ArticleAddiction (Abingdon, England)2022
Risky decision-making as an antecedent or consequence of adolescent cannabis use: findings from a 2-year longitudinal study.
Article in Addiction (Abingdon, England), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.
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Who cites it
5 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Neuropsychological effects of cannabis use by continent and age: a systematic review.Frontiers in psychology · 2026Pooled it
- Motives for Cannabis Use and Risky Decision Making Influence Cannabis Use Trajectories in Teens.Brain sciences · 2023Article
- An exploratory follow-up study of cannabis use and decision-making under various risk conditions within adolescence.Neuropsychology · 2023Article
- A Scoping Review of Risk and Protective Factors for Negative Cannabis Use Consequences.Substance abuse : research and treatment · 2023Article
- Sex differences in bidirectional associations between conduct problems and cannabis use across two years of adolescence.Drug and alcohol dependence · 2021Article
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Authors and funding
12 authors.
Funding
Abstract
BACKGROUND AND
aimsAlthough poor decision-making (DM) has been correlated with problematic cannabis use (CU), cross-sectional designs make it difficult to determine whether poor DM represents an antecedent and/or consequence of CU. The current study measured bidirectional associations between CU and DM among adolescents over 2 years and compared these findings to those observed with episodic memory, which is consistently reported as a consequence of CU. We also measured the role of DM as a risk factor for cannabis use disorder (CUD) onset.
designTwo-year longitudinal study with five bi-annual assessments.
participantsParticipants were 401 adolescents aged 14-17 years at baseline.
settingMiami, Florida, USA. MEASUREMENTS: CU frequency and CUDs were assessed at each time-point through the Drug Use History Questionnaire and Structured Clinical Interview for DSM-IV, respectively. Neurocognition was assessed at odd time-points throughout the Iowa Gambling Task, Game of Dice Task and Cups Task [decision-making (DM)] and the Wechsler Memory Scale IV and California Verbal Learning Test II (episodic memory). We used latent growth curve modeling to examine bidirectional influences between CU and neurocognition over time. We applied discrete time survival analyses to determine whether baseline DM predicted CUD onset.
findingsGreater lifetime CU frequency was associated with poorer episodic memory at baseline (bs = -14.84, -16.44, Ps = 0.038, 0.021). Greater CU escalation predicted lesser gains in immediate episodic memory (b = -0.05, P = 0.020). Baseline DM did not predict CU escalation (b = 0.07, P = 0.421), nor did escalation in CU predict changes in DM (b = 0.02, P = 0.352). Baseline DM also did not predict CUD onset (adjusted OR = 1.01, 95% confidence interval = 0.98-1.06).
conclusionsThis study replicates findings that poorer episodic memory in adolescents appears to be a consequence of cannabis use, even among adolescents at earlier stages of use. Poor decision-making does not appear to be either a consequence of or a risk factor for escalating cannabis use or onset of cannabis use disorder among adolescents.
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