Higher general cognitive ability at ages 9-10 predicted cannabis use by ages 13-14, but 73% of this effect was explained by developing more positive expectations about cannabis — suggesting expectancy-based prevention could be highly effective.
School-based prevention program designers, child psychologists, parents, and adolescent health researchers.
What the researchers found
Higher general ability at ages 9-10 was associated with cannabis initiation by 13-14 (OR=1.23), with positive cannabis expectancies mediating 72.6% of the effect (p=0.003). Better visuospatial reasoning was protective (OR=0.83). Positive alcohol expectancies mediated 36.3% of the general ability-alcohol use association.
Why it matters
This counterintuitive finding — that cognitive ability predicts cannabis use — is almost entirely explained by positive expectancies, meaning prevention programs that challenge positive cannabis beliefs could be targeted and effective.
The numbers in context
N=7,776; general ability→cannabis OR=1.23; 72.6% mediated by positive expectancies (p=0.003); -10.2% mediated by negative expectancies (p=0.04); visuospatial reasoning protective OR=0.83; positive alcohol expectancy mediated 36.3%
How the study worked
Prospective longitudinal analysis of 7,776 ABCD Study participants enrolled at ages 9-10 (2016-2018) through ages 13-14, examining how pre-adolescent neurocognitive factors predict substance use initiation through expectancy mediation models.
What this study cannot tell us
ABCD Study cohort may not represent all US youth; expectancies measured concurrently with some substance use; mediation models assume temporal ordering; cannot fully separate curiosity from actual use; cannabis use by 13-14 is relatively uncommon.
How to read the evidence
Large prospective ABCD Study cohort with validated neurocognitive measures and sophisticated mediation analysis, providing strong evidence for the expectancy pathway.
When this study was published
Published 2026; uses ABCD Study data from 2016-2022.
The bigger picture
Prevention programs should not just target 'at-risk' youth with behavioral problems — cognitively capable youth who develop positive cannabis expectations are also on a path toward early use.
Questions still open
- How do positive cannabis expectancies form in pre-adolescents? Would media literacy programs reduce positive expectancy development? Does the visuospatial reasoning protective effect reflect better decision-making capacity?
Common questions
Are smarter kids more likely to try cannabis?
How can we prevent early cannabis use?
Read the original research
Youth cannabis and alcohol use expectancies mediate associations between pre-adolescent cognitive function and subsequent use initiation.
Addictive behaviors, 173, 108533
Citation
Jones, Stephanie K; Tomko, Rachel; Ramer, Nolan; Wolf, Bethany J. (2026). Youth cannabis and alcohol use expectancies mediate associations between pre-adolescent cognitive function and subsequent use initiation.. Addictive behaviors, 173, 108533. https://doi.org/10.1016/j.addbeh.2025.108533
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