Evidence map›Paper›PMID 35216971›Full record

ReviewPharmacology, biochemistry, and behavior2022

Long-term effects of prenatal cannabis exposure: Pathways to adolescent and adult outcomes.

Natacha M De Genna, Jennifer A Willford, Gale A Richardson

Open access · greenAbstract readReview
In one paragraph

Review in Pharmacology, biochemistry, and behavior, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
6.6field-weighted citation impact, top 3% 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

19 citing papers in PubMed, 41 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Cannabis, cannabinoids and health: a review of evidence on risks and medical benefits.European archives of psychiatry and clinical neuroscience · 2025
    Review
  10. Cannabis and Nicotine Substance Use Coercion During the Perinatal Period.Women's health reports (New Rochelle, N.Y.) · 2025
    Article
  11. Review
  12. Cannabis Use during Pregnancy: An Update.Medicina (Kaunas, Lithuania) · 2024
    Review
  13. Review
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
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

3 authors at 2 institutions in 1 country.

Natacha M De GennaUniversity of Pittsburgh School of Medicine, Department of Psychiatry, 3811 O'Hara Street, Pittsburgh, PA 15213, United States of America. Electronic address: degennanm@upmc.edu.
Jennifer A WillfordSlippery Rock University, Department of Psychology, 1 Morrow Way, Slippery Rock, PA 16057, United States of America. Electronic address: jennifer.willford@sru.edu.
Gale A RichardsonUniversity of Pittsburgh School of Medicine, Department of Psychiatry, 3811 O'Hara Street, Pittsburgh, PA 15213, United States of America. Electronic address: gar@pitt.edu.
University of Pittsburgh · USSlippery Rock University · US

Funding

PRENATAL MARIJUANA EXPOSURE: LONG-TERM OUTCOMESR01DA017786 · NIDA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI DAY, NANCY LEE · 2005 to 2009
$2.4M
ALCOHOL USE DURING PREGNANCY: A LONGITUDINAL STUDYR01AA006666 · NIAAA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI DAY, NANCY L · 1985 to 2002
$544k
Effects of Prenatal Alcohol Exposure at 22 YearsR01AA018116 · NIAAA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI DAY, NANCY LEE · 2009 to 2010
$358k
PRENATAL ALCOHOL EXPOSURE: LONG-TERM OUTCOMESR21AA014215 · NIAAA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI DAY, NANCY L · 2003 to 2004
$298k
NIAAA NIH HHS R01 AA006666NIAAA NIH HHS R01 AA018116NIAAA NIH HHS R21 AA014215NIDA NIH HHS R01 DA017786
6 · The paper itself

Abstract

With the increased prevalence, potency, and acceptability of cannabis use during pregnancy, it is important to understand the developmental effects of prenatal cannabis exposure (PCE). This review discusses methodological considerations for studies of PCE, including the assessment of exposures, covariates, and outcomes, and reviews findings from prospective, longitudinal studies of PCE. There is some evidence for associations between PCE and restricted growth at birth, but not for long-term effects on growth. PCE appears to have subtle yet enduring effects on memory and achievement in children and adolescents. Despite differences in sample demographics and measurement, there are remarkably consistent effects of PCE on externalizing behaviors, such as delinquency and substance use, which persist into adulthood. Longitudinal analyses demonstrate the importance of early cannabis initiation for pathways between PCE and adult functioning, including substance use and abuse, memory deficits, and psychotic symptoms. Animal studies demonstrate direct effects on the development of the brain via activation of endogenous endocannabinoid systems. Cannabis-induced activation of the endocannabinoid system causes alterations in the release of neurotransmitters and the modulation of brain plasticity in neural pathways that underlie cognition, motivation, and behavior regulation. Future research should consider cannabis use before pregnancy, the timing and route of exposure, polysubstance exposures, and inter-generational effects.

Indexed as

CannabisHallucinogensPrenatal Exposure Delayed EffectsSubstance-Related DisordersAdolescentAdultAnalgesicsCannabinoid Receptor AgonistsChildEndocannabinoidsFemaleHumansPregnancyProspective StudiesAnalgesicsCannabinoid Receptor AgonistsEndocannabinoidsHallucinogensCannabisGestationalMarijuanaPrenatal

Identifiers

PMID35216971
PMCPMC8911923
OpenAlexW4214701304

What OpenQuestion holds

Textmetadata
LicenceTDM
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.