Brain Wiring Differences in People With Cannabis Use Disorder

People with cannabis use disorder showed altered white matter connectivity, particularly between parietal cortex and several cortical and subcortical regions.

Maleki, Suzan et al.·Translational psychiatry·2024·Moderate EvidenceCross-Sectional
RTHC-05505Cross SectionalModerate Evidence2024RETHINKTHC RESEARCH DATABASErethinkthc.com/research

Quick Facts

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

What This Study Found

Compared to 38 healthy controls, 56 individuals with CUD had significantly increased structural connectivity across 9 brain connections involving the right parietal cortex and regions including left orbitofrontal cortex, temporal pole, hippocampus, and putamen. White matter density was higher in the corpus callosum but lower in the bilateral cingulum and right cerebellum.

Key Numbers

56 CUD participants vs. 38 controls. 9 edges showed increased connectivity (FDR corrected). White matter density higher in corpus callosum splenium, lower in bilateral cingulum and right cerebellum (FWE corrected).

How They Did This

MRI-based study comparing 56 individuals with CUD (median age 25) to 38 healthy controls (median age 31.5) using structural connectome analysis and fixel-based analysis (FBA).

Why This Research Matters

Understanding how cannabis use disorder affects brain wiring could help identify early markers of the condition and inform treatment approaches.

The Bigger Picture

Increased connectivity in some areas alongside decreased density in others suggests CUD involves complex reorganization of brain wiring rather than simple deterioration.

What This Study Doesn't Tell Us

Cross-sectional design cannot determine whether white matter changes precede or follow cannabis use disorder. Age difference between groups could confound results. Relatively small sample sizes.

Questions This Raises

  • ?Do these white matter changes reverse after sustained abstinence?
  • ?Does the age at which regular cannabis use begins determine the pattern of white matter alterations?

Trust & Context

Key Stat:
9 brain connections showed increased connectivity in CUD; cingulum and cerebellum showed decreased density
Evidence Grade:
Advanced neuroimaging methods with statistical correction, but cross-sectional design and age mismatch between groups limit causal inference.
Study Age:
Published in 2024.
Original Title:
White matter alterations associated with chronic cannabis use disorder: a structural network and fixel-based analysis.
Published In:
Translational psychiatry, 14(1), 429 (2024)
Database ID:
RTHC-05505

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 cannabis use disorder change brain structure?

This study found altered white matter connectivity and density in people with CUD, though whether these changes are caused by cannabis use or preceded it remains unknown.

Are these brain changes permanent?

The study could not answer this since it looked at one point in time. Whether changes reverse with abstinence requires longitudinal research.

Read More on RethinkTHC

Cite This Study

RTHC-05505·https://rethinkthc.com/research/RTHC-05505

APA

Maleki, Suzan; Hendrikse, Joshua; Richardson, Karyn; Segrave, Rebecca A; Hughes, Sam; Kayayan, Edouard; Oldham, Stuart; Syeda, Warda; Coxon, James P; Caeyenberghs, Karen; Domínguez D, Juan F; Solowij, Nadia; Lubman, Dan I; Suo, Chao; Yücel, Murat. (2024). White matter alterations associated with chronic cannabis use disorder: a structural network and fixel-based analysis.. Translational psychiatry, 14(1), 429. https://doi.org/10.1038/s41398-024-03150-0

MLA

Maleki, Suzan, et al. "White matter alterations associated with chronic cannabis use disorder: a structural network and fixel-based analysis.." Translational psychiatry, 2024. https://doi.org/10.1038/s41398-024-03150-0

RethinkTHC

RethinkTHC Research Database. "White matter alterations associated with chronic cannabis us..." RTHC-05505. Retrieved from https://rethinkthc.com/research/maleki-2024-white-matter-alterations-associated

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.