2023 / Observational / Preliminary evidenceMachine learning found medical cannabis shifted salivary biomarkers in autistic children toward typical levels, with THC and CBD producing distinct metabolic signatures.
2023 / Longitudinal Cohort / Strong evidence15-year Swedish study of 12,143 CUD patients found 23% readmission rate, with schizophrenia (54% higher), low education (40% higher), and ages 18-35 as top risk factors.
2023 / Registry Study / Strong evidenceA Swedish registry study of 3.3 million people found CUD diagnoses rising in younger cohorts, with 80% psychiatric comorbidity and distinct gender-linked subgroups.
2023 / Case Report / Preliminary evidenceFirst case report of cannabis-assisted psychotherapy for dissociative PTSD showed dramatic improvement over 10 sessions, drawing parallels to psychedelic-assisted therapy.
2023 / Retrospective / Moderate evidenceA retrospective review of 141 MS patients found 72% reported pain relief with medical cannabis, and opioid use dropped significantly.
2023 / Policy Analysis / Moderate evidenceRecreational cannabis laws in 11 US states were associated with reduced codeine dispensing at pharmacies, while other opioid types were unaffected.
2023 / Animal Study / Preliminary evidenceLow-dose oral cannabis reversed insulin resistance in diabetic rats, with different fat depots responding through distinct mechanisms.
2023 / Cross Sectional / Moderate evidenceAmong 205 people using opioids in Vancouver, 58% used cannabis to manage cravings, and this was linked to self-reported reductions in opioid use.
2023 / Review / Strong evidenceReview of CBD (Epidiolex) clinical evidence shows efficacy for seizures in Dravet syndrome, Lennox-Gastaut syndrome, and tuberous sclerosis complex, with unresolved dosing and interaction challenges.
2023 / Epidemiological Review / Moderate evidenceReview argues epigenomic evidence links cannabis exposure to birth defects, cancer, and accelerated aging through DNA methylation disruption across generations.
2023 / Epidemiological / Moderate evidenceUS ecological study found daily cannabis use and first-trimester exposure were statistically associated with autism rates in 40 million children, with exponential dose-response patterns.
2023 / Lab Study / Preliminary evidenceLab study showed CBD oil and vitamin E acetate in vaping aerosols accumulated on and inside human airway cells, causing dramatic cell death and metabolic stress.
2023 / Scoping Review / Moderate evidenceScoping review of 2,589 articles found only 22 studying cannabis in ICU settings, revealing major research gaps and inconsistent findings on outcomes.
2023 / Retrospective / Strong evidenceAmong 167,095 ICU pneumonia patients, alcohol misuse increased mortality while cannabis misuse showed no independent association after statistical adjustment.
2023 / Lab Study / Preliminary evidenceComputational screening and lab testing found CBD selectively inhibits brain enzyme PDE9 at nanomolar concentrations, suggesting a potential neuroprotective mechanism.
2023 / Review / Moderate evidenceMini-review of 12 studies found suggestive evidence that cannabis use increases suicide risk in schizophrenia, particularly among men and during first-episode psychosis.
2023 / Comparative Study / Moderate evidenceAmong 62 first-episode psychosis patients, synthetic cannabinoid users showed worse symptoms, slower recovery, and higher aberrant salience than THC users or non-users.
2023 / Comparative Study / Moderate evidenceAmong 61 first-episode psychosis patients followed for 9 months, synthetic cannabinoid users had worse symptoms, more suicidal ideation, and poorer recovery than THC users or non-users.
2023 / Randomized Controlled Trial / Strong evidencePlacebo-controlled crossover trial found THC/CBD cannabis oil helped 60% of insomnia patients no longer qualify as clinical insomniacs, with increased melatonin and sleep duration.
2023 / Retrospective / Moderate evidenceOklahoma ED visits for cannabinoid hyperemesis syndrome increased significantly after medical cannabis legalization, with prevalence far higher than previously reported.
2023 / Animal Study / Preliminary evidenceIn female rats, high-CBD cannabis vapor reduced opioid reward and fentanyl self-administration with no abuse potential and a robust safety profile.
2023 / Animal Study / Preliminary evidenceCBD injected into the amygdala reversed pain sensitivity caused by living with a partner in chronic pain, working through serotonin 5-HT3 receptors.
2023 / Review / Moderate evidenceReview found cannabis may help brain tumor patients with nausea, pain, appetite, and seizures, but standardized dosing guidance and clinical trials are lacking.
2023 / Systematic Review / Moderate evidenceSystematic review of 13 animal studies found CB2 cannabinoid receptors in brain reward areas are necessary for modulating food intake and energy balance.
2023 / Surveillance Study / Strong evidenceCDC data showed cannabis ED visits among youth increased during the COVID pandemic, with the steepest rises in children under 10 and a notable shift to higher rates among adolescent girls.
