2013 / Systematic Review / Moderate evidenceSystematic review found inconclusive evidence for cannabis effects on brain structure in schizophrenia, with no convincing pre-onset structural changes.
2013 / Animal Study / Moderate evidenceJoint mobilization reduced post-surgical pain through CB1 and CB2 receptors, and FAAH/MAGL inhibitors significantly extended the pain-relieving effect in mice.
2013 / Review / Preliminary evidenceCannabis was a standard migraine treatment before prohibition. Patients continue to use it for headaches, but no controlled studies exist due to Schedule 1 classification.
2013 / Review / Preliminary evidenceFAAH inhibition enhanced nicotine reward in mice but blocked it in rats, with species differences possibly due to non-cannabinoid substrates like OEA and PEA.
2013 / Review / Moderate evidenceTwo controlled trials found THC significantly reduced tics in Tourette syndrome without major side effects, and experts recommend it for treatment-resistant adults.
2013 / Cross Sectional / Moderate evidenceChronic cannabis smokers had 50% more visceral belly fat, lower HDL, and fat cell insulin resistance, but normal blood sugar, liver fat, and pancreatic function.
2013 / Case Report / Preliminary evidenceTwo cases of synthetic cannabinoid withdrawal showed anxiety and tachycardia more severe than cannabis withdrawal, with natural THC failing to improve symptoms.
2013 / Randomized Controlled Trial / Strong evidenceIn treatment-resistant Crohn's disease, cannabis produced clinical response in 90% vs 40% placebo (p=0.028), with 3 patients weaned off steroids.
2013 / Animal Study / Moderate evidenceCB2 knockout mice showed no nicotine reward, reduced self-administration, and no withdrawal, with CB2 receptors colocalizing with nicotinic receptors in reward circuits.
2013 / Systematic Review / Moderate evidenceSystematic review of 9 trials found mostly inconclusive evidence for ER-based brief interventions reducing youth substance use, with some promising MI findings.
2013 / Observational / Preliminary evidenceSurvey of 124 Sativex patients found majority reported improved daily function, reduced use of other anti-spasticity medications, and fewer healthcare visits.
2013 / Longitudinal Cohort / Moderate evidenceTwin study found a common genetic factor drove vulnerability to alcohol, tobacco, and cannabis dependence, with genetic influence increasing from 43% to 63% through adolescence.
2013 / Cross Sectional / Preliminary evidenceMultilevel analysis of 1,601 Croatian students found medium school and area SES associated with higher cannabis use, while low SES was protective.
2013 / Qualitative / Preliminary evidenceQualitative study of 100 Norwegian cannabis users found blurred medical-recreational boundaries and strategies using medical language to gain social acceptance.
2013 / Prospective Cohort / Moderate evidenceMethadone prolonged QTc intervals modestly, but benzodiazepine co-use significantly increased this prolongation, while cannabis did not add additional risk.
2013 / Cross Sectional / Moderate evidenceNHANES analysis of 4,657 adults found current marijuana users had 16% lower fasting insulin, 17% lower insulin resistance, and smaller waist circumferences.
2013 / Review / Moderate evidenceReview found THC is generally performance-impairing despite WADA prohibition, with impaired reaction time, coordination, and strength, contrasting with caffeine's clear ergogenic effects.
2013 / Longitudinal Cohort / Strong evidenceIn 1,803 children followed 15 years, oppositional behavior was the strongest predictor of cannabis and cocaine dependence, while the ADHD link was largely explained by opposition.
2013 / Cross Sectional / Preliminary evidenceParent survey found 84% of children with treatment-resistant epilepsy had reduced seizures with CBD-enriched cannabis, after trying an average of 12 medications.
2013 / Review / Moderate evidenceSativex spray reduced MS spasticity by 30%+ in three-quarters of initial responders, with continued benefit over a year and no dose escalation needed.
2013 / Animal Study / Moderate evidenceThree FAAH inhibitors reduced MS-model spasticity in mice without psychoactive side effects, definitively confirmed using genetic knockout mice.
2013 / Cross Sectional / Moderate evidence53% of young adult tobacco users also used marijuana, and co-users had 25% lower odds of planning to permanently quit tobacco.
2013 / Cross Sectional / Preliminary evidenceCannabis use was linked to reduced cingulate cortex volume in both at-risk and first-episode psychosis patients, in a brain region rich in cannabinoid receptors.
2013 / Longitudinal Cohort / Moderate evidenceTwo-year study of 976 high school students found heavy cannabis use alone predicted depression but not suicidality, while other illicit drug use predicted all three.
2013 / Cross Sectional / Moderate evidence12.3% of IBD patients used marijuana, driven by chronic pain (OR=4.7), with most rating it "very helpful" for pain, nausea, and diarrhea.
