J., Stolbach, A. I., Ghorayeb, J. H., Magraken, E., Twohey, E. E., Lapoint, J. M., & deWeber, K. (2024) · The Physician and Sportsmedicine · doi:10.1080/00913847.2024.2375788 · Cited by 1
“Reduced white matter density among regular users [80], dose-dependent reductions in hippocampal and amygdala volumes [81], and shape alterations to the nucleus accumbens have also been reported [82].”
Yeap, Z. J. S., Juliano, A., Pancholi, D., Filbey, F. M., Garava, H., Yücel, M., Lorenzetti, V., Solowij, N., Martín‐Santos, R., Batalla, A., et al. (2025) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2024.112313
Mostafa, S., & Seifeldein, G. S. (2026) · The Egyptian Journal of Neurology Psychiatry and Neurosurgery · doi:10.1186/s41983-026-01100-9 · Cited by 1
“Additionally, the changes noted in the volume of the amygdala, nucleus accumbens, thalamus, and caudate regions were consistent with several previous studies that investigated the effect of cannabinoids on the volume of brain regions other than the hippocampus [11, 12, 33].”
Chen, Z., Chen, W., Lee, Y. S., Jones, W., Goetzl, L. M., Thomas, J. D., Dong, Y., & Wang, C. (2026) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.64898/2026.04.26.720961
“For example, animal studies have shown that cannabinoids induce structural abnormalities 11 and altered synaptic transmission in the NAc 12 .”
Hargreaves, T., McIntyre‐Wood, C., Elsayed, M., Vandehei, E., Belisario, K. L., Lee, L., Blakely, A., Halladay, J. E., Amlung, M. T., Sweet, L. H., et al. (2026) · medRxiv · doi:10.64898/2026.05.26.26354113
Morphometric Effects of Marijuana on the Amygdala, Hippocampus, and Nucleus Accumbens
Paschall, C. J. (2015) · CU Scholar (University of Colorado Boulder)
Metadata
- Authors
- Gilman, J. M., Kuster, J. K., Lee, S., Lee, M. J., Kim, B. W., Makris, N., van der Kouwe, A., Blood, A. J., & Breiter, H. C.
- Affiliations
- Northwestern University (US)
- Harvard University (US)
- Venue
- The Journal of Neuroscience
- Publisher
- Society for Neuroscience
- Published
- 2014-04-16
- Volume
- 34
- Issue
- 16
- Pages
- 5529-5538
- ISSN
- 0270-6474 (ISSN-L)
- 1529-2401
- PMC
- PMC3988409
- OpenAlex
- W2030725437
- Cited by
- 250
- References
- 58
- Citations by year
- 2026: 4 · 2025: 7 · 2024: 9 · 2023: 10 · 2022: 15 · 2021: 22 · 2020: 30 · 2019: 22 · 2018: 26 · 2017: 26 · 2016: 32 · 2015: 36 · 2014: 11
- FWCI
- 25.51
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Journal of Neuroscience (publishedVersion, cc-by-nc-sa)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Northwestern University
- Office of National Drug Control Policy (DABK39-03-C-0098)
- National Institutes of Health
- U.S. Public Health Service (NIDA 026104, NIDA 14118, NIDA 026002, NIDA 027804, NINDS 052368, NIDA 034093)
- National Institute on Drug Abuse (K01DA034093)
- National Institute of Neurological Disorders and Stroke (052368)
- Topics
- Health Sciences › Medicine › Pharmacology (medical) › Cannabis and Cannabinoid Research
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
- Social Sciences › Psychology › Clinical Psychology › Psychedelics and Drug Studies
- Keywords
- cannabis use, nucleus accumbens, amygdala, gray matter density, brain volume, brain shape, reward systems, delta-9-tetrahydrocannabinol, young adults, subcallosal cortex, dendritic branching
- MeSH terms
- Adolescent, Adult, Amygdala, Female, Humans, Image Processing, Computer-Assisted, Magnetic Resonance Imaging, Male, Marijuana Smoking, Nucleus Accumbens, Organ Size, Severity of Illness Index, Young Adult
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review