Evidence map›Paper›PMID 37485911›Full record

ArticleThe British journal of psychiatry : the journal of mental science2023

Association of cannabis, cannabidiol and synthetic cannabinoid use with mental health in UK adolescents.

James Hotham, Rebecca Cannings-John, Laurence Moore, Jemma Hawkins, Chris Bonell, Matthew Hickman, Stanley Zammit, Lindsey A Hines, Linda Adara, Julia Townson and 1 more

Open access · hybridAbstract read
In one paragraph

Article in The British journal of psychiatry : the journal of mental science, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 9% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. An Internet Snapshot Survey Assessing the sale of Synthetic Cannabinoid Receptor Agonists for use with Electronic Vaping Devices.Journal of medical toxicology : official journal of the American College of Medical Toxicology · 2024
    Article
  6. Review
  7. 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

11 authors at 5 institutions in 1 country.

James HothamOld Age Psychiatry, Penn Hospital, Black Country Healthcare NHS Foundation Trust, UK.ORCID 0000-0002-7940-7211
Rebecca Cannings-JohnCentre for Trials Research, School of Medicine, Cardiff University, UK.
Laurence MooreMRC/CSO Social and Public Health Sciences Unit, Institute of Health and Wellbeing, University of Glasgow, UK.
Jemma HawkinsCentre for the Development and Evaluation of Complex Interventions for Public Health Improvement (DECIPHer), School of Social Sciences, Cardiff University, UK.
Chris BonellDepartment of Public Health, Environment and Society, London School of Hygiene & Tropical Medicine, UK.
Matthew HickmanDepartment of Population Health Sciences, University of Bristol, UK.
Stanley ZammitDepartment of Population Health Sciences, University of Bristol, UK; and MRC Centre for Neuropsychiatric Genetics and Genomics, Cardiff University, UK.
Lindsey A HinesDepartment of Population Health Sciences, University of Bristol, UK.
Linda AdaraCentre for Trials Research, School of Medicine, Cardiff University, UK.
Julia TownsonCentre for Trials Research, School of Medicine, Cardiff University, UK.
James WhiteCentre for Trials Research, School of Medicine, Cardiff University, UK; and Centre for the Development and Evaluation of Complex Interventions for Public Health Improvement (DECIPHer), School of Social Sciences, Cardiff University, UK.
Cardiff University · GBUniversity of Bristol · GBBlack Country Partnership NHS Foundation Trust · GBLondon School of Hygiene & Tropical Medicine · GBMRC/CSO Social and Public Health Sciences Unit · GB

Funding

Department of Health NIHR PHR 17/97/02Medical Research Council MC_UU_00022/1Medical Research Council MR/N00616X/1Wellcome TrustWellcome Trust 209158/Z/17/ZWellcome Trust MR/KO232331/1
6 · The paper itself

Abstract

backgroundCannabis has been associated with poorer mental health, but little is known of the effect of synthetic cannabinoids or cannabidiol (often referred to as CBD).

aimsTo investigate associations of cannabis, synthetic cannabinoids and cannabidiol with mental health in adolescence.

methodWe conducted a cross-sectional analysis with 13- to 14-year-old adolescents across England and Wales in 2019-2020. Multilevel logistic regression was used to examine the association of lifetime use of cannabis, synthetic cannabinoids and cannabidiol with self-reported symptoms of probable depression, anxiety, conduct disorder and auditory hallucinations.

resultsOf the 6672 adolescents who participated, 5.2% reported using of cannabis, 1.9% reported using cannabidiol and 0.6% reported using synthetic cannabinoids. After correction for multiple testing, adolescents who had used these substances were significantly more likely to report a probable depressive, anxiety or conduct disorder, as well as auditory hallucinations, than those who had not. Adjustment for socioeconomic disadvantage had little effect on associations, but weekly tobacco use resulted in marked attenuation of associations. The association of cannabis use with probable anxiety and depressive disorders was weaker in those who reported using cannabidiol than those who did not. There was little evidence of an interaction between synthetic cannabinoids and cannabidiol.

conclusionsTo our knowledge, this study provides the first general population evidence that synthetic cannabinoids and cannabidiol are associated with probable mental health disorders in adolescence. These associations require replication, ideally with prospective cohorts and stronger study designs.

Indexed as

CannabidiolCannabinoidsCannabisAdolescentCross-Sectional StudiesHallucinationsHumansMental HealthProspective StudiesUnited KingdomCannabidiolCannabinoidsAnxiety or fear-related disordersconduct disordersdepressive disorderspsychotic disorders/schizophreniasubstance use disorders

Identifiers

PMID37485911
PMCPMC10866672
OpenAlexW4385185736

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.