2013 / Randomized Controlled Trial / Moderate evidenceRCT found hemp seed + evening primrose oils improved MS disability, relapse rates, and inflammatory markers (IL-17, IFN-gamma, IL-4) over 6 months.
2013 / Observational / Preliminary evidenceStudy protocol for examining cannabis withdrawal in Indigenous Australian prisoners using a pictorial withdrawal scale and cortisol biomarkers.
2013 / Randomized Controlled Trial / Moderate evidenceNAC helped adolescents achieve more marijuana abstinence without reducing craving more than placebo, suggesting it works through non-craving mechanisms.
2013 / Systematic Review / Moderate evidenceComprehensive review identified CBD-enriched cannabis among 21 plant medicines with clinical anxiety evidence, alongside kava, chamomile, passionflower, and others.
2013 / Review / Moderate evidenceReview found extensive cannabinoid-opioid interactions in the brain's stress circuits, suggesting endocannabinoid targeting could help manage opiate dependence and withdrawal.
2013 / Retrospective Cohort / Preliminary evidenceCannabis use during methadone stabilization did not harm treatment outcomes and pilot data suggested it may have reduced opiate withdrawal symptoms.
2013 / Animal Study / Preliminary evidenceChronic cannabinoid treatment reversed MDMA-induced memory deficits in rats but did not fix impaired effort-based decision making, showing circuit-specific interactions.
2013 / Observational / Moderate evidenceSativex for MS spasticity over 334 days average showed no tolerance, no psychosis, no withdrawal symptoms, and maintained spasticity benefit.
2013 / Cross Sectional / Preliminary evidenceAmong 670 injection drug users in Tijuana, marijuana smokers were 38% more likely to have attempted quitting tobacco, a counterintuitive finding.
2013 / Animal Study / Moderate evidenceCB2 knockout effects on MS-model disease completely depended on mouse strain: augmented disease in one background, no effect in another, cautioning against over-interpreting animal cannabinoid studies.
2013 / Cross Sectional / Moderate evidenceFirst Greek national survey found 14% had mental disorders, 2% monthly cannabis use, 40% smoking, with disorders frequently undertreated and comorbid.
2013 / Cross Sectional / Preliminary evidenceChronic marijuana users showed impaired spatial memory retrieval and reduced parahippocampal brain activation during a virtual maze task.
2013 / Cross Sectional / Moderate evidenceOccasional stimulant users with high cannabis co-use showed the most brain inefficiency during reward-based decision-making, suggesting additive substance effects.
2013 / Randomized Controlled Trial / Moderate evidenceA Phase I trial found that THC/CBD oral spray produced peak blood levels well below those from smoking, with no buildup after nine days of repeated dosing.
2013 / Review / Preliminary evidenceA review described cannabinoid hyperemesis syndrome, a condition in long-term cannabis users featuring severe cyclical vomiting and compulsive hot bathing that is often underdiagnosed.
2013 / Cross Sectional / Moderate evidenceAnalysis of 232 cannabis samples seized in Australia found high average THC (14.88%) and nearly absent CBD (0.14%), confirming global trends toward high-potency, low-CBD cannabis.
2013 / Cross Sectional / Moderate evidenceIn young adults, a childhood ADHD diagnosis was linked to executive function deficits, but regular adult cannabis use added no measurable cognitive impairment beyond ADHD alone.
2013 / Animal Study / Preliminary evidenceResearchers created novel adamantyl cannabinoid compounds that serve as precise CB1 receptor probes, with in vivo effects matching their binding profiles in rat models.
2013 / Review / Preliminary evidenceA researcher hypothesized that beta-lactam antibiotics might reduce cannabis dependence by boosting brain glutamate transporters, based on parallels with opioid pharmacology.
2013 / Cross Sectional / Moderate evidenceIn a study of 10,324 teens, cannabis use was linked to mental health problems, but the association was largely explained by co-occurring risk factors like truancy, alcohol, and adverse life events.
2013 / Longitudinal Cohort / Strong evidenceA 30-year longitudinal study found that intensive cannabis use was associated with increased suicidal ideation in males, with no evidence that suicidal thoughts drove cannabis use.
2013 / Cross Sectional / Moderate evidenceBoth healthy cannabis users and people at ultra-high risk for psychosis showed reduced P300 brain wave amplitudes, suggesting overlapping effects on information processing.
2013 / Randomized Controlled Trial / Moderate evidenceIn heavy cannabis users, both THC and cocaine increased impulse control errors, suggesting acute intoxication with either drug may reduce the ability to resist impulsive decisions.
2013 / Randomized Controlled Trial / Moderate evidenceOral THC (dronabinol) up to 120 mg/day dose-dependently reduced cannabis withdrawal symptoms in daily users with no significant cognitive impairment.
2013 / Observational / Moderate evidenceTwin study found cannabis withdrawal was about 50% heritable, with 99% overlap between genes influencing withdrawal and those influencing abuse/dependence.