Evidence map›Paper›PMID 41947378›Full record

ArticleAlcohol, clinical & experimental research2026

Associations of Low-Level Prenatal Alcohol and Cannabis Exposure With Adolescent Cognitive Trajectories.

Katie J Paige, Nolan E Ramer, Emma K Devine, Omid Kardan, Louise Mewton, Lindsay M Squeglia, Mary M Heitzeg, Alexander S Weigard

Abstract read
In one paragraph

Article in Alcohol, clinical & experimental research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

8 authors.

Katie J PaigePsychiatry, University of Michigan, Ann Arbor, Michigan, USA.ORCID https://orcid.org/0000-0002-3229-1960
Nolan E RamerDepartment of Psychiatry and Behavioral Sciences, College of Medicine, Medical University of South Carolina, Charleston, South Carolina, USA.
Emma K DevineThe Matilda Centre for Research in Mental Health and Substance Use, University of Sydney, Sydney, New South Wales, Australia.
Omid KardanPsychiatry, University of Michigan, Ann Arbor, Michigan, USA.ORCID https://orcid.org/0000-0003-4187-5228
Louise MewtonThe Matilda Centre for Research in Mental Health and Substance Use, University of Sydney, Sydney, New South Wales, Australia.
Lindsay M SquegliaDepartment of Psychiatry and Behavioral Sciences, College of Medicine, Medical University of South Carolina, Charleston, South Carolina, USA.
Mary M HeitzegPsychiatry, University of Michigan, Ann Arbor, Michigan, USA.
Alexander S WeigardPsychiatry, University of Michigan, Ann Arbor, Michigan, USA.

Funding

ABCD-USA Consortium: Research ProjectU01DA041106 · NIDA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Mary M Heitzeg, Chandra Sekhar Sripada · 2015 to 2026
$24.9M
DRUG ABUSE TRAINING PROGRAMT32DA007288 · NIDA · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI Christopher W Cowan, Rachel Penrod-Martin · 1991 to 2026
$11.8M
MULTIDISCIPLINARY ALCOHOLISM RESEARCH TRAINING PROGRAMT32AA007477 · NIAAA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Maureen A. Walton · 1990 to 2026
$7.4M
Mapping the Neurobiological Risks and Consequences of Alcohol Use in Adolescence and Across the LifespanR01AA030575 · NIAAA · UNIVERSITY OF SYDNEY · PI Louise Mewton, Lindsay Squeglia · 2023 to 2026
$1.2M
Leveraging computational models of neurocognition to improve predictions about individual youths' risk for substance use disordersK23DA051561 · NIDA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI WEIGARD, ALEXANDER · 2021 to 2025
$983k
Mentoring Clinical Investigators in Patient-Oriented Adolescent Alcohol ResearchK24AA031052 · NIAAA · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI Lindsay Squeglia · 2024 to 2026
$644k
Environmental Influences on Neurocognitive Development of Control and Adolescent Substance UseK01DA059598 · NIDA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Omid Kardan · 2024 to 2026
$547k
NIAAA NIH HHS K24 AA031052NIAAA NIH HHS K24AA031052NIAAA NIH HHS R01 AA030575NIAAA NIH HHS R01AA030575NIAAA NIH HHS T32 AA007477NIAAA NIH HHS T32AA007477NIDA NIH HHS K01 DA059598NIDA NIH HHS K01DA059598NIDA NIH HHS K23 DA051561NIDA NIH HHS L30 DA064263NIDA NIH HHS T32 DA007288NIDA NIH HHS T32DA007288NIDA NIH HHS U01 DA041106
6 · The paper itself

Abstract

backgroundNo studies have examined the differential and combined effects of prenatal alcohol and cannabis exposure (PAE/PCE) on longitudinal trajectories of adolescent cognitive development. Further, previous alcohol research is mixed, with some evidence for negative PAE effects on cognition and other studies reporting null or positive associations. This study examined associations between PAE, PCE, and growth trajectories of adolescent cognition in a large, diverse sample.

methodsN = 11,029 adolescents from the Adolescent Brain Cognitive Development℠ Study completed the NIH Toolbox cognitive battery at baseline (M

resultsMost mothers reported no prenatal alcohol (n = 8257; 74%) or cannabis (n = 10,812; 94%) use. Overall, use was low: across pregnancy, women reporting any alcohol use averaged 33.31 drinks, and those reporting any cannabis use averaged 33.00 use occasions. Before including covariates, there were negative main effects of PCE and positive main effects of PAE on intercepts for all five cognitive domains. There was little evidence for PCE/PAE effects on slopes for cognition. After adding covariates, no negative effects of PCE remained. Small positive PAE effects on intercepts for multiple domains persisted. Cross-product terms for combined exposure were not significant.

conclusionsLittle evidence emerged for negative effects of low PAE, PCE, or combined exposure on adolescents' cognitive development after accounting for sociodemographic factors. Light drinking in families with social features positively associated with cognitive ability may result in few negative consequences. This study is the first to demonstrate weak evidence for adverse differential and combined low-level PAE and PCE effects on the development of adolescent cognition.

Indexed as

Adolescent DevelopmentAlcohol DrinkingCannabisCognitionPrenatal Exposure Delayed EffectsAdolescentChildFemaleHumansLongitudinal StudiesPregnancyRetrospective Studiesadolescenceadolescent cognitive abilitiescognitive outcomesprenatal alcohol exposureprenatal cannabis exposure

Identifiers

PMID41947378
PMCPMC13058172

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.