Long-Term Cannabis Users Show No Cognitive Deficits When Abstinent — But Distinct Personality Traits

Chronic cannabis users showed no neuropsychological deficits after 10-30 days of abstinence but were distinguished by higher novelty seeking and impulsive nonconformity compared to non-users.

Bouso, José Carlos et al.·European neuropsychopharmacology : the journal of the European College of Neuropsychopharmacology·2026·Moderate EvidenceCross-Sectional
RTHC-08133Cross SectionalModerate Evidence2026RETHINKTHC RESEARCH DATABASErethinkthc.com/research

Quick Facts

Study Type
Cross-Sectional
Evidence
Moderate Evidence
Sample
N=56

What This Study Found

No significant group differences in neuropsychological performance between chronic cannabis users (n=56), ayahuasca users (n=69), and non-users (n=94) matched for age, education, and IQ; personality traits (novelty seeking, impulsive nonconformity) best distinguished cannabis users.

Key Numbers

56 cannabis users, 69 ayahuasca users, 94 non-users; matched by age, education, IQ; 10-30 days abstinence required; cannabis users: higher novelty seeking and impulsive nonconformity, lower introvertive anhedonia.

How They Did This

Cross-sectional study comparing matched groups of regular cannabis users, ayahuasca users, and non-users on neuropsychological battery and personality questionnaires after 10-30 days of abstinence.

Why This Research Matters

This challenges the persistent narrative that cannabis causes lasting brain damage — when users are matched for intelligence and education and given time to clear acute effects, cognitive deficits disappear.

The Bigger Picture

The finding that personality, not cognition, distinguishes users suggests that some 'cannabis-related' cognitive issues found in other studies may reflect pre-existing traits rather than drug effects.

What This Study Doesn't Tell Us

Cross-sectional design cannot determine if personality traits preceded or followed cannabis use; self-selected non-treatment-seeking sample; 10-30 day abstinence may not capture very long-term residual effects.

Questions This Raises

  • ?Do personality traits predispose to cannabis use, or does long-term use shape personality?
  • ?Would results differ in treatment-seeking or problematic users?

Trust & Context

Key Stat:
Evidence Grade:
Well-matched cross-sectional design with comprehensive neuropsychological battery and validated personality measures, but cannot establish causation or generalize to all users.
Study Age:
Published in 2026 in European Neuropsychopharmacology, contributing to the ongoing debate about cannabis and cognition.
Original Title:
Personality, not cognition, distinguishes chronic ayahuasca and cannabis users from non-users.
Published In:
European neuropsychopharmacology : the journal of the European College of Neuropsychopharmacology, 106, 112782 (2026)
Database ID:
RTHC-08133

Evidence Hierarchy

Meta-Analysis / Systematic Review
Randomized Controlled Trial
Cohort / Case-Control
Cross-Sectional / ObservationalSnapshot without intervening
This study
Case Report / Animal Study

A snapshot of a population at one point in time.

What do these levels mean? →

Frequently Asked Questions

Does long-term cannabis use cause permanent brain damage?

This study found no neuropsychological deficits in chronic cannabis users after 10-30 days of abstinence when matched for intelligence and education, suggesting acute effects may be reversible.

How are cannabis users different from non-users?

Personality, not cognition, was the distinguishing factor — cannabis users scored higher on novelty seeking and impulsive nonconformity, which may have preceded rather than resulted from use.

Read More on RethinkTHC

Cite This Study

RTHC-08133·https://rethinkthc.com/research/RTHC-08133

APA

Bouso, José Carlos; Andión, Oscar; Estévez, Sabela Fondevila; González, Débora; Alcázar-Córcoles, Miguel Ángel; Kohek, Maja; Santos, Rafael Guimaraes Dos; Hallak, Jaime; Riba, Jordi. (2026). Personality, not cognition, distinguishes chronic ayahuasca and cannabis users from non-users.. European neuropsychopharmacology : the journal of the European College of Neuropsychopharmacology, 106, 112782. https://doi.org/10.1016/j.euroneuro.2026.112782

MLA

Bouso, José Carlos, et al. "Personality, not cognition, distinguishes chronic ayahuasca and cannabis users from non-users.." European neuropsychopharmacology : the journal of the European College of Neuropsychopharmacology, 2026. https://doi.org/10.1016/j.euroneuro.2026.112782

RethinkTHC

RethinkTHC Research Database. "Personality, not cognition, distinguishes chronic ayahuasca ..." RTHC-08133. Retrieved from https://rethinkthc.com/research/bouso-2026-personality-not-cognition-distinguishes

Access the Original Study

Study data sourced from PubMed, a service of the U.S. National Library of Medicine, National Institutes of Health.

This study breakdown was produced by the RethinkTHC research team. We analyze and report published research findings without making health recommendations. All interpretations are based solely on the published abstract and study data.