Evidence map›Paper›PMID 25913109›Full record

Trial reportBiological psychiatry2015

The psychosis-like effects of Δ(9)-tetrahydrocannabinol are associated with increased cortical noise in healthy humans.

Jose A Cortes-Briones, John D Cahill, Patrick D Skosnik, Daniel H Mathalon, Ashley Williams, R Andrew Sewell, Brian J Roach, Judith M Ford, Mohini Ranganathan, Deepak Cyril D'Souza

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Biological psychiatry, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.

  1. Pooled it
  2. Neural complexity is increased after low doses of LSD, but not moderate to high doses of oral THC or methamphetamine.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2024
    Trial
  3. Trial
  4. Trial
  5. Trial
  6. The entropic brain today.Brain : a journal of neurology · 2026
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Exploring causal mechanisms of psychosis risk.Neuroscience and biobehavioral reviews · 2024
    Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Adolescent ΔBiological psychiatry · 2019
    Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 1 country.

Jose A Cortes-BrionesPsychiatry Service, Veterans Affairs Connecticut Healthcare System, West Haven, Connecticut; Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut.
John D CahillPsychiatry Service, Veterans Affairs Connecticut Healthcare System, West Haven, Connecticut; Abraham Ribicoff Research Facilities, Connecticut Mental Health Center, New Haven, Connecticut; Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut.
Patrick D SkosnikPsychiatry Service, Veterans Affairs Connecticut Healthcare System, West Haven, Connecticut; Abraham Ribicoff Research Facilities, Connecticut Mental Health Center, New Haven, Connecticut; Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut.
Daniel H MathalonDepartment of Psychiatry, University of California San Francisco, California; Mental Health Service, San Francisco Veterans Affairs Medical Center, San Francisco, California.
Ashley WilliamsPsychiatry Service, Veterans Affairs Connecticut Healthcare System, West Haven, Connecticut; Abraham Ribicoff Research Facilities, Connecticut Mental Health Center, New Haven, Connecticut.
R Andrew SewellPsychiatry Service, Veterans Affairs Connecticut Healthcare System, West Haven, Connecticut; Abraham Ribicoff Research Facilities, Connecticut Mental Health Center, New Haven, Connecticut; Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut.
Brian J RoachMental Health Service, San Francisco Veterans Affairs Medical Center, San Francisco, California.
Judith M FordDepartment of Psychiatry, University of California San Francisco, California; Mental Health Service, San Francisco Veterans Affairs Medical Center, San Francisco, California.
Mohini RanganathanPsychiatry Service, Veterans Affairs Connecticut Healthcare System, West Haven, Connecticut; Abraham Ribicoff Research Facilities, Connecticut Mental Health Center, New Haven, Connecticut; Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut.
Deepak Cyril D'SouzaPsychiatry Service, Veterans Affairs Connecticut Healthcare System, West Haven, Connecticut; Abraham Ribicoff Research Facilities, Connecticut Mental Health Center, New Haven, Connecticut; Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut. Electronic address: deepak.dsouza@yale.edu.
VA Connecticut Healthcare System · USConnecticut Mental Health Center · USSan Francisco VA Medical Center · USUniversity of California, San Francisco · USYale University · US

Funding

NEUROBIOLOGY OF CANNABIS EFFECTSR01DA012382 · NIDA · YALE UNIVERSITY · PI D'SOUZA, DEEPAK CYRIL · 2001 to 2009
$1.3M
Cannabidiol Modulation of ???-9-THC???s Psychotomimetic Effects in Healthy HumansR21DA030696 · NIDA · YALE UNIVERSITY · PI D'SOUZA, DEEPAK CYRIL, RANGANATHAN, MOHINI · 2011 to 2012
$360k
Cannabinoids, Neural Synchrony and Information ProcessingR21DA020750 · NIDA · YALE UNIVERSITY · PI D'SOUZA, DEEPAK CYRIL · 2007 to 2008
$354k
NIDA NIH HHS R01 DA012382NIDA NIH HHS R21 DA020750NIDA NIH HHS R21 DA030696
6 · The paper itself

Abstract

backgroundDrugs that induce psychosis may do so by increasing the level of task-irrelevant random neural activity or neural noise. Increased levels of neural noise have been demonstrated in psychotic disorders. We tested the hypothesis that neural noise could also be involved in the psychotomimetic effects of delta-9-tetrahydrocannabinol (Δ(9)-THC), the principal active constituent of cannabis.

methodsNeural noise was indexed by measuring the level of randomness in the electroencephalogram during the prestimulus baseline period of an oddball task using Lempel-Ziv complexity, a nonlinear measure of signal randomness. The acute, dose-related effects of Δ(9)-THC on Lempel-Ziv complexity and signal power were studied in humans (n = 24) who completed 3 test days during which they received intravenous Δ(9)-THC (placebo, .015 and .03 mg/kg) in a double-blind, randomized, crossover, and counterbalanced design.

resultsΔ(9)-THC increased neural noise in a dose-related manner. Furthermore, there was a strong positive relationship between neural noise and the psychosis-like positive and disorganization symptoms induced by Δ(9)-THC, which was independent of total signal power. Instead, there was no relationship between noise and negative-like symptoms. In addition, Δ(9)-THC reduced total signal power during both active drug conditions compared with placebo, but no relationship was detected between signal power and psychosis-like symptoms.

conclusionsAt doses that produced psychosis-like effects, Δ(9)-THC increased neural noise in humans in a dose-dependent manner. Furthermore, increases in neural noise were related with increases in Δ(9)-THC-induced psychosis-like symptoms but not negative-like symptoms. These findings suggest that increases in neural noise may contribute to the psychotomimetic effects of Δ(9)-THC.

Indexed as

NoiseAdolescentAdultCerebral CortexDose-Response Relationship, DrugDouble-Blind MethodDronabinolElectroencephalographyFemaleHallucinogensHealthy VolunteersHumansMalePsychiatric Status Rating ScalesPsychotic DisordersYoung AdultDronabinolHallucinogensCannabinoidsElectroencephalogramNeural noiseNonlinear analysisPsychosisTetrahydrocannabinol

Identifiers

PMID25913109
PMCPMC4627857
OpenAlexW2103561396

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.