The prevalence of cannabis use disorders in people who use medicinal cannabis : A systematic review and meta-analysis

Journal article


Dawson, Danielle, Stjepanović, D., Lorenzetti, Valentina, Cheung, Christy, Hall, Wayne and Leung, Janni. (2024). The prevalence of cannabis use disorders in people who use medicinal cannabis : A systematic review and meta-analysis. Drug and Alcohol Dependence. 257, pp. 1-8. https://doi.org/10.1016/j.drugalcdep.2024.111263
AuthorsDawson, Danielle, Stjepanović, D., Lorenzetti, Valentina, Cheung, Christy, Hall, Wayne and Leung, Janni
Abstract

Background
The prevalence of cannabis use disorders (CUDs) in people who use cannabis recreationally has been estimated at 22%, yet there is a dearth of literature exploring CUDs among people who use medicinal cannabis. We aimed to systematically review the prevalence of CUDs in people who use medicinal cannabis.

Methods
In our systematic review and meta-analysis, we followed PRISMA guidelines and searched three databases (PsychInfo, Embase and PubMed) to identify studies examining the prevalence of CUDs in people who use medicinal cannabis. Meta-analyses were calculated on the prevalence of CUDs. Prevalence estimates were pooled across different prevalence periods using the DSM-IV and DSM-5.

Results
We conducted a systematic review of 14 eligible publications, assessing the prevalence of CUDs, providing data for 3681 participants from five different countries. The systematic review demonstrated that demographic factors, mental health disorders and the management of chronic pain with medicinal cannabis were associated with an elevated risk of CUDs. Meta-analyses were conducted on the prevalence of CUDs. For individuals using medicinal cannabis in the past 6–12 months, the prevalence of CUDs was 29% (95% CI: 21-38%) as per DSM-5 criteria. Similar prevalence was observed using DSM-IV (24%, CI: 14–38%) for the same period. When including all prevalence periods and using the DSM-5, the prevalence of CUDs in people who use medicinal cannabis was estimated at 25% (CI: 18-33%).

Conclusions
The prevalence of CUDs in people who use medicinal cannabis is substantial and comparable to people who use cannabis for recreational reasons, emphasizing the need for ongoing research to monitor the prevalence of CUDs in people who use medicinal cannabis.

Keywordscannabis; cannabis use disorder; medicinal cannabis; cannabis dependence; cannabis abuse
Year01 Jan 2024
JournalDrug and Alcohol Dependence
Journal citation257, pp. 1-8
PublisherElsevier Ireland, Ltd.
ISSN0376-8716
Digital Object Identifier (DOI)https://doi.org/10.1016/j.drugalcdep.2024.111263
Web address (URL)https://www.sciencedirect.com/science/article/pii/S0376871624001844?via%3Dihub
Open accessPublished as ‘gold’ (paid) open access
Research or scholarlyResearch
Page range1-8
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Open
Output statusPublished
Publication dates
Online08 Mar 2024
Publication process dates
Accepted22 Feb 2024
Deposited13 Jun 2024
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© 2024 The Authors. Published by Elsevier B.V.

This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).

