2023 / Cohort Study / Moderate evidenceIn 249 first-episode psychosis patients, polygenic risk scores for cannabis use predicted symptom trajectories, suggesting partially independent genetic factors for initiation vs. disorder.
2023 / Evidence Gap Map / Strong evidenceSystematic mapping of 447 studies on cannabis liberalization found massive evidence gaps, with over half of outcomes studied by 3 or fewer papers.
2023 / Retrospective / Strong evidenceAmong 713,290 bariatric surgery patients, cannabis use disorder was linked to 2.24x higher complication risk and 1.3 days longer hospital stays.
2023 / Review / Moderate evidenceCombined literature review and Reddit analysis found mixed evidence on cannabis and male sexual health, with men actively seeking answers online amid conflicting experiences.
2023 / Review / Preliminary evidenceReview of cannabinoids for spine surgery pain found mechanistic promise through endocannabinoid receptors but very few clinical studies with variable results.
2023 / Umbrella Review / Strong evidenceUmbrella review of 25 systematic reviews found consistent evidence linking recreational cannabis to suicidal ideation and attempts, with dose-response patterns.
2023 / Review / Moderate evidenceReview found cannabinoids target multiple tumor microenvironment components to fight cancer, with several clinical trials now testing these effects in patients.
2023 / Pilot Study / Preliminary evidencePilot study found adults with cannabis use disorder had blunted pleasure responses that personalized scripted imagery could partially restore.
2023 / Validation Study / Strong evidenceStudy validated the DSM-5 craving criterion across cannabis and 5 other substances, finding moderate craving was more predictive of clinical outcomes than severe.
2023 / Animal Study / Moderate evidenceMacaque study found prenatal THC edible exposure changed DNA methylation at autism-linked genes, with 98% of changes occurring in placenta.
2023 / Randomized Controlled Trial / Moderate evidenceAdding EMA to counseling increased mindful awareness in young cannabis users, and higher mindfulness was linked to lower cannabis desire and negative affect.
2023 / Observational / Preliminary evidenceIn 15 ASD children on medical cannabis, 22 salivary lipid biomarkers shifted toward typically developing levels, suggesting inflammation and oxidative stress pathways.
2023 / Observational / Preliminary evidenceMetabolomics analysis found 65 salivary biomarkers shifted toward typical levels in 15 ASD children on medical cannabis, including inflammation and neurotransmitter markers.
2023 / Case Report / Very Low evidenceFatal overdose case involving two potent synthetic cannabinoids, MDMB-4en-PINACA and 4F-ABUTINACA, in a 26-year-old male. Autopsy showed acute cardiac damage.
2023 / Longitudinal / Low evidenceLongitudinal study found prenatal tobacco and cannabis exposure associated with elevated inflammatory markers (salivary CRP) in children ages 4-6.
2023 / Retrospective Cohort / Preliminary evidenceWomen increasingly use cannabis for endometriosis, pelvic pain, and period cramps, with retrospective data suggesting benefit — but clinical trials are nearly nonexistent and barriers to medical access persist.
2023 / Review / Low evidenceReview examines CBD safety profile as an anti-inflammatory agent, noting general tolerability but flagging liver effects, drug interactions, and gaps in long-term data.
2023 / Review / Low evidenceReview of cannabinoids for multiple sclerosis finds preclinical promise and some clinical support for spasticity relief, but limited trial data overall.
2023 / Randomized Controlled Trial / Moderate evidenceControlled fMRI study found THC blunted reward-related brain activity in adults but not adolescents. Adding CBD partially offset the effect in adults.
2023 / Case Report / Very Low evidenceCase series reported hair regrowth with topical hemp extract containing CBD, THCV, and CBDV over 6 months. No control group.
2023 / Observational / Low evidenceTablet-based cognitive test battery detected acute cannabis impairment, with occasional users showing larger deficits than daily users across four cognitive domains.
2023 / Meta Analysis / High evidenceUmbrella review of 101 meta-analyses found strong evidence for cannabis-psychosis and crash links, moderate therapeutic evidence for select conditions, and weak evidence for most other claims.
2023 / Longitudinal / Moderate evidence12-month study of 323 fibromyalgia patients found medical cannabis reduced pain partly through improvements in sleep and anxiety/depression symptoms.
2023 / Animal / Low evidenceRat study found CBD prevented the negative emotional conditioning associated with opioid withdrawal through 5-HT1A serotonin receptor activation.
2023 / Longitudinal / Moderate evidenceABCD Study analysis of ~10,000 children found sleep protects against behavior problems, but prenatal cannabis exposure significantly weakened this protective effect.
