Evidence map›Paper›PMID 27138587›Full record

ArticleThe American journal of psychiatry2016

Concurrent and Sustained Cumulative Effects of Adolescent Marijuana Use on Subclinical Psychotic Symptoms.

Jordan Bechtold, Alison Hipwell, David A Lewis, Rolf Loeber, Dustin Pardini

Abstract read
In one paragraph

Article in The American journal of psychiatry, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

37 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. ΔBiological psychiatry. Cognitive neuroscience and neuroimaging · 2026
    Trial
  4. Article
  5. Longitudinal analysis of the ABCD® study.Developmental cognitive neuroscience · 2025
    Review
  6. Article
  7. Article
  8. Article
  9. Daily ΔBiological psychiatry global open science · 2023
    Article
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  14. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Jordan BechtoldFrom the Department of Psychiatry, University of Pittsburgh Medical Center, Pittsburgh; and the Department of Criminology and Criminal Justice, Arizona State University, Phoenix.
Alison HipwellFrom the Department of Psychiatry, University of Pittsburgh Medical Center, Pittsburgh; and the Department of Criminology and Criminal Justice, Arizona State University, Phoenix.
David A LewisFrom the Department of Psychiatry, University of Pittsburgh Medical Center, Pittsburgh; and the Department of Criminology and Criminal Justice, Arizona State University, Phoenix.
Rolf LoeberFrom the Department of Psychiatry, University of Pittsburgh Medical Center, Pittsburgh; and the Department of Criminology and Criminal Justice, Arizona State University, Phoenix.
Dustin PardiniFrom the Department of Psychiatry, University of Pittsburgh Medical Center, Pittsburgh; and the Department of Criminology and Criminal Justice, Arizona State University, Phoenix.

Funding

INTERDISCIPLINARY ALCOHOL RESEARCH TRAINING PROGRAMT32AA007453 · NIAAA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BROOKE S.G. MOLINA · 1985 to 2026
$3.7M
TRACING DIVERGING LIVES AND CONVERGING PROBLEMSR01MH050778 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI LOEBER, ROLF · 1993 to 2005
$2.2M
Diverging Marijuana Use Trajectories in Black & White Men: Antecedents & OutcomesR01DA034608 · NIDA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI STEPP, STEPHANIE D · 2013 to 2015
$667k
NIAAA NIH HHS T32 AA007453NIDA NIH HHS R01 DA034608NIMH NIH HHS R01 MH050778
6 · The paper itself

Abstract

objectiveAdolescents who regularly use marijuana may be at heightened risk of developing subclinical and clinical psychotic symptoms. However, this association could be explained by reverse causation or other factors. To address these limitations, the current study examined whether adolescents who engage in regular marijuana use exhibit a systematic increase in subclinical psychotic symptoms that persists during periods of sustained abstinence.

methodThe sample comprised 1,009 boys who were recruited in 1st and 7th grades. Self-reported frequency of marijuana use, subclinical psychotic symptoms, and several time-varying confounds (e.g., other substance use, internalizing/externalizing problems) were recorded annually from age 13 to 18. Fixed-effects (within-individual change) models examined whether adolescents exhibited an increase in their subclinical psychotic symptoms as a function of their recent and/or cumulative history of regular marijuana use and whether these effects were sustained following abstinence. Models controlled for all time-stable factors (default) and several time-varying covariates as potential confounds.

resultsFor each year adolescent boys engaged in regular marijuana use, their expected level of subsequent subclinical psychotic symptoms rose by 21% and their expected odds of experiencing subsequent subclinical paranoia or hallucinations rose by 133% and 92%, respectively. The effect of prior regular marijuana use on subsequent subclinical psychotic symptoms persisted even when adolescents stopped using marijuana for a year. These effects were after controlling for all time-stable and several time-varying confounds. No support was found for reverse causation.

conclusionsThese results suggest that regular marijuana use may significantly increase the risk that an adolescent will experience persistent subclinical psychotic symptoms.

Indexed as

AdolescentCannabisChildCohort StudiesComorbidityHumansIllicit DrugsInternal-External ControlLongitudinal StudiesMaleMarijuana AbusePennsylvaniaPsychoses, Substance-InducedRisk FactorsSubstance-Related DisordersSubstance Withdrawal SyndromeIllicit Drugs

Identifiers

PMID27138587
PMCPMC5390686

What OpenQuestion holds

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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.