Place of publicationIreland
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Neural correlates of symptom severity in obsessive-compulsive disorder using magnetization transfer and diffusion tensor imaging
Maleki, Suzan, Chye, Yann, Zhang, Xiaoliu, Parkes, Linden, Chamberlain, Samuel R., Fontenelle, Leonardo F., Braganza, Leah, Youssef, George, Lorenzetti, Valentina, Harrison, Ben J., Yücel, Murat and Suo, Chao. (2020). Neural correlates of symptom severity in obsessive-compulsive disorder using magnetization transfer and diffusion tensor imaging. Psychiatry Research: Neuroimaging. 298, p. Article 111046. https://doi.org/10.1016/j.pscychresns.2020.111046
Brain-derived neurotrophic factor association with amygdala response in major depressive disorder
Lorenzetti, Valentina, Costafreda, Sergi G., Rimmer, Rachael M., Rasenick, Mark M., Marangell, Lauren B. and Fu, Cynthia H. Y.. (2020). Brain-derived neurotrophic factor association with amygdala response in major depressive disorder. Journal of Affective Disorders. 267, pp. 103-106. https://doi.org/10.1016/j.jad.2020.01.159
Adolescent cannabis use, cognition, brain health and educational outcomes : A review of the evidence
Lorenzetti, Valentina, Hoch, Eva and Hall, Wayne. (2020). Adolescent cannabis use, cognition, brain health and educational outcomes : A review of the evidence. European Neuropsychopharmacology. 36, pp. 169-180. https://doi.org/10.1016/j.euroneuro.2020.03.012
Accuracy of automated amygdala MRI segmentation approaches in Huntington's disease in the IMAGE-HD cohort
Alexander, Bonnie, Georgiou-Karistianis, Nellie, Beare, Richard, Ahveninen, Lotta M., Lorenzetti, Valentina, Stout, Julie C. and Glikmann-Johnston, Yifat. (2020). Accuracy of automated amygdala MRI segmentation approaches in Huntington's disease in the IMAGE-HD cohort. Human Brain Mapping. 41(7), pp. 1875-1888. https://doi.org/10.1002/hbm.24918
Subcortical surface morphometry in substance dependence : An ENIGMA addiction working group study
Chye, Yann, Mackey, Scott, Gutman, Boris A., Ching, Christopher R. K., Batalla, Albert, Blaine, Sara, Brooks, Samantha, Caparelli, Elisabeth C., Cousijn, Janna, Dagher, Alain, Foxe, John J., Goudriaan, Anna E., Hester, Robert, Hutchison, Kent, Jahanshad, Neda, Kaag, Anne M., Korucuoglu, Ozlem, Li, Chiang-Shan R., London, Edythe D., ... Garavan, Hugh. (2020). Subcortical surface morphometry in substance dependence : An ENIGMA addiction working group study. Addiction Biology. 25(6), p. e12830. https://doi.org/10.1111/adb.12830
Cannabis use and mental health : Risks and benefits [Editorial]
Hall, Wayne, Hoch, Eva and Lorenzetti, Valentina. (2019). Cannabis use and mental health : Risks and benefits [Editorial]. European Archives of Psychiatry and Clinical Neuroscience. 269, pp. 1-3. https://doi.org/10.1007/s00406-019-00986-2
Neuroanatomical alterations in people with high and low cannabis dependence
Lorenzetti, Valentina, Chye, Yann, Suo, Chao, Walterfang, Mark, Lubman, Dan I., Takagi, Michael, Whittle, Sarah, Verdejo-Garcia, Antonio, Cousijn, Janna, Pantelis, Christos, Seal, Marc, Fornito, Alex, Yücel, Murat and Solowij, Nadia. (2019). Neuroanatomical alterations in people with high and low cannabis dependence. Australian and New Zealand Journal of Psychiatry. 54(1), pp. 68-75. https://doi.org/10.1177/0004867419859077
A roadmap for integrating neuroscience into addiction treatment : A consensus of the neuroscience interest group of the international society of addiction medicine
