Systematic review found cannabis may help reduce several autism-related symptoms

A systematic review of 9 studies found cannabis products reduced hyperactivity, self-mutilation, anxiety, sleep problems, and irritability in people with autism, while improving cognition and social interaction.

Silva, Estácio Amaro da et al.·Trends in psychiatry and psychotherapy·2022·Moderate EvidenceSystematic Review
RTHC-04221Systematic ReviewModerate Evidence2022RETHINKTHC RESEARCH DATABASErethinkthc.com/research

Quick Facts

Study Type
Systematic Review
Evidence
Moderate Evidence
Sample
Not reported

What This Study Found

Across 9 studies, cannabis products reduced the number or intensity of multiple ASD symptoms including hyperactivity, self-mutilation, anger, sleep problems, anxiety, irritability, and depression. Improvements were also reported in cognition, sensory sensitivity, attention, social interaction, and language.

Key Numbers

9 studies included. Improvements reported across multiple symptom domains. Most common adverse effects were sleep disorders, restlessness, nervousness, and appetite changes.

How They Did This

Systematic review following PRISMA guidelines, searching MEDLINE/PubMed, SciELO, Scopus, and Web of Science with no language limits. Nine studies were selected and analyzed.

Why This Research Matters

Autism spectrum disorder has limited effective treatments for many of its associated symptoms. This review consolidates the growing evidence that cannabis-based products may offer relief for some of the most challenging aspects of ASD.

The Bigger Picture

While these results are promising, the review emphasizes that most studies were observational or open-label, and randomized controlled trials are needed before cannabis can be recommended as a standard treatment for ASD symptoms.

What This Study Doesn't Tell Us

Only 9 studies met inclusion criteria. Most were observational with small samples. Different cannabis products, doses, and formulations were used across studies, making direct comparison difficult.

Questions This Raises

  • ?Which specific cannabinoid ratios are most effective for different ASD symptoms?
  • ?Are the benefits sustained long-term?
  • ?Do children and adults with ASD respond differently to cannabis treatment?

Trust & Context

Key Stat:
Improvements reported across multiple symptom domains in all 9 studies
Evidence Grade:
Moderate: systematic review methodology, but limited by small number of mostly observational studies.
Study Age:
Published in 2022.
Original Title:
Cannabis and cannabinoid use in autism spectrum disorder: a systematic review.
Published In:
Trends in psychiatry and psychotherapy, 44, e20200149 (2022)
Database ID:
RTHC-04221

Evidence Hierarchy

Meta-Analysis / Systematic ReviewCombines many studies into one answer
This study
Randomized Controlled Trial
Cohort / Case-Control
Cross-Sectional / Observational
Case Report / Animal Study

Analyzes all available research on a topic using a structured method.

What do these levels mean? →

Frequently Asked Questions

What symptoms improved most?

Studies reported improvements in hyperactivity, self-mutilation, anger episodes, sleep problems, anxiety, restlessness, irritability, aggressiveness, and depression. Cognitive, sensory, and social improvements were also noted.

Were there side effects?

Yes. The most common adverse effects were sleep disorders, restlessness, nervousness, and changes in appetite.

Is cannabis recommended for autism based on this review?

Not yet. The authors conclude cannabis has promising effects but emphasize that randomized, placebo-controlled trials are needed before it can be recommended as a standard treatment.

Read More on RethinkTHC

Cite This Study

RTHC-04221·https://rethinkthc.com/research/RTHC-04221

APA

Silva, Estácio Amaro da; Medeiros, Wandersonia Moreira Brito; Torro, Nelson; Sousa, João Marçal Medeiros de; Almeida, Igor Bronzeado Cahino Moura de; Costa, Filipe Barbosa da; Pontes, Katiúscia Moreira; Nunes, Eliane Lima Guerra; Rosa, Marine Diniz da; Albuquerque, Katy Lísias Gondim Dias de. (2022). Cannabis and cannabinoid use in autism spectrum disorder: a systematic review.. Trends in psychiatry and psychotherapy, 44, e20200149. https://doi.org/10.47626/2237-6089-2020-0149

MLA

Silva, Estácio Amaro da, et al. "Cannabis and cannabinoid use in autism spectrum disorder: a systematic review.." Trends in psychiatry and psychotherapy, 2022. https://doi.org/10.47626/2237-6089-2020-0149

RethinkTHC

RethinkTHC Research Database. "Cannabis and cannabinoid use in autism spectrum disorder: a ..." RTHC-04221. Retrieved from https://rethinkthc.com/research/silva-2022-cannabis-and-cannabinoid-use

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.