2015 / Animal Study / Preliminary evidenceNADA (an endocannabinoid) inhibited fat cell formation in human stem cells via CB1 receptors, while anandamide promoted it via PPARg, revealing opposing metabolic roles.
2015 / Case Report / Preliminary evidenceA pregnant woman with multiple admissions for severe vomiting and esophageal tears was eventually diagnosed with CHS after compulsive bathing behavior was noted.
2015 / Review / Moderate evidenceReview proposes nabiximols (THC/CBD spray) as cannabinoid replacement therapy for cannabis dependence, analogous to methadone for opioid dependence, with controlled dosing and pharmaceutical standardization.
2015 / Case Report / Preliminary evidenceCase report of CHS in pregnancy mistaken for hyperemesis gravidarum, reinforcing the need for marijuana history in pregnant patients with severe, unexplained vomiting.
2015 / Review / Moderate evidenceReview of cannabinoid potential for tremor in Parkinson's, MS, and other motor disorders found high receptor density in motor brain regions but inconclusive clinical evidence.
2015 / Longitudinal Cohort / Moderate evidenceIn nearly 5,000 young Swiss men, cannabis use and depression predicted later disengagement from work and school, but being disengaged did not predict later substance use.
2015 / Case Report / Preliminary evidenceCase report and literature review outlining cannabinoid hyperemesis syndrome: severe cyclic vomiting in chronic cannabis users, relieved by hot bathing, resolved by cessation.
2015 / Cross Sectional / Moderate evidenceAnalysis of 1,074 crash-injured drivers in South Australia found alcohol was the dominant substance, and over a third of cannabis-positive drivers were also heavily intoxicated with alcohol.
2015 / Animal Study / Preliminary evidenceMice with a schizophrenia-linked gene mutation showed worsened emotional memory and reduced brain activity when exposed to THC during adolescence, demonstrating gene-environment interaction.
2015 / Review / Moderate evidenceComprehensive review of cannabis in medicine found deep historical roots in headache treatment and relevant pharmacology, but almost no controlled clinical trial evidence for migraine.
2015 / Longitudinal Cohort / Moderate evidenceIn 110 people with early psychosis and cannabis dependence, reducing cannabis was linked to lower anxiety and better functioning, but not to changes in core psychotic symptoms.
2015 / Pilot Study / Preliminary evidenceA group cessation program for 77 cannabis-tobacco co-smokers achieved 23% abstinence at 6-month follow-up, with improvements in mental health and substance use.
2015 / Randomized Controlled Trial / Preliminary evidenceBrain scans of 17 daily cannabis smokers identified a neural signature that distinguished decisions to purchase cannabis from decisions to decline with 100% accuracy.
2015 / Review / Moderate evidenceReview of endocannabinoid system involvement in Alzheimer's disease found it modulates multiple pathological pathways, suggesting potential as a multi-target therapeutic approach.
2015 / Case Report / Preliminary evidenceCase of a woman with CHS whose chronic vomiting caused dangerous electrolyte imbalances that had to be corrected before she could undergo jaw surgery.
2015 / Narrative Review / Moderate evidenceReview of evidence across 13 state-approved medical marijuana conditions found insufficient evidence for most, with the strongest support for chronic pain and muscle spasticity.
2015 / Cross Sectional / Moderate evidence29 burn patients admitted to a Colorado burn center from homemade butane hash oil extraction, with cases increasing sharply after marijuana liberalization.
2015 / Animal Study / Preliminary evidenceMouse study revealed CB1 receptors on glutamate neurons and astrocytes control endocannabinoid 2-AG turnover in opposite directions in the frontal cortex.
2015 / Animal Study / Preliminary evidenceBlocking 2-AG breakdown protected myelin-producing cells and reduced demyelination in two mouse models of MS, through CB1 receptor activation and reduced inflammation.
2015 / Review / Preliminary evidenceReview of 11 studies found veterans with PTSD use cannabis for coping, with small studies suggesting sleep and nightmare improvements, but controlled trials are needed.
2015 / Randomized Controlled Trial / Moderate evidenceIn 36 healthy men, THC impaired response inhibition and reduced left inferior frontal brain activation, with both effects correlating with transient psychotic symptoms.
2015 / Randomized Controlled Trial / Moderate evidenceBrain imaging showed THC and CBD had opposite effects on connectivity between prefrontal, striatal, and hippocampal regions involved in salience processing and attention.
2015 / Randomized Controlled Trial / Moderate evidenceDronabinol reduced opioid withdrawal severity during detox but did not improve naltrexone treatment completion rates in 60 opioid-dependent participants.
2015 / Review / Preliminary evidence2015 review: CBD was linked to lower anxiety in acute tests. Long-term treatment evidence in diagnosed patients was thin.
2015 / Prospective Cohort / Moderate evidenceAmong 104 cannabis-dependent veterans, PTSD predicted higher baseline use and slower initial reduction after a quit attempt, but did not affect relapse timing.
