Evidence map›Paper›PMID 34625488›Full record

ArticleJournal of psychiatry & neuroscience : JPN2021

Cannabis use and resting state functional connectivity in adolescent bipolar disorder.

Alysha A Sultan, Megan A Hird, Mikaela K Dimick, Bradley J MacIntosh, Benjamin I Goldstein

Open access · diamondAbstract read
In one paragraph

Article in Journal of psychiatry & neuroscience : JPN, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 27% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Article
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

5 authors at 2 institutions in 1 country.

Alysha A SultanFrom the Centre for Youth Bipolar Disorder, Centre for Addiction and Mental Health, (Sultan, Hird, Dimick, Goldstein); the Department of Pharmacology and Toxicology, University of Toronto, (Sultan, Dimick, Goldstein); the Faculty of Medicine, University of Toronto, (Sultan, Hird, Dimick, Goldstein); the Department of Psychiatry, University of Toronto, (Goldstein); the Department of Medical Biophysics, University of Toronto, (MacIntosh); and the Hurvitz Brain Sciences, Sunnybrook Health Sciences Centre, (MacIntosh, Goldstein) Toronto, Ont. Canada.
Megan A HirdFrom the Centre for Youth Bipolar Disorder, Centre for Addiction and Mental Health, (Sultan, Hird, Dimick, Goldstein); the Department of Pharmacology and Toxicology, University of Toronto, (Sultan, Dimick, Goldstein); the Faculty of Medicine, University of Toronto, (Sultan, Hird, Dimick, Goldstein); the Department of Psychiatry, University of Toronto, (Goldstein); the Department of Medical Biophysics, University of Toronto, (MacIntosh); and the Hurvitz Brain Sciences, Sunnybrook Health Sciences Centre, (MacIntosh, Goldstein) Toronto, Ont. Canada.
Mikaela K DimickFrom the Centre for Youth Bipolar Disorder, Centre for Addiction and Mental Health, (Sultan, Hird, Dimick, Goldstein); the Department of Pharmacology and Toxicology, University of Toronto, (Sultan, Dimick, Goldstein); the Faculty of Medicine, University of Toronto, (Sultan, Hird, Dimick, Goldstein); the Department of Psychiatry, University of Toronto, (Goldstein); the Department of Medical Biophysics, University of Toronto, (MacIntosh); and the Hurvitz Brain Sciences, Sunnybrook Health Sciences Centre, (MacIntosh, Goldstein) Toronto, Ont. Canada.
Bradley J MacIntoshFrom the Centre for Youth Bipolar Disorder, Centre for Addiction and Mental Health, (Sultan, Hird, Dimick, Goldstein); the Department of Pharmacology and Toxicology, University of Toronto, (Sultan, Dimick, Goldstein); the Faculty of Medicine, University of Toronto, (Sultan, Hird, Dimick, Goldstein); the Department of Psychiatry, University of Toronto, (Goldstein); the Department of Medical Biophysics, University of Toronto, (MacIntosh); and the Hurvitz Brain Sciences, Sunnybrook Health Sciences Centre, (MacIntosh, Goldstein) Toronto, Ont. Canada.
Benjamin I GoldsteinFrom the Centre for Youth Bipolar Disorder, Centre for Addiction and Mental Health, (Sultan, Hird, Dimick, Goldstein); the Department of Pharmacology and Toxicology, University of Toronto, (Sultan, Dimick, Goldstein); the Faculty of Medicine, University of Toronto, (Sultan, Hird, Dimick, Goldstein); the Department of Psychiatry, University of Toronto, (Goldstein); the Department of Medical Biophysics, University of Toronto, (MacIntosh); and the Hurvitz Brain Sciences, Sunnybrook Health Sciences Centre, (MacIntosh, Goldstein) Toronto, Ont. Canada. benjamin.goldstein@camh.ca.
Centre for Addiction and Mental Health · CAUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdolescents with bipolar disorder have high rates of cannabis use, and cannabis use is associated with increased symptom severity and treatment resistance in bipolar disorder. Studies have identified anomalous resting-state functional connectivity among reward networks in bipolar disorder and cannabis use independently, but have yet to examine their convergence.

methodsParticipants included 134 adolescents, aged 13 to 20 years: 40 with bipolar disorder and lifetime cannabis use, 31 with bipolar disorder and no history of cannabis use, and 63 healthy controls without lifetime cannabis use. We used a seed-to-voxel analysis to assess the restingstate functional connectivity of the amygdala, the nucleus accumbens and the orbitofrontal cortex, regions implicated in bipolar disorder and cannabis use. We used a generalized linear model to explore bivariate correlations for each seed, controlling for age and sex.

resultsWe found 3 significant clusters. Resting-state functional connectivity between the left nucleus accumbens seed and the left superior parietal lobe was negative in adolescents with bipolar disorder and no history of cannabis use, and positive in healthy controls. Resting-state functional connectivity between the right orbitofrontal cortex seed and the right lateral occipital cortex was positive in adolescents with bipolar disorder and lifetime cannabis use, and negative in healthy controls and adolescents with bipolar disorder and no history of cannabis use. Resting-state functional connectivity between the right orbitofrontal cortex seed and right occipital pole was positive in adolescents with bipolar disorder and lifetime cannabis use, and negative in adolescents with bipolar disorder and no history of cannabis use. LIMITATIONS: The study did not include a cannabis-using control group.

conclusionThis study provides preliminary evidence of cannabis-related differences in functional reward circuits in adolescents with bipolar disorder. Further studies are necessary to evaluate whether the present findings reflect consequences of or predisposition to cannabis use.

Indexed as

CannabisMarijuana UseNeural PathwaysRestRewardAdolescentAmygdalaBipolar DisorderFemaleHumansMaleNucleus AccumbensPrefrontal Cortex

Identifiers

PMID34625488
PMCPMC8526158
OpenAlexW3204225525

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.