Evidence map›Paper›PMID 34045693›Full record

ReviewNature reviews. Neuroscience2021

The why behind the high: determinants of neurocognition during acute cannabis exposure.

Johannes G Ramaekers, Natasha L Mason, Lilian Kloft, Eef L Theunissen

Open access · bronzeAbstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Neuroscience, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
8.1field-weighted citation impact, top 2% 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

27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 65 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Intoxication due to Δ9-tetrahydrocannabinol is characterized by disrupted prefrontal cortex activity.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2024
    Trial
  4. Effect of CannEpilJournal of psychopharmacology (Oxford, England) · 2023
    Trial
  5. Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Understanding the Role of Endocannabinoids in Posttraumatic Stress Disorder.International journal of molecular sciences · 2025
    Review
  11. Metabolomic profiling of cannabis use and cannabis intoxication in humans.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2025
    Article
  12. Article
  13. Cannabis tolerance reduces symptom relief.Frontiers in pharmacology · 2025
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Johannes G RamaekersFaculty of Psychology and Neuroscience, Maastricht University, Maastricht, The Netherlands. j.ramaekers@maastrichtuniversity.nl.ORCID 0000-0003-4553-376X
Natasha L MasonFaculty of Psychology and Neuroscience, Maastricht University, Maastricht, The Netherlands.ORCID 0000-0001-7115-0389
Lilian KloftFaculty of Psychology and Neuroscience, Maastricht University, Maastricht, The Netherlands.ORCID 0000-0002-4615-9581
Eef L TheunissenFaculty of Psychology and Neuroscience, Maastricht University, Maastricht, The Netherlands.ORCID 0000-0002-6071-1758
Maastricht University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute cannabis intoxication may induce neurocognitive impairment and is a possible cause of human error, injury and psychological distress. One of the major concerns raised about increasing cannabis legalization and the therapeutic use of cannabis is that it will increase cannabis-related harm. However, the impairing effect of cannabis during intoxication varies among individuals and may not occur in all users. There is evidence that the neurocognitive response to acute cannabis exposure is driven by changes in the activity of the mesocorticolimbic and salience networks, can be exacerbated or mitigated by biological and pharmacological factors, varies with product formulations and frequency of use and can differ between recreational and therapeutic use. It is argued that these determinants of the cannabis-induced neurocognitive state should be taken into account when defining and evaluating levels of cannabis impairment in the legal arena, when prescribing cannabis in therapeutic settings and when informing society about the safe and responsible use of cannabis.

Indexed as

CannabisAgingAttentionBiological Variation, IndividualBiotransformationBrainCannabinoidsCognitionConsciousnessDose-Response Relationship, DrugDronabinolDrug ToleranceFemaleHumansLearningMaleCannabinoidsDronabinolNeurotransmitter AgentsPsychotropic DrugsSmoke

Identifiers

PMID34045693
OpenAlexW3165085759

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.