Evidence map›Paper›PMID 37839357›Full record

Trial reportDrug and alcohol dependence2023

Assessing changes in sleep across four weeks among adolescents randomized to incentivized cannabis abstinence.

Andreas M Baumer, Bridget A Nestor, Kevin Potter, Sarah Knoll, A Eden Evins, Jodi Gilman, Joe Kossowsky, Randi M Schuster

Erratum issuedOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Drug and alcohol dependence, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 17% 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

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

  1. Just-in-Time Adaptive Interventions for Adolescent and Young Adult Substance Use: A Systematic Review.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2025
    Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Andreas M BaumerDepartment of Anesthesiology, Critical Care & Pain Medicine, Boston Children's Hospital, Boston, 333 Longwood Ave, Massachusetts 02115, USA.
Bridget A NestorDepartment of Anesthesiology, Critical Care & Pain Medicine, Boston Children's Hospital, Boston, 333 Longwood Ave, Massachusetts 02115, USA; Harvard Medical School, 25 Shattuck Street, Boston, MA 02115, USA.
Kevin PotterHarvard Medical School, 25 Shattuck Street, Boston, MA 02115, USA; Center for Addiction Medicine, Department of Psychiatry, Massachusetts General Hospital, 101 Merrimac Street, Suite 320, Boston, MA 02114, USA.
Sarah KnollCenter for Addiction Medicine, Department of Psychiatry, Massachusetts General Hospital, 101 Merrimac Street, Suite 320, Boston, MA 02114, USA.
A Eden EvinsHarvard Medical School, 25 Shattuck Street, Boston, MA 02115, USA; Center for Addiction Medicine, Department of Psychiatry, Massachusetts General Hospital, 101 Merrimac Street, Suite 320, Boston, MA 02114, USA.
Jodi GilmanHarvard Medical School, 25 Shattuck Street, Boston, MA 02115, USA; Center for Addiction Medicine, Department of Psychiatry, Massachusetts General Hospital, 101 Merrimac Street, Suite 320, Boston, MA 02114, USA.
Joe KossowskyDepartment of Anesthesiology, Critical Care & Pain Medicine, Boston Children's Hospital, Boston, 333 Longwood Ave, Massachusetts 02115, USA; Harvard Medical School, 25 Shattuck Street, Boston, MA 02115, USA. Electronic address: joe.kossowsky@childrens.harvard.edu.
Randi M SchusterHarvard Medical School, 25 Shattuck Street, Boston, MA 02115, USA; Center for Addiction Medicine, Department of Psychiatry, Massachusetts General Hospital, 101 Merrimac Street, Suite 320, Boston, MA 02114, USA.
Harvard University · USMassachusetts General Hospital · USBoston Children's Hospital · US

Funding

Cognitive Recovery With Cannabis Abstinence Among High School-Aged AdolescentsK23DA042946 · NIDA · MASSACHUSETTS GENERAL HOSPITAL · PI SCHUSTER, RANDI MELISSA · 2017 to 2021
$1.1M
Mobile health applications in adolescent marijuana use: assessing the interplay among sleep, pain and inhibitory control - SupplementK01DA057374 · NIDA · BOSTON CHILDREN'S HOSPITAL · PI Joe Kossowsky · 2023 to 2026
$811k
NIDA NIH HHS K01 DA057374NIDA NIH HHS K01DA057374NIDA NIH HHS K23 DA042946NIDA NIH HHS K23DA042946
6 · The paper itself

Abstract

backgroundWithdrawal from cannabis use is associated with sleep disturbances, often leading to resumption of use. Less is known about the impact of abstinence on sleep in adolescence, a developmental window associated with high rates of sleep disturbance. This study investigated effects of sustained abstinence on self-reported sleep quality and disturbance in adolescents reporting frequent cannabis use.

methodsNon-treatment seeking adolescents, recruited from school screening surveys and the community, with frequent cannabis use (M

resultsParticipants in CB-Abst reported higher overall PSQI scores than those in CB-Mon (M=1.06, p=0.01) indicating worse sleep during the four-week trial. Sleep disruptions in CB-Abst increased during Week 1 of abstinence (d=0.34, p=0.04), decreased during Week 2 (d=0.36, p=0.04), and remained constant for the rest of the trial. At Week 4, sleep was comparable to baseline levels for those in CB-Abst (p=0.87). Withdrawal-associated sleep disruption in the CB-Abst group was circumscribed to increases in sleep latency (b=0.35; p=0.05).

conclusionsCannabis abstinence in adolescents was associated with transient delayed onset of sleep initiation falling asleep during the first week of abstinence. Findings highlight withdrawal-associated changes in sleep latency as an intervention target for supporting adolescents attempting abstinence. Future research should use objective measures of sleep and focus on elucidating mechanisms underlying sleep disturbances with cannabis use and withdrawal.

Indexed as

CannabisMarijuana AbuseSubstance Withdrawal SyndromeAdolescentBehavior TherapyFemaleHumansMaleSleepSleep LatencyAdolescenceCannabis useSleepWithdrawal

Identifiers

PMID37839357
PMCPMC10691527
OpenAlexW4387518892

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.