2023 / Registry Study / Strong evidenceRegistry data from all three Scandinavian countries showed cannabis-induced psychosis doubled while alcohol-induced psychosis declined from 2000 to 2016.
2023 / Review / Moderate evidenceReview found cannabinoid receptors throughout the placenta and evidence that THC and CBD exposure can disrupt placental development, contributing to fetal growth restriction.
2023 / Cross Sectional / Moderate evidenceAmong 352 Colombian adolescents, cannabis and tranquilizer use were independently linked to suicidal behavior alongside depression, aggression, and borderline traits.
2023 / Comparative Study / Moderate evidenceCross-species analysis found only 5 of 14 endocannabinoid receptors had matching expression across mice, rats, and monkeys, revealing a translational research challenge.
2023 / Lab Study / Strong evidenceStudy revealed CBD prevents seizures by blocking a lipid (LPI) that simultaneously boosts excitatory and weakens inhibitory signaling in the hippocampus through GPR55 receptors.
2023 / Review / Moderate evidenceReview found adolescent cannabis use disrupts critical brain development, with concern that new high-potency products and delivery devices amplify the risk.
2023 / Randomized Controlled Trial / Preliminary evidencePilot RCT of 17 volunteers found 600mg CBD did not alter ayahuasca's effects on social cognition, with good tolerability and no safety concerns.
2023 / Cross Sectional / Strong evidenceAfter legalization, 4.7% of Canadian cannabis users showed impaired control, with higher risk among young males, early initiators, and those with mental health conditions.
2023 / Review / Moderate evidenceReview highlighted that combined alcohol-cannabis use during pregnancy is increasingly common but virtually unstudied, despite evidence that co-use amplifies effects.
2023 / Cross Sectional / Strong evidenceNational survey found 6.3% of US drivers aged 16-20 reported driving after cannabis use, more than double the alcohol DUI rate of 2.6%.
2023 / Animal Study / Preliminary evidenceCBD extended sleep in rats but disrupted sleep oscillations critical for memory, impairing complex memory consolidation while leaving simple memory intact.
2023 / Review / Moderate evidenceReview for gastroenterologists found cannabis has potential GI benefits through the endocannabinoid system but risks include hyperemesis, dependency, and cognitive effects.
2023 / Retrospective / Strong evidenceNationwide data showed heart attacks among young cannabis users nearly tripled from 2007 to 2018, with the steepest increase among Black Americans.
2023 / Animal Study / Preliminary evidencePrenatal cannabis smoke exposure in rats altered litter sex ratio, increased adult offspring anxiety, changed amygdala genes, but improved some cognitive tasks.
2023 / Animal Study / Preliminary evidenceAdolescent THC edible experience in rats enhanced alcohol's stimulant effects and altered frontal cortex endocannabinoid levels during alcohol withdrawal.
2023 / Review / Moderate evidenceClinical review found FAAH enzyme modulates mood, pain, reward, and appetite, but drug trials targeting it have underperformed relative to animal model predictions.
2023 / Animal Study / Moderate evidencePrenatal THC caused lasting cognitive deficits in both male and female rats through radically different sex-specific mechanisms involving neural activity, proteins, and fatty acid depletion.
2023 / Policy Analysis / Moderate evidenceCannabis regulators outlined six research priority areas they say are essential for informed policy, with federal scheduling identified as the main barrier.
2023 / Emulated Trial / Moderate evidenceVeterans who stopped opioid use were more likely to also stop cannabis and cocaine, and reported improvements in pain and anxiety.
2023 / Review / Strong evidenceReview found adolescent cannabis use causes lasting cognitive changes through epigenetic modifications and synaptic disruptions, worsened by high-potency products and early initiation.
2023 / Cross Sectional / Moderate evidenceAmong 441 cannabis users, paranoid and dysphoric intoxication experiences were the strongest predictors of motivation to quit, more than psychosis-like hallucinations.
2023 / Retrospective / Strong evidenceStudy of 26,366 births found Black newborns were drug-tested at 3.8x the rate of White newborns without clinical justification, and cannabis legalization did not reduce the disparity.
2023 / Review / Moderate evidenceComprehensive review found CBD has documented benefits for epilepsy, anxiety, and pain, with emerging evidence for cognition and sleep, but called for better product regulation.
2023 / Systematic Review / Moderate evidenceSystematic review of 30 human studies found cannabinoids can cause psychiatric, cognitive, and neurological brain damage, with synthetic cannabinoids posing the greatest risk.
2023 / Review / Moderate evidenceReview found converging evidence that frequent adolescent cannabis use reduces cognition, but debate continues about whether effects persist after quitting and whether brain imaging findings replicate.