2023 / Case Control / Moderate evidenceEU-GEI study of 1,125 people found those who first used cannabis to cope with negative emotions had higher psychosis risk than those who started for social reasons.
2023 / Cross Sectional / Low evidenceSurvey of 415 Canadian military members and veterans at a mental health clinic found cannabis use was common, associated with younger age and PTSD.
2023 / Animal / Low evidenceCBD and cannabis-inspired terpene blends both improved social behavior in an autism mouse model within 30 minutes of administration.
2023 / Review / Low evidenceLegal analysis examines how cannabis industry consolidation and big business entry create barriers for equity programs designed to address prohibition-era harms.
2023 / Systematic Review / Moderate evidenceSystematic review of 9 studies (564 patients) found low-quality evidence supporting short-term pain reduction with cannabis in fibromyalgia.
2023 / Case Report / Very Low evidenceTwo case reports show adolescent vaping of nicotine and marijuana during COVID linked to social stressors and mental health symptoms, highlighting need for holistic treatment.
2023 / Systematic Review / Low evidenceSystematic review of 20 studies found mixed evidence on prenatal cannabis exposure and birth defects, with too few studies per organ system for strong conclusions.
2023 / Retrospective Cohort / Moderate evidenceAnalysis of 265,000+ pregnancies identified four prenatal substance use patterns including a cannabis-predominant group (4.9%) with elevated depression and anxiety.
2023 / Randomized Controlled Trial / Moderate evidenceCrossover RCT found 1:1 THC:CBD oil significantly reduced chemotherapy-induced nausea in 54 gynecologic cancer patients, though dizziness was common.
2023 / Cross Sectional / Moderate evidenceNational survey of 68,000+ US teens found nondisordered cannabis use (10.2%) associated with doubled odds of depression, suicidal ideation, and academic problems vs. non-use.
2023 / Animal / Low evidenceSingle-cell sequencing study found CBD reprogrammed tumor macrophages and enhanced anti-PD-1 immunotherapy response in a colon cancer mouse model.
2023 / Prospective Cohort / Low evidenceProspective study of 56 patients found cannabis-induced psychosis presents with positive symptoms and improves steadily over one month after cannabis cessation.
2023 / Retrospective Cohort / Low evidenceRetrospective study of 68 chronic pain patients found a small reduction in opioid prescriptions after starting medical cannabis, with no changes in other healthcare use.
2023 / Prospective Cohort / Low evidenceProspective cohort found late prenatal cannabis exposure associated with higher language scores at 12 months in 69 exposed vs. 138 unexposed infants.
2023 / Animal / Moderate evidence90-day rat toxicology study established CBD safety limits: NOAEL of 460 mg/kg/day (males) and 230 mg/kg/day (females), with most changes reversible.
2023 / Meta Analysis / High evidenceMeta-analysis of 6 RCTs confirms CBD (Epidiolex) significantly reduces seizures in Dravet, Lennox-Gastaut, and tuberous sclerosis complex, with notable side effects.
2023 / Qualitative / Low evidenceQualitative study of 52 pregnant/lactating cannabis users found information about risks inadequate and clinicians generally unhelpful or judgmental on the topic.
2023 / Animal / Low evidenceElectron microscopy study found CB1 receptor expression increases in reactive microglia but stays proportionally constant in astrocytes in an Alzheimer's mouse model.
2023 / Review / Low evidenceHistorical and pharmacological review traces cannabis use for gastrointestinal disorders from ancient medicine to modern endocannabinoid system research.
2023 / Meta Analysis / Strong evidenceLargest-ever meta-analysis (183M patients) found cannabis use significantly associated with stroke risk but not heart attack risk — though observational data can't prove causation.
2023 / Longitudinal / Moderate evidence2-year longitudinal study of 401 Hispanic adolescents found poor explicit-risk decision-making predicted escalating cannabis use and related problems.
2023 / Systematic Review / Low evidenceSystematic review of 28 studies (523,107 patients) found no significant pooled associations between prenatal cannabis exposure and child cognitive or academic outcomes.
2023 / Retrospective Cohort / Low evidenceChart review of 110 teens found aripiprazole associated with shorter hospital stays (5.8 vs. 9.7 days) than risperidone for cannabis-related psychosis.
2023 / Secondary Analysis / Moderate evidenceMachine learning and traditional models achieved only modest accuracy predicting cannabis use disorder treatment response in a multi-site trial analysis.
2023 / Systematic Review / Low evidenceSystematic review of prenatal polysubstance use in the US finds cannabis commonly co-used with other substances, with widely varying prevalence estimates.