Evidence map›Paper›PMID 42617216›Full record

ArticleDrug and alcohol dependence2026

Links between cannabinoid hyperemesis syndrome symptoms and drug use, mental health problems, antisocial behavior, and personality in a national survey of adults in the United States.

Brian M Hicks, Amanda M Price, Blair J Whittington, Paula Goldman, Mark A Ilgen

Abstract read
PubMed Publisher
In one paragraph

Article in Drug and alcohol dependence, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Brian M HicksAddiction Center, Department of Psychiatry, University of Michigan, United States. Electronic address: brianhic@umich.edu.
Amanda M PriceAddiction Center, Department of Psychiatry, University of Michigan, United States; Center for Clinical Management Research, Department of Veterans Affairs, United States.
Blair J WhittingtonAddiction Center, Department of Psychiatry, University of Michigan, United States.
Paula GoldmanAddiction Center, Department of Psychiatry, University of Michigan, United States; Department of Pediatrics, University of Michigan, United States.
Mark A IlgenAddiction Center, Department of Psychiatry, University of Michigan, United States; Center for Clinical Management Research, Department of Veterans Affairs, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCannabinoid hyperemesis syndrome (CHS) is characterized by episodes of severe nausea, vomiting, and abdominal pain among those with heavy cannabis use. We estimated differences between those reporting CHS symptoms and those who use cannabis daily and less frequently on drug use, psychiatric symptoms, other health aliments, antisocial behavior, and personality.

methodsThe National Firearms, Alcohol, Cannabis, and Suicide survey was administered to 7034 US adults (3427 male, 3607 female) in 2025. Survey items assessed substance use, common psychiatric symptoms, personality traits, and symptoms of CHS.

resultsThose with CHS symptoms reported the highest rates and greatest variety of drug use compared to others who used cannabis. Those with CHS symptoms reported higher rates of other drug use than those who used cannabis daily without CHS symptoms for opioids, hallucinogens, and sedatives, higher rates of drug overdoses, and greater use of all drug classes than those with less-than-daily cannabis use. Those with CHS symptoms also reported more depression, anxiety, sleep disturbances, chronic pain, antisocial behavior, intimate partner violence, and disinhibited personality traits than those who used cannabis daily (mean d = 0.58) and less frequently (mean d = 0.69) and those with no cannabis use in the past 12 months (mean d = 0.99).

conclusionsThose with CHS symptoms exhibit a variety of psychological and behavioral difficulties including higher rates of other drug use, psychiatric symptoms, antisocial behavior, and dysfunctional personality traits. Results highlight the importance of understanding and addressing the broader psychosocial challenges faced by people experiencing CHS symptoms.

Indexed as

Antisocial Personality DisorderCannabinoid Hyperemesis SyndromeMental DisordersPersonalitySubstance-Related DisordersAdolescentAdultFemaleHumansMaleMiddle AgedUnited StatesYoung AdultCannabisDepressionMarijuanaNauseaPersonalityPsychopathologyVomiting

Identifiers

What OpenQuestion holds

Textmetadata
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.