Verdejo-Garcia, Antonio, Lorenzetti, Valentina, Manning, Victoria, Piercy, Hugh, Bruno, Raimondo, Hester, Rob, Pennington, David, Tolomeo, Serenella, Arunogiri, Shalini, Bates, Marsha E., Bowden-Jones, Henrietta, Campanella, Salvatore, Daughters, Stacey B., Kouimtsidis, Christos, Lubman, Dan I., Meyerhoff, Dieter J., Ralph, Annaketurah, Rezapour, Tara, Tavakoli, Hosna, ... Ekhtiari, Hamed. (2019). A roadmap for integrating neuroscience into addiction treatment : A consensus of the neuroscience interest group of the international society of addiction medicine. Frontiers in Psychiatry. 10, p. Article 877. https://doi.org/10.3389/fpsyt.2019.00877
Defining compulsive behavior
Luigjes, Judy, Lorenzetti, Valentina, de Haan, Sanneke, Youssef, George J., Murawski, Carsten, Sjoerds, Zsuzsika, van den Brink, Wim, Denys, Damiaan, Fontenelle, Leonardo F. and Yücel, Murat. (2019). Defining compulsive behavior. Neuropsychology Review. 29(1), pp. 4-13. https://doi.org/10.1007/s11065-019-09404-9
Transdiagnostic variations in impulsivity and compulsivity in obsessive-compulsive disorder and gambling disorder correlate with effective connectivity in cortical-striatal-thalamic-cortical circuits
Parkes, Linden, Tiego, Jeggan, Aquino, Kevin, Braganza, Leah, Chamberlain, Samuel R., Fontenelle, Leonardo F., Harrison, Ben J., Lorenzetti, Valentina, Paton, Bryan, Razi, Adeel, Fornito, Alex and Yücel, Murat. (2019). Transdiagnostic variations in impulsivity and compulsivity in obsessive-compulsive disorder and gambling disorder correlate with effective connectivity in cortical-striatal-thalamic-cortical circuits. NeuroImage. 202, p. 116070. https://doi.org/10.1016/j.neuroimage.2019.116070
Does regular cannabis use affect neuroanatomy? An updated systematic review and meta-analysis of structural neuroimaging studies
Lorenzetti, Valentina, Chye, Yann, Silva, Pedro, Solowij, Nadia and Roberts, Carl A.. (2019). Does regular cannabis use affect neuroanatomy? An updated systematic review and meta-analysis of structural neuroimaging studies. European Archives of Psychiatry and Clinical Neuroscience. 269(1), pp. 59 - 71. https://doi.org/10.1007/s00406-019-00979-1
Mega-analysis of gray matter volume in substance dependence: General and substance-specific regional effects
Mackey, Scott, Allgaier, Nicholas, Chaarani, Bader, Spechler, Philip, Orr, Catherine, Bunn, Janice, Allen, Nicholas B., Alia-Klein, Nelly, Batalla, Albert, Blaine, Sara K., Brooks, Samantha, Caparelli, Elisabeth C., Chye, Yann Ying, Cousijn, Janna, Dagher, Alain, Desrivieres, Sylvane, Feldstein-Ewing, Sarah W., Foxe, John J., Goldstein, Rita Z., ... Garavan, Hugh. (2019). Mega-analysis of gray matter volume in substance dependence: General and substance-specific regional effects. American Journal of Psychiatry. 176(2), pp. 119 - 128. https://doi.org/10.1176/appi.ajp.2018.17040415
From socioeconomic disadvantage to obesity: The mediating role of psychological distress and emotional eating
Spinosa, Jade, Christiansen, Paul, Dickson, Joanne M., Lorenzetti, Valentina and Hardman, Charlotte A.. (2019). From socioeconomic disadvantage to obesity: The mediating role of psychological distress and emotional eating. Obesity. 27(4), pp. 559 - 564. https://doi.org/10.1002/oby.22402
Impulsivity and body fat accumulation are linked to cortical and subcortical brain volumes among adolescents and adults
Kakoschke, Naomi, Lorenzetti, Valentina, Caeyenberghs, Karen and Verdejo-García, Antonio. (2019). Impulsivity and body fat accumulation are linked to cortical and subcortical brain volumes among adolescents and adults. Scientific Reports. 9(1), pp. 1 - 11. https://doi.org/10.1038/s41598-019-38846-7
