A Scoping Review of Associations Between Cannabis Use and Anxiety in Adolescents and Young Adults

Colleen Stiles-Shields, Joseph Archer, Jim Zhang, Amanda Burnside, Janel Draxler, Lauren M. Potthoff, Karen M. Reyes, Faith Summersett Williams, Jennifer Westrick, Niranjan S. Karnik*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

Cannabis and anxiety are both rising issues that impact young people. This review seeks to explore the association between anxiety and cannabis in adolescents and young adults (AYA). A database search was run retrospectively from July 2020 through calendar year 2013. Articles had to present outcomes examining cannabis use and symptoms of anxiety, be written in English, contain samples with ≥ 50% who are age 25 or younger, and be published in a peer-reviewed journal. Forty-seven studies were identified that examined the relationship between anxiety and cannabis use. Twenty-three studies found a positive association that greater anxiety among AYA was associated with greater cannabis use. In contrast, seven studies found a negative association that greater anxiety was related to less cannabis use. And finally, 17 studies found no clear association between anxiety and cannabis use. Further research is needed to better understand the relationship between anxiety and cannabis use.

Original languageEnglish (US)
Pages (from-to)639-658
Number of pages20
JournalChild psychiatry and human development
Volume54
Issue number3
DOIs
StatePublished - Jun 2023

Funding

Dr. Stiles-Shields is supported by fellowships from the National Institutes of Health (K08 MH125069) and the Cohn Family Foundation and an R3 funding mechanism supported by Rush University Medical Center and RTI International. Mr. Zhang was supported, in part, by a Summer Medical Student Fellowship from the American Academy of Child & Adolescent Psychiatry. Dr. Summersett Williams\u2019 effort is supported by the Agency for Health Care Research & Quality via the ACCELERAT Program at Northwestern University (K12-HS026385). Dr. Karnik\u2019s time is supported, in part, by the National Center for Advancing Translational Science (UL1-TR002389, KL2-TR002387) and the National Institute on Drug Abuse (R01-DA041071, UG1-DA049467). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health or the other funding entities.

Keywords

  • Adolescents
  • Anxiety
  • Cannabis
  • Review
  • Young adults

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Developmental and Educational Psychology
  • Psychiatry and Mental health

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