Evidence map›Paper›PMID 39936870›Full record

SynthesisPsychological medicine2025

The association between cannabis and depression: an updated Systematic Review and Meta-analysis.

Victoria Churchill, Caroline Sutton Chubb, Lucy Popova, Claire A Spears, Terri Pigott

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Psychological medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  8. Review
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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.

Victoria ChurchillDepartment of Community Health and Preventive Medicine, Morehouse School of Medicine, Atlanta, GA, USA.ORCID 0000-0003-0393-3212
Caroline Sutton ChubbSchool of Public Health, Georgia State University, Atlanta, GA, USA.ORCID 0009-0005-9542-8492
Lucy PopovaSchool of Public Health, Georgia State University, Atlanta, GA, USA.ORCID 0000-0002-3450-4579
Claire A SpearsSchool of Public Health, Georgia State University, Atlanta, GA, USA.ORCID 0000-0002-7869-5661
Terri PigottSchool of Public Health, Georgia State University, Atlanta, GA, USA.ORCID 0000-0002-5976-246X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCannabis is one of the most commonly used drugs globally, although its legal status varies across regions. Public support for its decriminalization has increased, but gaps in our understanding of the health consequences of cannabis use remain, particularly related to its impact on mental health. This article provides an updated systematic review and meta-analysis (previous being Lev-Ran et al., ) looking at the relationship between cannabis and depression.

methodsLiterature available before March 2023 was screened for longitudinal studies that included cannabis use and depression. Cross-sectional studies and those only looking at special populations were excluded. Studies must have also controlled for depression at baseline to allow for investigation of a temporal relationship. Extracted data included cannabis measures, depression outcomes, adjusted odds ratios, and study settings. Meta-analysis employed a random effects model with multilevel meta-regression for effect size moderators.

resultsThe search yielded 1,599 titles from various databases, resulting in 22 studies for meta-analysis, including 14 from Lev-Ran et al. Eleven studies were US-based, with participants mostly under 18. Meta-analysis showed a higher risk of depression among cannabis users (OR: 1.29, 95% CI: 1.13-1.46). Risk of bias assessment showed medium risk across studies with exposure measurement being a key bias area. The funnel plot and Egger's Sandwich test did not suggest publication bias.

conclusionsThis study underscores the association between cannabis use and depression but also emphasizes the need for further research, especially in understanding usage patterns, heavy use definitions, and long-term effects on depression risk amidst changing cannabis trends.

Indexed as

CannabisDepressionDepressive DisorderMarijuana UseHumanscannabisdepressionmeta-analysissystematic review

Identifiers

PMID39936870
PMCPMC12055028

What OpenQuestion holds

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Registered trials

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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.