Alteration to hippocampal volume and shape confined to cannabis dependence: A multi-site study
Chye, Yann, Lorenzetti, Valentina, Suo, Chao, Batalla, Albert, Cousijn, Janna, Goudriaan, Anna E., Jenkinson, Mark, Martin-Santos, Rocio, Whittle, Sarah, Yücel, Murat and Solowij, Nadia. (2019). Alteration to hippocampal volume and shape confined to cannabis dependence: A multi-site study. Addiction Biology. 24(4), pp. 822 - 834. https://doi.org/10.1111/adb.12652
Cortical surface morphology in long-term cannabis users: A multi-site MRI study
Chye, Yann, Suo, Chao, Lorenzetti, Valentina, Batalla, Albert, Cousijn, Janna, Goudriaan, Anna E., Martin-Santos, Rocio, Whittle, Sarah, Solowij, Nadia and Yücel, Murat. (2019). Cortical surface morphology in long-term cannabis users: A multi-site MRI study. European Neuropsychopharmacology. 29(2), pp. 257 - 265. https://doi.org/10.1016/j.euroneuro.2018.11.1110
Reduced amygdala volumes are related to motor and cognitive signs in Huntington's disease: The IMAGE-HD study
Ahveninen, Lotta M., Stout, Julie C., Georgiou-Karistianis, Nellie, Lorenzetti, Valentina and Glikmann-Johnston, Yifat. (2018). Reduced amygdala volumes are related to motor and cognitive signs in Huntington's disease: The IMAGE-HD study. NeuroImage: Clinical. 18, pp. 881 - 887. https://doi.org/10.1016/j.nicl.2018.03.027
The anticipation and outcome phases of reward and loss processing: A neuroimaging meta-analysis of the monetary incentive delay task
Oldham, Stuart, Murawski, Carsten, Fornito, Alex, Youssef, George J., Yücel, Murat and Lorenzetti, Valentina. (2018). The anticipation and outcome phases of reward and loss processing: A neuroimaging meta-analysis of the monetary incentive delay task. Human Brain Mapping. 39(8), pp. 3398 - 3418. https://doi.org/10.1002/hbm.24184
Exploring the association of legalisation status of cannabis with problematic cannabis use and impulsivity in the USA
Destrée, Louise, Amiet, Danielle, Carter, Adrian, Lee, Rico, Lorenzetti, Valentina, Segrave, Rebecca, Youssef, George, Solowij, Nadia and Yücel, Murat. (2018). Exploring the association of legalisation status of cannabis with problematic cannabis use and impulsivity in the USA. Drugs in Context. 7, pp. 1 - 5. https://doi.org/10.7573/dic.212541
Emotion regulation using virtual environments and real-time fMRI neurofeedback
Lorenzetti, Valentina, Melo, Bruno, Basílio, Rodrigo, Suo, Chao, Yücel, Murat, Tierra-Criollo, Carlos J. and Moll, Jorge. (2018). Emotion regulation using virtual environments and real-time fMRI neurofeedback. Frontiers in Neurology. 9, pp. 1 - 15. https://doi.org/10.3389/fneur.2018.00390
Mapping cortical brain asymmetry in 17,141 healthy individuals worldwide via the ENIGMA consortium
Kong, Xiang-Zhen, Mathias, Samuel R., Guadalupe, Tulio, ENIGMA Laterality Working Group,, Glahn, David C., Franke, Barbara, Crivello, Fabrice, Tzourio-Mazoyer, Nathalie, Fisher, Simon E., Thompson, Paul M., Francks, Clyde, Lorenzetti, Valentina and ENIGMA Laterality Working Group. (2018). Mapping cortical brain asymmetry in 17,141 healthy individuals worldwide via the ENIGMA consortium. Proceedings of the National Academy of Sciences of USA. 115(22), pp. E5154 - E5163. https://doi.org/10.1073/pnas.1718418115
A systematic review and meta-analysis of the neural correlates of psychological therapies in major depression
