Evidence map›Paper›PMID 31408248›Full record

ReviewAddiction (Abingdon, England)2020

Heavy cannabis use, dependence and the brain: a clinical perspective.

Emese Kroon, Lauren Kuhns, Eva Hoch, Janna Cousijn

Abstract readReview
In one paragraph

Review in Addiction (Abingdon, England), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed
–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

51 citing papers in PubMed.

  1. Article
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  5. The Paradoxical Effect of Cannabis Use on Cognition in Chronic Psychotic Disorders.Pathophysiology : the official journal of the International Society for Pathophysiology · 2026
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  13. Observational
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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.

Emese KroonNeuroscience of Addiction Lab, Department of Psychology, University of Amsterdam, Amsterdam, the Netherlands.
Lauren KuhnsNeuroscience of Addiction Lab, Department of Psychology, University of Amsterdam, Amsterdam, the Netherlands.
Eva HochCannabinoid Research and Treatment Group, Department of Psychiatry and Psychotherapy, University Hospital, Ludwig Maximilan University, Munich, Germany.
Janna CousijnNeuroscience of Addiction Lab, Department of Psychology, University of Amsterdam, Amsterdam, the Netherlands.ORCID 0000-0002-7699-2582

Funding

The Role of Motivation and Control in Cannabis Use Disorders: A Cross-Cultural Longitudinal Neuroimaging StudyR01DA042490 · NIDA · UNIVERSITY OF TEXAS DALLAS · PI COUSIJN, JANNA, FILBEY, FRANCESCA · 2017 to 2021
$2.6M
NIDA NIH HHS 1R01 DA042490-01A1NIDA NIH HHS R01 DA042490
6 · The paper itself

Abstract

aimsTo summarize and evaluate our knowledge of the relationship between heavy cannabis use, cannabis use disorder (CUD) and the brain.

methodsNarrative review of relevant literature identified through existing systematic reviews, meta-analyses and a PubMed search. Epidemiology, clinical representations, potential causal mechanisms, assessments, treatment and prognosis are discussed.

resultsAlthough causality is unclear, heavy and dependent cannabis use is consistently associated with a high prevalence of comorbid psychiatric disorders and learning and memory impairments that seem to recover after a period of abstinence. Evidence regarding other cognitive domains and neurological consequences, including cerebrovascular events, is limited and inconsistent. Abstinence after treatment is only achieved in a minority of cases; treatment targeted at reduction in use appears have some success. Potential moderators of the impact of CUD on the brain include age of onset, heaviness of use, CUD severity, the ratio of ∆9-tetrahydrocannabinol to cannabidiol and severity of comorbid disorders.

conclusionsCurrent evidence of long-term effects of daily cannabis use and cannabis use disorder on brain-related outcomes is suggestive rather than conclusive, but use is associated with psychiatric morbidity and with cognitive impairments that recover after a period of abstinence.

Indexed as

Age of OnsetBrainCausalityCognitionCognitive DysfunctionComorbidityDronabinolHumansMarijuana AbuseMental DisordersDronabinolbraincannabis use disordercognitionneurological disordersreviewtreatment

Identifiers

PMID31408248
PMCPMC7027478

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.