Evidence map›Paper›PMID 34416291›Full record

ArticleJournal of the American Academy of Child and Adolescent Psychiatry2022

Adult Psychiatric, Substance, and Functional Outcomes of Different Definitions of Early Cannabis Use.

William E Copeland, Sherika N Hill, Lilly Shanahan

Open access · greenAbstract read
In one paragraph

Article in Journal of the American Academy of Child and Adolescent Psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
2.1field-weighted citation impact, top 14% 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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. N-acetylcysteine for youth cannabis use disorder: randomized controlled trial main findings.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2025
    Trial
  4. Trial
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 3 institutions in 2 countries.

William E CopelandUniversity of Vermont, Burlington. Electronic address: william.copeland@med.uvm.edu.
Sherika N HillDuke University, Durham.
Lilly ShanahanUniversity of Zurich, Switzerland.
Duke University · USUniversity of Vermont · USUniversity of Zurich · CH

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
TRANSLATION AND DISSEMINATION COREP30DA023026 · NIDA · DUKE UNIVERSITY · PI HOYLE, RICK · 2008 to 2023
$19.6M
Intervention Impacts on Child Wellbeing and Parenting across GenerationsR01HD093651 · NICHD · DUKE UNIVERSITY · PI KENNETH A DODGE, Jennifer E Lansford · 2017 to 2026
$6.1M
THE GREAT SMOKY MOUNTAINS STUDY OF RURAL AGINGR01AG072459 · NIA · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI CAGNEY, KATHLEEN A, COPELAND, WILLIAM · 2021 to 2025
$3.2M
Diseases of Despair in Young Adulthood: Risk, Resilience, and PreventionR01MH117559 · NIMH · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI COPELAND, WILLIAM · 2018 to 2021
$1.6M
Early Substance Use in Rural American Indian and White/Anglo YouthR01DA036523 · NIDA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI COPELAND, WILLIAM · 2014 to 2016
$700k
NCATS NIH HHS UL1 TR001863NIA NIH HHS R01 AG072459NICHD NIH HHS R01 HD093651NIDA NIH HHS P30 DA023026NIDA NIH HHS R01 DA036523NIMH NIH HHS R01 MH117559
6 · The paper itself

Abstract

objectiveResearch on associations of early cannabis use with adult functioning reports mixed findings. This may be due, in part, to wide variations in the definitions of early cannabis use. This study aims to compare associations of 4 commonly used definitions of early cannabis use-related to timing, dose, duration, and associated symptoms-with adult outcomes.

methodAnalyses were based on a 20

resultsAll definitions of early use were associated with multiple adult outcomes in models that adjusted for sex and race/ethnicity. In models that also adjusted for childhood psychiatric problems and family adversities, only daily use and a persistent developmental subtype (defined as daily/problematic use that began in adolescence and continued into early adulthood) were associated with later substance use/disorders, poorer functional outcomes, and derailments in the transition to adulthood.

conclusionDaily, continued-over-time cannabis use beginning on adolescence was most problematic for a range of adult outcomes. Cessation of early use did not fully eliminate later risks; but was associated with fewer negative outcomes, with weaker effect sizes.

Indexed as

CannabisSubstance-Related DisordersAdolescentAdultChildDiagnostic and Statistical Manual of Mental DisordersHumansLongitudinal StudiesYoung Adultadolescencecannabisepidemiologylongitudinalpsychopathology

Identifiers

PMID34416291
PMCPMC8850538
OpenAlexW3195299222

What OpenQuestion holds

Textmetadata
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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.