Children exposed to cannabis before birth showed higher psychosis proneness in the ABCD study

Using data from the landmark ABCD study, prenatal cannabis exposure was associated with increased psychosis proneness in children, with maternal use after knowledge of pregnancy showing a stronger association.

Fine, Jeremy D et al.·JAMA psychiatry·2019·Strong EvidenceLongitudinal Cohort
RTHC-02032Longitudinal CohortStrong Evidence2019RETHINKTHC RESEARCH DATABASErethinkthc.com/research

Quick Facts

Study Type
Longitudinal Cohort
Evidence
Strong Evidence
Sample
Not reported

What This Study Found

Maternal cannabis use during pregnancy, particularly after the mother knew she was pregnant, was associated with higher psychosis proneness scores in their children, based on data from the large-scale Adolescent Brain Cognitive Development study.

Key Numbers

Data drawn from the ABCD study cohort. Association found between prenatal cannabis exposure and psychosis proneness. Stronger signal when maternal use continued after knowledge of pregnancy.

How They Did This

Cohort analysis using data from the ongoing ABCD study, a landmark US longitudinal study tracking brain development in thousands of children. Compared psychosis proneness scores between children exposed and unexposed to prenatal cannabis.

Why This Research Matters

The ABCD study is the largest long-term study of brain development in the US, making these findings particularly important. An association between prenatal cannabis exposure and psychosis proneness could have significant public health implications as cannabis use during pregnancy increases.

The Bigger Picture

Cannabis use during pregnancy has been increasing alongside legalization. If prenatal exposure influences psychosis vulnerability, this represents a preventable risk factor. The ABCD study's long-term follow-up will eventually reveal whether childhood psychosis proneness translates to adult psychotic disorders.

What This Study Doesn't Tell Us

Published as a brief research letter with limited methodological detail. Prenatal cannabis exposure was maternally reported, which may be subject to recall and social desirability bias. Association does not prove causation. Confounding factors like other substance use and socioeconomic factors may contribute.

Questions This Raises

  • ?Does prenatal cannabis exposure directly increase psychosis risk, or is it a marker for other environmental factors?
  • ?Will the ABCD study follow-up data show these children developing clinical psychotic disorders?
  • ?What biological mechanism might link prenatal cannabinoid exposure to psychosis vulnerability?

Trust & Context

Key Stat:
Prenatal cannabis exposure linked to higher psychosis proneness in ABCD study children
Evidence Grade:
Strong: based on the ABCD study, the largest US longitudinal brain development study, published in JAMA Psychiatry.
Study Age:
Published in 2019.
Original Title:
Association of Prenatal Cannabis Exposure With Psychosis Proneness Among Children in the Adolescent Brain Cognitive Development (ABCD) Study.
Published In:
JAMA psychiatry, 76(7), 762-764 (2019)
Database ID:
RTHC-02032

Evidence Hierarchy

Meta-Analysis / Systematic Review
Randomized Controlled Trial
Cohort / Case-ControlFollows or compares groups over time
This study
Cross-Sectional / Observational
Case Report / Animal Study

Follows a group of people over time to track how outcomes develop.

What do these levels mean? →

Frequently Asked Questions

Can cannabis use during pregnancy affect the child's mental health?

This study found an association between prenatal cannabis exposure and higher psychosis proneness in children. The link was stronger when mothers continued cannabis use after learning they were pregnant.

What is the ABCD study?

The Adolescent Brain Cognitive Development study is the largest long-term study of brain development in the United States, following thousands of children from age 9-10 into adulthood with brain imaging and behavioral assessments.

Read More on RethinkTHC

Cite This Study

RTHC-02032·https://rethinkthc.com/research/RTHC-02032

APA

Fine, Jeremy D; Moreau, Allison L; Karcher, Nicole R; Agrawal, Arpana; Rogers, Cynthia E; Barch, Deanna M; Bogdan, Ryan. (2019). Association of Prenatal Cannabis Exposure With Psychosis Proneness Among Children in the Adolescent Brain Cognitive Development (ABCD) Study.. JAMA psychiatry, 76(7), 762-764. https://doi.org/10.1001/jamapsychiatry.2019.0076

MLA

Fine, Jeremy D, et al. "Association of Prenatal Cannabis Exposure With Psychosis Proneness Among Children in the Adolescent Brain Cognitive Development (ABCD) Study.." JAMA psychiatry, 2019. https://doi.org/10.1001/jamapsychiatry.2019.0076

RethinkTHC

RethinkTHC Research Database. "Association of Prenatal Cannabis Exposure With Psychosis Pro..." RTHC-02032. Retrieved from https://rethinkthc.com/research/fine-2019-association-of-prenatal-cannabis

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.