Evidence map›Paper›PMID 30624194›Full record

ArticleThe Permanente journal2019

Cannabidiol in Anxiety and Sleep: A Large Case Series.

Scott Shannon, Nicole Lewis, Heather Lee, Shannon Hughes

Open access · bronzeAbstract read
In one paragraph

Article in The Permanente journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 149 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
149citing papers in PubMed, 3 pooled it
43.0field-weighted citation impact, top 1% 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

149 citing papers in PubMed, 3 syntheses or guidelines pooled it, 415 citations in OpenAlex.

  1. Multinational Association of Supportive Care in Cancer (MASCC) guidelines: cannabis for psychological symptoms including insomnia, anxiety, and depression.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Effects of a cannabidiol/terpene formulation on sleep in individuals with insomnia: a double-blind, placebo-controlled, randomized, crossover study.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2025
    Trial
  7. Trial
  8. Cannabidiol for moderate-severe insomnia: a randomized controlled pilot trial of 150 mg of nightly dosing.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2024
    Trial
  9. Trial
  10. Trial
  11. Review
  12. Article
  13. Cannabidiol Use in Inflammatory Bowel Disease: Insights From a Gastroenterology Outpatient Population.JGH open : an open access journal of gastroenterology and hepatology · 2026
    Article
  14. The effects of tetrahydrocannabinol and cannabidiol on sleep in cancer patients.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Cannabidiol in Sports: A Brazilian Perspective.ACS pharmacology & translational science · 2025
    Article

89 more citing papers are in PubMed but not listed here.

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

4 authors at 3 institutions in 1 country.

Scott ShannonDepartment of Psychiatry, University of Colorado, Denver.
Nicole LewisDepartment of Naturopathic Medicine, Wholeness Center, Fort Collins, CO.
Heather LeeNorth Range Behavioral Health, Greeley, CO.
Shannon HughesSchool of Social Work, Colorado State University College of Health and Human Sciences, Fort Collins.
Banner North Colorado Medical Center · USColorado State University · USUniversity of Colorado Denver · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextCannabidiol (CBD) is one of many cannabinoid compounds found in cannabis. It does not appear to alter consciousness or trigger a "high." A recent surge in scientific publications has found preclinical and clinical evidence documenting value for CBD in some neuropsychiatric disorders, including epilepsy, anxiety, and schizophrenia. Evidence points toward a calming effect for CBD in the central nervous system. Interest in CBD as a treatment of a wide range of disorders has exploded, yet few clinical studies of CBD exist in the psychiatric literature.

objectiveTo determine whether CBD helps improve sleep and/or anxiety in a clinical population.

designA large retrospective case series at a psychiatric clinic involving clinical application of CBD for anxiety and sleep complaints as an adjunct to usual treatment. The retrospective chart review included monthly documentation of anxiety and sleep quality in 103 adult patients.

main outcome measuresSleep and anxiety scores, using validated instruments, at baseline and after CBD treatment.

resultsThe final sample consisted of 72 adults presenting with primary concerns of anxiety (n = 47) or poor sleep (n = 25). Anxiety scores decreased within the first month in 57 patients (79.2%) and remained decreased during the study duration. Sleep scores improved within the first month in 48 patients (66.7%) but fluctuated over time. In this chart review, CBD was well tolerated in all but 3 patients.

conclusionCannabidiol may hold benefit for anxiety-related disorders. Controlled clinical studies are needed.

Indexed as

AdolescentAdultAgedAnxietyCannabidiolFemaleHumansMaleMiddle AgedRetrospective StudiesSleepSleep Initiation and Maintenance DisordersYoung AdultCannabidiol

Identifiers

PMID30624194
PMCPMC6326553
OpenAlexW2906973890

What OpenQuestion holds

Textmetadata
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.