ArticleDrug and alcohol dependence2015
Associations of adolescent cannabis use with academic performance and mental health: A longitudinal study of upper middle class youth.
Article in Drug and alcohol dependence, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 4 of them syntheses that pooled 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.
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.
Who cites it
46 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- The Behavioral Sequelae of Cannabis Use in Healthy People: A Systematic Review.Frontiers in psychiatry · 2021Pooled it
- Association of Cannabis Use in Adolescence and Risk of Depression, Anxiety, and Suicidality in Young Adulthood: A Systematic Review and Meta-analysis.JAMA psychiatry · 2019Pooled it
- Association of Cannabis With Cognitive Functioning in Adolescents and Young Adults: A Systematic Review and Meta-analysis.JAMA psychiatry · 2018Pooled it
- A Systematic Review of the Evidence for Medical Marijuana in Psychiatric Indications.The Journal of clinical psychiatry · 2016Pooled it
- Psychological distress, distress tolerance, and cannabis-related problems among university students in Türkiye: a mixed-methods study.Frontiers in public health · 2026Article
- The Transition from Childhood to Adolescence: Between Health and Vulnerability.Children (Basel, Switzerland) · 2024Review
- Do Municipal Contexts Matter for Adolescent Mental Health? A Within-Municipality Analysis of Nationwide Norwegian Survey Data Across Six Years.Research on child and adolescent psychopathology · 2024Article
- Cannabis use and its association with psychopathological symptoms in a Swiss adult population: a cross-sectional analysis.Frontiers in public health · 2024Article
- Prevalence and correlates of severe problematic cannabis use: analysis of a population-based survey in Jamaica.Frontiers in psychiatry · 2024Article
- Cannabis Use and Academic Performance in College Students: The Role of Procrastination.Cannabis (Albuquerque, N.M.) · 2024Article
- [Cannabis use in adolescents : Narrative Review and Position paper of the "Addiction Disorders in Adolescents" task force of the Austrian Society for Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy (ÖGKJP)].Neuropsychiatrie : Klinik, Diagnostik, Therapie und Rehabilitation : Organ der Gesellschaft Osterreichischer Nervenarzte und Psychiater · 2023Review
- Correlates of adolescent sole-, dual- and poly-use of cannabis, vaped nicotine, and combusted tobacco.Addictive behaviors · 2023Article
- Towards a New Dynamic Interaction Model of Adolescent CUD Manifestation, Prevention, and Treatment: A Narrative Review.Psychoactives · 2023Article
- Nondisordered Cannabis Use Among US Adolescents.JAMA network open · 2023Article
- Sports- and physical activity-related concussion and mental health among adolescents: Findings from the 2017 and 2019 Youth Risk Behavior Survey.Psychiatry research · 2022Article
- Addressing adolescent substance use in an urban pediatric federally qualified health center.Journal of substance abuse treatment · 2022Article
- Race Differences in Opioid Misuse and Adolescent Suicidality.Child & adolescent social work journal : C & A · 2022Article
- Graduate student burnout: Substance use, mental health, and the moderating role of advisor satisfaction.International journal of mental health and addiction · 2022Article
- Parental Cannabis Use, Negative Parenting, and Behavior Problems of Young Children.Substance use & misuse · 2022Article
- Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundThere is a hypothesis that low socioeconomic status (SES) may explain the link between cannabis use and poorer academic performance and mental health. A key question, therefore, is whether adolescent cannabis use is associated with poorer academic performance and mental health in high SES communities where there is reduced potential for confounding.
methodsYouth (n=254) from an upper middle class community were followed prospectively through the four years of high school (from age 14/15 to age 17/18). Past-year frequency of cannabis use was assessed annually. Official school records of academic performance and self-reported mental health symptoms (externalizing and internalizing symptoms) were assessed in grades 9 and 12.
resultsPersistent cannabis use across the four years of high school was associated with lower grade-point average (β=-0.18, p=.006), lower Scholastic Aptitude Test (SAT) score (β=-0.13, p=.038), and greater externalizing symptoms (β=0.29, p<.001) in 12th grade, but not with greater internalizing symptoms (β=0.04, p=.53). Moreover, persistent cannabis use was associated with lower grade-point average (β=-0.13, p=.014) and greater externalizing symptoms (β=0.24, p=.002) in 12th grade, even after controlling for 9th grade levels of these outcomes. Similar associations were observed for persistent alcohol and tobacco use. Effects for persistent cannabis use became non-significant after controlling for persistent alcohol and tobacco use, reflecting the difficulties of disentangling effects of cannabis from effects of alcohol and tobacco.
conclusionsLow SES cannot fully explain associations between cannabis use and poorer academic performance and mental health.
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Registered trials
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.