Sankar, Anjali, Melin, Alice, Lorenzetti, Valentina, Horton, Paul, Costafreda, Sergi G. and Fu, Cynthia H. Y.. (2018). A systematic review and meta-analysis of the neural correlates of psychological therapies in major depression. Psychiatry Research: Neuroimaging. 279, pp. 31 - 39. https://doi.org/10.1016/j.pscychresns.2018.07.002
A transdiagnostic dimensional approach towards a neuropsychological assessment for addiction: an international Delphi consensus study
Yucel, Murat, Oldenhof, Erin, Ahmed, Serge H., Belin, David, Billieux, Joel, Bowden-Jones, Henrietta, Carter, Adrian, Chamberlain, Samuel R., Clark, Luke, Connor, Jason P., Daglish, Mark, Dom, Geert, Dannon, Pinhas, Duka, Theodora, Fernandez-Serrano, Maria Jose, Field, Matt, Franken, Ingmar, Goldstein, Rita Z., Gonzalez, Raul, ... Verdejo-Garcia, Antonio. (2018). A transdiagnostic dimensional approach towards a neuropsychological assessment for addiction: an international Delphi consensus study. Addiction. 114(6), pp. 1095 - 1109. https://doi.org/10.1111/add.14424
Unpacking the role of self-reported compulsivity and impulsivity in obsessive-compulsive disorder
Prochazkova, Luisa, Parkes, Linden, Dawson, Andrew, Youssef, George J., Ferreira, Gabriela M., Lorenzetti, Valentina, Segrave, Rebecca A., Fontenelle, Leonardo F. and Yücel, Murat. (2018). Unpacking the role of self-reported compulsivity and impulsivity in obsessive-compulsive disorder. CNS Spectrums. 23(1), pp. 51 - 58. https://doi.org/10.1017/S1092852917000244
Neuroscience in gambling policy and treatment: an interdisciplinary perspective
Murat Yucel, Adrian Carter, Amy R Allen, Bernard Balleine, Luke Clark, Nicki A Dowling, Sally M Gainsbury, Anna E Goudriaan, Jon Grant, Alan Hayes, David Hodgins, Ruth van Holst, Ralph Lattimore, Charles Livingstone, Valentina Lorenzetti, Dan Lubman, Carsten Murawski, Linden Parkes, Nancy Petry, ... Wayne Hall. (2017). Neuroscience in gambling policy and treatment: an interdisciplinary perspective. The Lancet Psychiatry. 4(6), pp. 501-506. https://doi.org/10.1016/S2215-0366(16)30369-8
Orbitofrontal and caudate volumes in cannabis users: A multi-site mega-analysis comparing dependent versus non-dependent users
Chye, Yann, Solowij, Nadia, Suo, Chao, Batalla, Albert, Cousijn, Janna, Goudriaan, Anna E., Martin-Santos, Rocio, Whittle, Sarah, Lorenzetti, Valentina and Yücel, Murat. (2017). Orbitofrontal and caudate volumes in cannabis users: A multi-site mega-analysis comparing dependent versus non-dependent users. Psychopharmacology. 234(13), pp. 1985 - 1995. https://doi.org/10.1007/s00213-017-4606-9
Cannabis-related hippocampal volumetric abnormalities specific to subregions in dependent users
Chye, Yann, Suo, Chao, Yücel, Murat, den Ouden, Lauren, Solowij, Nadia and Lorenzetti, Valentina. (2017). Cannabis-related hippocampal volumetric abnormalities specific to subregions in dependent users. Psychopharmacology. 234(14), pp. 2149 - 2157. https://doi.org/10.1007/s00213-017-4620-y
A psychometric validation study of the Impulsive-Compulsive Behaviours Checklist: A transdiagnostic tool for addictive and compulsive behaviours
Guo, Karen, Youssef, George J., Dawson, Andrew, Parkes, Linden, Oostermeijer, Sanne, López-Solà, Clara, Lorenzetti, Valentina, Greenwood, Christopher, Fontenelle, Leonardo F. and Yücel, Murat. (2017). A psychometric validation study of the Impulsive-Compulsive Behaviours Checklist: A transdiagnostic tool for addictive and compulsive behaviours. Addictive Behaviors. 67, pp. 26 - 33. https://doi.org/10.1016/j.addbeh.2016.11.021
Longitudinal study of hippocampal volumes in heavy cannabis users
