Evidence map›Paper›PMID 42855684›Full record

ArticleSubstance abuse treatment, prevention, and policy2026

Association between viewing more media war content and higher intention to use cannabis in adolescents: the indirect effect of post-traumatic stress.

Mia-Joe Milane, Souheil Hallit, Sahar Obeid, Rabih Hallit, Diana Malaeb, Fouad Sakr, Mariam Dabbous, Georges Haddad, Feten Fekih-Romdhane

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Article in Substance abuse treatment, prevention, and policy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

9 authors.

Mia-Joe MilaneSchool of Medicine and Medical Sciences, Holy Spirit University of Kaslik, P.O. Box 446, Jounieh, Lebanon.
Souheil HallitSchool of Medicine and Medical Sciences, Holy Spirit University of Kaslik, P.O. Box 446, Jounieh, Lebanon. souheilhallit@usek.edu.lb.
Sahar ObeidSchool of Arts and Sciences, Social and Education Sciences Department, Lebanese American University, Jbeil, Lebanon.
Rabih HallitSchool of Medicine and Medical Sciences, Holy Spirit University of Kaslik, P.O. Box 446, Jounieh, Lebanon.
Diana MalaebCollege of Pharmacy, Gulf Medical University, Ajman, United Arab Emirates.
Fouad SakrSchool of Pharmacy, Lebanese International University, Beirut, Lebanon.
Mariam DabbousSchool of Pharmacy, Lebanese International University, Beirut, Lebanon.
Georges HaddadSchool of Medicine and Medical Sciences, Holy Spirit University of Kaslik, P.O. Box 446, Jounieh, Lebanon.
Feten Fekih-RomdhaneThe Tunisian Center of Early Intervention in Psychosis, Department of Psychiatry "Ibn Omrane", Razi Hospital, Manouba, 2010, Tunisia. feten.fekih@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe ongoing Israeli-Palestinian conflicts increased the risk of multifront war, especially with bordering countries like Lebanon. In addition, with the increased use of media, graphic war content is easily transmitted to adolescents without regulation. This has significantly impacted their lives, mentally and physically, leading to the search for coping mechanisms like cannabis use. However, the exact link between war media exposure and cannabis use intention is still uncertain. This study aims to assess the hypothesis that PTSD can be a key mediator in the association between war media exposure and cannabis use intention in adolescents.

methodsA cross-sectional study was conducted, and data was collected from seven hundred fifty-eight adolescents from the general population of Lebanon that filled the survey, with a mean age of 16 years old.

resultsThe mediation analysis showed that the indirect effect of PTSD between war media exposure and cannabis use intention was significant (Beta = 0.01, BootSE = 0.01, 95% CI 0.001, 0.02). PTSD fully mediated the association between war media exposure and cannabis use intentions. Higher war media exposure was significantly associated with more PTSD, and higher PTSD was significantly associated with higher cannabis use intentions. Finally, war media exposure was not significantly associated with cannabis use intentions.

conclusionWatching disturbing war images can increase the risk of mental health morbidities like PTSD, which could lead, in turn, to intention to use cannabis to alleviate this mental burden. This suggests that assessing and treating PTSD could help prevent cannabis use among adolescents during war times. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

Adolescent BehaviorIntentionMarijuana UseStress Disorders, Post-TraumaticAdolescentCross-Sectional StudiesFemaleHumansLebanonMaleMedia ExposureAdolescentsCannabis use intentionPTSDWar media content

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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.