Adolescents Were More Cognitively Impaired by THC Than Adults at the Same Doses

At THC doses that produced similar subjective intoxication in both groups, adolescents showed dose-dependent cognitive impairments and brain changes that adults did not, suggesting greater vulnerability.

Murray, Conor H et al.·Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology·2022·Moderate EvidenceRandomized Controlled Trial
RTHC-04089Randomized Controlled TrialModerate Evidence2022RETHINKTHC RESEARCH DATABASErethinkthc.com/research

Quick Facts

Study Type
Randomized Controlled Trial
Evidence
Moderate Evidence
Sample
N=12

What This Study Found

Adolescents (18-20) showed dose-dependent impairments in reaction time, response accuracy, and time perception with THC (7.5 and 15 mg) that adults (30-40) did not exhibit. THC decreased P300 brain wave amplitude in adolescents but not adults. Subjective intoxication and heart rate effects were similar in both groups.

Key Numbers

12 adolescents (18-20) vs 12 adults (30-40); THC 7.5 and 15 mg; <20 lifetime uses; dose-dependent cognitive impairment in adolescents only; P300 decreased in adolescents only

How They Did This

Double-blind, placebo-controlled RCT with 12 adolescents (18-20) and 12 adults (30-40), all with fewer than 20 lifetime THC uses. Each received placebo, 7.5 mg, and 15 mg THC capsules across three sessions.

Why This Research Matters

This is one of the first human studies directly comparing THC effects across age groups. The finding that adolescents are more cognitively impaired at doses that feel the same as for adults has important implications for risk communication.

The Bigger Picture

This study provides human evidence for what animal studies have long suggested: the adolescent brain is more vulnerable to THC. The dissociation between feeling equally high and being more impaired is particularly concerning.

What This Study Doesn't Tell Us

Very small sample (24 total). Participants aged 18-20 are legally adults but neurologically still developing. Oral THC capsules may differ from smoked/vaped cannabis.

Questions This Raises

  • ?Would these differences persist with regular cannabis use and tolerance development?
  • ?Does the P300 reduction in adolescents reflect long-lasting brain changes or only acute effects?

Trust & Context

Key Stat:
Adolescents more impaired despite similar subjective intoxication
Evidence Grade:
Well-designed double-blind RCT with objective cognitive and EEG measures, but very small sample size (24 total).
Study Age:
Published in 2022
Original Title:
Adolescents are more sensitive than adults to acute behavioral and cognitive effects of THC.
Published In:
Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 47(7), 1331-1338 (2022)
Database ID:
RTHC-04089

Evidence Hierarchy

Meta-Analysis / Systematic Review
Randomized Controlled TrialGold standard for testing treatments
This study
Cohort / Case-Control
Cross-Sectional / Observational
Case Report / Animal Study

Participants are randomly assigned to treatment or placebo groups to test cause and effect.

What do these levels mean? →

Frequently Asked Questions

Are young people more affected by THC than adults?

Yes. This study found adolescents (18-20) had dose-dependent impairments in reaction time, accuracy, and time perception that adults (30-40) did not show, even though both groups reported feeling equally intoxicated.

Why is this concerning?

If adolescents feel equally high as adults but are more impaired, they may not recognize their cognitive deficits. This could lead to risky decisions like driving while more impaired than they realize.

Read More on RethinkTHC

Cite This Study

RTHC-04089·https://rethinkthc.com/research/RTHC-04089

APA

Murray, Conor H; Huang, Zhengyi; Lee, Royce; de Wit, Harriet. (2022). Adolescents are more sensitive than adults to acute behavioral and cognitive effects of THC.. Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 47(7), 1331-1338. https://doi.org/10.1038/s41386-022-01281-w

MLA

Murray, Conor H, et al. "Adolescents are more sensitive than adults to acute behavioral and cognitive effects of THC.." Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 2022. https://doi.org/10.1038/s41386-022-01281-w

RethinkTHC

RethinkTHC Research Database. "Adolescents are more sensitive than adults to acute behavior..." RTHC-04089. Retrieved from https://rethinkthc.com/research/murray-2022-adolescents-are-more-sensitive

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.