Koenders, L., Lorenzetti, Valentina, de Haan, L., Suo, C., Vingerhoets, W. A. M., van den Brink, W., Wiers, R. W., Meijer, C. J., MacHielsen, M. W. J., Goudriaan, Anna E., Veltman, D. J., Yücel, Murat and Cousijn, Janna. (2017). Longitudinal study of hippocampal volumes in heavy cannabis users. Journal of Psychopharmacology. 31(8), pp. 1027 - 1034. https://doi.org/10.1177/0269881117718380
Role of orbitofrontal sulcogyral pattern on lifetime cannabis use and depressive symptoms
Chye, Yann, Solowij, Nadia, Ganella, Eleni P., Suo, Chao, Yücel, Murat, Batalla, Albert, Cousijn, Janna, Goudriaan, Anna E., Martin-Santos, Rocio, Whittle, Sarah, Bartholomeusz, Cali F. and Lorenzetti, Valentina. (2017). Role of orbitofrontal sulcogyral pattern on lifetime cannabis use and depressive symptoms. Progress in Neuropsychopharmacology and Biological Psychiatry. 79, pp. 392 - 400. https://doi.org/10.1016/j.pnpbp.2017.07.017
Investigating the role of anticipatory reward and habit strength in obsessive-compulsive disorder
Ferreira, Gabriela M., Yücel, Murat, Dawson, Andrew, Lorenzetti, Valentina and Fontenelle, Leonardo F.. (2017). Investigating the role of anticipatory reward and habit strength in obsessive-compulsive disorder. CNS Spectrums. 22(3), pp. 295 - 304. https://doi.org/10.1017/S1092852916000535
Neuroimaging of the human brain in adolescent substance users
Takagi, Michael, Youssef, George and Lorenzetti, Valentina. (2016). Neuroimaging of the human brain in adolescent substance users. In In De Micheli, Denise, Andrade, André Luiz Monezi, da Silva, Eroy Aparecida and de Souza Formigoni, Maria Lucia Oliveira (Ed.). Drug abuse in adolescence : Neurobiological, cognitive, and psychological issues pp. 69-99 Springer. https://doi.org/10.1007/978-3-319-17795-3_6
Cannabis use disorders and altered brain morphology : Where is the evidence?
Lorenzetti, Valentina, Batalla, Albert and Cousijn, Janna. (2016). Cannabis use disorders and altered brain morphology : Where is the evidence? Current Addiction Reports. 3(2), pp. 189-198. https://doi.org/10.1007/s40429-016-0102-2
The neurobiology of cannabis use disorders: A call for evidence
Valentina Lorenzetti, Janna Cousijn, Nadia Solowij, Hugh Garavan, Chao Suo, Murat Yucel and Antonio Verdejo-Garcia. (2016). The neurobiology of cannabis use disorders: A call for evidence. Frontiers in Behavioral Neuroscience. 10, pp. 1-3. https://doi.org/10.3389/fnbeh.2016.00086
Olfactory sulcus morphology in patients with current and past major depression
Takahashi, Tsutomu, Nishikawa, Yumiko, Yücel, Murat, Whittle, Sarah, Lorenzetti, Valentina, Walterfang, Mark, Sasabayashi, Daiki, Suzuki, Michio, Pantelis, Christos and Allen, Nicholas B.. (2016). Olfactory sulcus morphology in patients with current and past major depression. Psychiatry Research: Neuroimaging. 255, pp. 60 - 65. https://doi.org/10.1016/j.pscychresns.2016.07.008
Genetic imaging consortium for addiction medicine: From neuroimaging to genes
Mackey, Scott, Kan, Kees-Jan, Chaarani, Bader, Alia-Klein, Nelly, Batalla, Albert, Brooks, Samantha, Cousijn, Janna, Dagher, Alain, de Ruiter, Michiel, Desrivieres, Sylvane, Feldstein Ewing, Sarah W., Goldstein, Rita Z., Goudriaan, Anna E., Heitzeg, Mary M., Hutchison, Kent, Li, Chiang-Shan R., London, Edythe D., Lorenzetti, Valentina, Luijten, Maartje, ... Conrod, Patricia. (2016). Genetic imaging consortium for addiction medicine: From neuroimaging to genes. In Neuroscience for addiction medicine: From prevention to rehabilitation - methods and interventions pp. 203 - 223 Elsevier. https://doi.org/10.1016/bs.pbr.2015.07.026
Adolescent cannabis use: What is the evidence for functional brain alteration?