2015 / Prospective Cohort / Preliminary evidenceIn 35 cannabis-dependent patients, psychiatric symptoms improved with effect sizes of 0.7-1.4 within 16 days of inpatient detox, though patients self-reported more distress than clinicians observed.
2015 / Longitudinal Cohort / Moderate evidenceAmong 678 young French smokers, cannabis use in the prior year and financial difficulties were the strongest barriers to sustaining tobacco cessation for 12 months.
2015 / Review / Moderate evidenceReview showed CB1 receptors produce different effects depending on whether they are on glutamate neurons, GABA neurons, astrocytes, or mitochondria, with implications for targeted therapy.
2015 / Review / Moderate evidenceReview of cannabinoid effects on brain immunity found anti-inflammatory properties relevant to MS, Alzheimer's, and ALS, with CB2 receptors as promising non-psychoactive targets.
2015 / Animal Study / Preliminary evidenceAdolescent THC exposure affected heroin reward differently in addiction-prone vs. resilient rat strains, suggesting genetics determine whether cannabis acts as a gateway.
2015 / Animal Study / Preliminary evidenceCBD treatment increased survival, prevented memory deficits, and reduced brain inflammation in mice with cerebral malaria by lowering cytokines and increasing BDNF.
2015 / Cross Sectional / Preliminary evidenceBrain scans of 15 chronic cannabis users showed reduced activation in error-monitoring and memory regions during a learning task, with lower error-correction rates than controls.
2015 / Cross Sectional / Moderate evidencePET brain imaging showed chronic cannabis users had 11.7% fewer available CB1 receptors globally, with reductions of 11-14% in temporal, cingulate, and reward regions.
2015 / Animal Study / Preliminary evidenceThe endocannabinoid-boosting drug URB597 reduced tic-like behaviors in all four mouse strains tested, suggesting a potential treatment approach for tic disorders with fewer side effects than THC.
2015 / Observational / Moderate evidenceEconometric analysis of 1907-1918 Punjab data found opium and hashish were economic substitutes: when hashish prices rose, opium consumption increased.
2015 / Review / Moderate evidenceReview of cannabinoid regulation of brain immunity found potential therapeutic applications for MS, Alzheimer's, and ALS through modulation of microglial activation and neuroinflammation.
2015 / Animal Study / Preliminary evidenceChronic THC prevented weight gain and fat accumulation in obese mice and reversed obesity-related gut microbiota changes, without affecting lean mice or causing sedation.
2015 / Randomized Controlled Trial / Moderate evidenceWeb-based addiction treatment improved abstinence 3.6x for stimulant users with promising trends for cannabis (2.6x) and alcohol (3.2x), but had no effect for opioid users.
2015 / Randomized Controlled Trial / Moderate evidenceNon-smokers sealed in a room with cannabis smokers for one hour tested positive for THC in blood and oral fluid for up to 3 hours and reported feeling mild subjective effects.
2015 / Randomized Controlled Trial / Moderate evidenceUnder extreme sealed-room conditions, secondhand cannabis smoke caused positive urine tests at 20 ng/mL cutoffs but rarely at the standard 50 ng/mL workplace threshold.
2015 / Cross Sectional / Preliminary evidenceAmong 69 young cannabis users, earlier initiation was linked to worse episodic memory in females but not males, after controlling for lifetime use, suggesting sex-specific vulnerabilities.
2015 / Longitudinal Cohort / Moderate evidenceSurvey of 8,214 middle schoolers found medical marijuana ad exposure predicted higher marijuana use and intentions one year later, with the relationship running in both directions.
2015 / Cross Sectional / Moderate evidenceIn 9,583 Australian twins, cannabis involvement was modestly associated with suicidal ideation and unplanned attempts, partly explained by shared genetic and environmental vulnerabilities.
2015 / Observational / Moderate evidenceEconomic modeling showed a school cannabis prevention program was cost-effective generally and cost-saving (3.2:1 return) when targeted to at-risk boys over 20 years.
2015 / Case Report / Preliminary evidenceA 17-year-old had 5 ER visits for vomiting and weight loss before CHS was diagnosed, illustrating how underrecognized the condition is in adolescents.
2015 / Randomized Controlled Trial / Moderate evidenceAfter smoking identical cannabis, occasional users showed significantly more psychomotor impairment than frequent users, demonstrating tolerance to performance-impairing effects.
2015 / Review / Moderate evidenceReview of THC/CBD spray trials for MS spasticity found ~1.27-point improvement over placebo on a 10-point scale, with carryover effects potentially underestimating true treatment benefit.
2015 / Review / Moderate evidenceReview found cannabis disrupts male fertility through the endocannabinoid system, affecting testosterone, sperm production, motility, and fertilization capacity.
2015 / Case Control / Moderate evidenceUS fatal crash data (1991-2008) showed combined alcohol and THC increased unsafe driving odds beyond either substance alone, with prevalence rising five-fold over the period.
2015 / Qualitative / Preliminary evidenceVeterans of Iraq and Afghanistan described cannabis as more effective and less problematic than alcohol or prescriptions for PTSD, with coping patterns ranging from approach to avoidance.