Evidence map›Paper›PMID 42644517›Full record

Trial reportAutism research : official journal of the International Society for Autism Research2026

Effects of Cannabidiol-Rich Cannabis Oil on Facial Expression Recognition and Theory of Mind in Children With Autism Spectrum Disorder: A Randomized Clinical Trial.

Wandersonia Moreira Brito Medeiros, Estácio Amaro da Silva Junior, Katy Lísias Gondim Dias de Albuquerque, Marine Diniz da Rosa, Amanda Gleiciane de Lima Oliveira, Maycon Jônatas da Silva, João Vitor Andrade Fernandes, Emily Caroline Costa Vieira, João Paulo Mendes Dos Santos, Thais Cavalcanti Borges and 3 more

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Autism research : official journal of the International Society for Autism Research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

13 authors.

Wandersonia Moreira Brito MedeirosFederal University of Paraíba, João Pessoa, Paraíba, Brazil.
Estácio Amaro da Silva JuniorFederal University of Paraíba, João Pessoa, Paraíba, Brazil.
Katy Lísias Gondim Dias de AlbuquerqueFederal University of Paraíba, João Pessoa, Paraíba, Brazil.ORCID https://orcid.org/0000-0001-9244-5653
Marine Diniz da RosaFederal University of Paraíba, João Pessoa, Paraíba, Brazil.ORCID https://orcid.org/0000-0003-0920-2234
Amanda Gleiciane de Lima OliveiraFederal University of Paraíba, João Pessoa, Paraíba, Brazil.
Maycon Jônatas da SilvaUniversity Center Maurício de Nassau, João Pessoa, Paraíba, Brazil.ORCID https://orcid.org/0009-0008-2238-5382
João Vitor Andrade FernandesFederal University of Paraíba, João Pessoa, Paraíba, Brazil.ORCID https://orcid.org/0000-0002-0619-4796
Emily Caroline Costa VieiraFederal University of Paraíba, João Pessoa, Paraíba, Brazil.
João Paulo Mendes Dos SantosFederal University of Paraíba, João Pessoa, Paraíba, Brazil.
Thais Cavalcanti BorgesFederal University of Paraíba, João Pessoa, Paraíba, Brazil.
Ana Hermínia Andrade E SilvaFederal University of Paraíba, João Pessoa, Paraíba, Brazil.ORCID https://orcid.org/0000-0002-4806-2206
Carlos Espínola Neto SegundoFederal University of Paraíba, João Pessoa, Paraíba, Brazil.ORCID https://orcid.org/0009-0007-6938-1066
Nelson Torro-AlvesFederal University of Paraíba, João Pessoa, Paraíba, Brazil.ORCID https://orcid.org/0000-0003-3678-5762

Funding

Coordination for the Improvement of Higher Education Personnel (CAPES)
6 · The paper itself

Abstract

To evaluate, in a post hoc subanalysis, the effects of cannabidiol (CBD)-rich cannabis oil on facial expression recognition and theory of mind in children with autism spectrum disorder (ASD). This post hoc subanalysis included children from a double-blind, randomized, placebo-controlled trial who completed social cognition assessments at baseline and after treatment. Participants received CBD-rich cannabis oil or placebo for 12 weeks. Facial expression recognition and theory of mind were assessed using neuropsychological tasks. Between-group differences were evaluated using the Mann-Whitney U test, whereas within-group changes were assessed using the Wilcoxon signed-rank test. Nineteen Brazilian children with ASD were included (72.7% male; mean age, 7.82 years). Within-group analyses showed significant improvements in facial expression recognition (p = 0.030) and verbal theory of mind (p = 0.016) after treatment in the CBD group, whereas corresponding changes in the placebo group were not statistically significant. However, between-group comparisons showed no significant differences after treatment in facial expression recognition (p = 0.527) or verbal theory of mind (p = 0.901). Total theory of mind scores improved significantly within both groups, with no significant between-group difference (p = 0.967). Although significant within-group improvements in facial expression recognition and verbal theory of mind were observed following CBD-rich cannabis oil treatment, these changes were not significantly different from those observed with placebo. Given the small sample size and exploratory post hoc design, these findings should be interpreted cautiously and do not establish a treatment effect of CBD on social cognition in children with ASD.

trial registrationBrazilian Clinical Trials Registry (ReBEC), RBR-5wr2cqq (UTN: U1111-1261-4178), accessible at https://ensaiosclinicos.gov.br/rg/RBR-5wr2cqq.

Indexed as

Autism Spectrum DisorderCannabidiolCannabisFacial ExpressionFacial RecognitionPlant OilsTheory of MindBrazilChildDouble-Blind MethodFemaleHumansMaleTreatment OutcomeCannabidiolPlant Oilsanxietyautism spectrum disordercannabidiolchildrenrandomized controlled trial

Identifiers

PMID42644517

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.