Lorenzetti, Valentina, Alonso-Lana, Silvia, Youssef, G. J., Verdejo-Garcia, Antonio, Suo, Chao, Cousijn, Janna, Takagi, Michael, Yucel, Murat and Solowij, Nadia. (2016). Adolescent cannabis use: What is the evidence for functional brain alteration? Current Pharmaceutical Design. 22(42), pp. 6353 - 6365. https://doi.org/10.2174/1381612822666160805155922
The role of cannabinoids in neuroanatomic alterations in cannabis users
Lorenzetti, Valentina, Solowij, Nadia and Yücel, Murat. (2016). The role of cannabinoids in neuroanatomic alterations in cannabis users. Biological Psychiatry. 79(7), pp. e17 - e31. https://doi.org/10.1016/j.biopsych.2015.11.013
Hippocampal harms, protection and recovery following regular cannabis use
Yücel, Murat, Lorenzetti, Valentina, Suo, C., Zalesky, Andrew, Fornito, Alex, Takagi, Michael J., Lubman, Dan I. and Solowij, Nadia. (2016). Hippocampal harms, protection and recovery following regular cannabis use. Translational Psychiatry. 6(1), pp. 1 - 7. https://doi.org/10.1038/tp.2015.201
An MRI study of white matter tract integrity in regular cannabis users: Effects of cannabis use and age
Jakabek, David, Yucel, Murat, Lorenzetti, Valentina and Solowij, Nadia. (2016). An MRI study of white matter tract integrity in regular cannabis users: Effects of cannabis use and age. Psychopharmacology. 233(19-20), pp. 3627 - 3637. https://doi.org/10.1007/s00213-016-4398-3
Gross morphological brain changes with chronic, heavy cannabis use
Lorenzetti, Valentina, Solowij, Nadia, Whittle, Sarah, Fornito, Alex, Lubman, Dan I., Pantelis, Christos and Yücel, Murat. (2015). Gross morphological brain changes with chronic, heavy cannabis use. British Journal of Psychiatry. 206(1), pp. 77 - 78. https://doi.org/10.1192/bjp.bp.114.151407
Cortico-limbic network abnormalities in individuals with current and past major depressive disorder
Klauser, Paul, Fornito, Alex, Lorenzetti, Valentina, Davey, Christopher G., Dwyer, Dominic B., Allen, Nicholas B. and Yücel, Murat. (2015). Cortico-limbic network abnormalities in individuals with current and past major depressive disorder. Journal of Affective Disorders. 173, pp. 45 - 52. https://doi.org/10.1016/j.jad.2014.10.041
The association between regular cannabis exposure and alterations of human brain morphology: An updated review of the literature
Lorenzetti, Valentina, Solowij, Nadia, Fornito, Alex, Lubman, Dan Ian and Yücel, Murat. (2014). The association between regular cannabis exposure and alterations of human brain morphology: An updated review of the literature. Current Pharmaceutical Design. 20(13), pp. 2138 - 2167. https://doi.org/10.2174/13816128113199990435
The neural cascade of olfactory processing: A combined fMRI-EEG study
Masaoka, Yuri, Harding, Ian H., Koiwa, Nobuyoshi, Yoshida, Masaki, Harrison, Ben J., Lorenzetti, Valentina, Ida, Masahiro, Izumizaki, Masahiko, Pantelis, Christos and Homma, Ikuo. (2014). The neural cascade of olfactory processing: A combined fMRI-EEG study. Respiratory Physiology & Neurobiology. 204, pp. 71 - 77. https://doi.org/10.1016/j.resp.2014.06.008
Human amygdala volume is predicted by common DNA variation in the stathmin and serotonin transporter genes
Stjepanović, D., Lorenzetti, Valentina, Yücel, Murat, Hawi, Z. and Bellgrove, M. A.. (2013). Human amygdala volume is predicted by common DNA variation in the stathmin and serotonin transporter genes. Translational Psychiatry. 3(7), pp. 1 - 7. https://doi.org/10.1038/tp.2013.41
Alteration to hippocampal shape in cannabis users with and without schizophrenia
Solowij, Nadia, Walterfang, Mark, Lubman, Dan I., Whittle, Sarah, Lorenzetti, Valentina, Styner, Martin, Velakoulis, Dennis, Pantelis, Christos and Yucel, Murat. (2013). Alteration to hippocampal shape in cannabis users with and without schizophrenia. Schizophrenia Research. 143(1), pp. 179 - 184. https://doi.org/10.1016/j.schres.2012.10.040