A Meta-Analysis of fMRI Studies of Youth Cannabis Use: Alterations in Executive Control, Social Cognition/Emotion Processing, and Reward Processing in Cannabis Using Youth

<b>Background</b>: Adolescent cannabis use (CU) is associated with adverse health outcomes and may be increasing in response to changing cannabis laws. Recent imaging studies have identified differences in brain activity between adult CU and controls that are more prominent in early onse...

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Main Authors: Christopher J. Hammond, Aliyah Allick, Grace Park, Bushra Rizwan, Kwon Kim, Rachael Lebo, Julie Nanavati, Muhammad A. Parvaz, Iliyan Ivanov
Format: Article
Language:English
Published: MDPI AG 2022-09-01
Series:Brain Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3425/12/10/1281
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author Christopher J. Hammond
Aliyah Allick
Grace Park
Bushra Rizwan
Kwon Kim
Rachael Lebo
Julie Nanavati
Muhammad A. Parvaz
Iliyan Ivanov
author_facet Christopher J. Hammond
Aliyah Allick
Grace Park
Bushra Rizwan
Kwon Kim
Rachael Lebo
Julie Nanavati
Muhammad A. Parvaz
Iliyan Ivanov
author_sort Christopher J. Hammond
collection DOAJ
description <b>Background</b>: Adolescent cannabis use (CU) is associated with adverse health outcomes and may be increasing in response to changing cannabis laws. Recent imaging studies have identified differences in brain activity between adult CU and controls that are more prominent in early onset users. Whether these differences are present in adolescent CU and relate to age/developmental stage, sex, or cannabis exposure is unknown. <b>Methods</b>: A systematic review and subsequent effect-size seed-based d mapping (SDM) meta-analysis were conducted to examine differences in blood-oxygen-level-dependent (BOLD) response during fMRI studies between CU and non-using typically developing (TD) youth. Supplemental analyses investigated differences in BOLD signal in CU and TD youth as a function of sex, psychiatric comorbidity, and the dose and severity of cannabis exposure. <b>Results</b>: From 1371 citations, 45 fMRI studies were identified for inclusion in the SDM meta-analysis. These studies compared BOLD response contrasts in 1216 CU and 1486 non-using TD participants. In primary meta-analyses stratified by cognitive paradigms, CU (compared to TD) youth showed greater activation in the rostral medial prefrontal cortex (rmPFC) and decreased activation in the dorsal mPFC (dmPFC) and dorsal anterior cingulate cortex (dACC) during executive control and social cognition/emotion processing, respectively. In meta-regression analyses and subgroup meta-analyses, sex, cannabis use disorder (CUD) severity, and psychiatric comorbidity were correlated with brain activation differences between CU and TD youth in mPFC and insular cortical regions. Activation differences in the caudate, thalamus, insula, dmPFC/dACC, and precentral and postcentral gyri varied as a function of the length of abstinence. <b>Conclusions</b>: Using an SDM meta-analytic approach, this report identified differences in neuronal response between CU and TD youth during executive control, emotion processing, and reward processing in cortical and subcortical brain regions that varied as a function of sex, CUD severity, psychiatric comorbidity, and length of abstinence. Whether aberrant brain function in CU youth is attributable to common predispositional factors, cannabis-induced neuroadaptive changes, or both warrants further investigation.
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spelling doaj.art-84f4201a58c94b2ebec790062d5ccfa32023-11-23T23:12:54ZengMDPI AGBrain Sciences2076-34252022-09-011210128110.3390/brainsci12101281A Meta-Analysis of fMRI Studies of Youth Cannabis Use: Alterations in Executive Control, Social Cognition/Emotion Processing, and Reward Processing in Cannabis Using YouthChristopher J. Hammond0Aliyah Allick1Grace Park2Bushra Rizwan3Kwon Kim4Rachael Lebo5Julie Nanavati6Muhammad A. Parvaz7Iliyan Ivanov8Department of Psychiatry, Division of Child & Adolescent Psychiatry, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USADepartment of Psychiatry, Division of Child & Adolescent Psychiatry, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USADepartment of Psychiatry, Division of Child & Adolescent Psychiatry, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USADepartment of Psychiatry, Division of Child & Adolescent Psychiatry, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USADepartment of Psychiatry, Division of Child & Adolescent Psychiatry, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USAWegner Health Sciences Library, University of South Dakota, Sioux Falls, SD 57105, USAWelch Medical Library, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USADepartment of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USADepartment of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA<b>Background</b>: Adolescent cannabis use (CU) is associated with adverse health outcomes and may be increasing in response to changing cannabis laws. Recent imaging studies have identified differences in brain activity between adult CU and controls that are more prominent in early onset users. Whether these differences are present in adolescent CU and relate to age/developmental stage, sex, or cannabis exposure is unknown. <b>Methods</b>: A systematic review and subsequent effect-size seed-based d mapping (SDM) meta-analysis were conducted to examine differences in blood-oxygen-level-dependent (BOLD) response during fMRI studies between CU and non-using typically developing (TD) youth. Supplemental analyses investigated differences in BOLD signal in CU and TD youth as a function of sex, psychiatric comorbidity, and the dose and severity of cannabis exposure. <b>Results</b>: From 1371 citations, 45 fMRI studies were identified for inclusion in the SDM meta-analysis. These studies compared BOLD response contrasts in 1216 CU and 1486 non-using TD participants. In primary meta-analyses stratified by cognitive paradigms, CU (compared to TD) youth showed greater activation in the rostral medial prefrontal cortex (rmPFC) and decreased activation in the dorsal mPFC (dmPFC) and dorsal anterior cingulate cortex (dACC) during executive control and social cognition/emotion processing, respectively. In meta-regression analyses and subgroup meta-analyses, sex, cannabis use disorder (CUD) severity, and psychiatric comorbidity were correlated with brain activation differences between CU and TD youth in mPFC and insular cortical regions. Activation differences in the caudate, thalamus, insula, dmPFC/dACC, and precentral and postcentral gyri varied as a function of the length of abstinence. <b>Conclusions</b>: Using an SDM meta-analytic approach, this report identified differences in neuronal response between CU and TD youth during executive control, emotion processing, and reward processing in cortical and subcortical brain regions that varied as a function of sex, CUD severity, psychiatric comorbidity, and length of abstinence. Whether aberrant brain function in CU youth is attributable to common predispositional factors, cannabis-induced neuroadaptive changes, or both warrants further investigation.https://www.mdpi.com/2076-3425/12/10/1281adolescencecannabis useexecutive controlemotion processingreward processingbrain activation
spellingShingle Christopher J. Hammond
Aliyah Allick
Grace Park
Bushra Rizwan
Kwon Kim
Rachael Lebo
Julie Nanavati
Muhammad A. Parvaz
Iliyan Ivanov
A Meta-Analysis of fMRI Studies of Youth Cannabis Use: Alterations in Executive Control, Social Cognition/Emotion Processing, and Reward Processing in Cannabis Using Youth
Brain Sciences
adolescence
cannabis use
executive control
emotion processing
reward processing
brain activation
title A Meta-Analysis of fMRI Studies of Youth Cannabis Use: Alterations in Executive Control, Social Cognition/Emotion Processing, and Reward Processing in Cannabis Using Youth
title_full A Meta-Analysis of fMRI Studies of Youth Cannabis Use: Alterations in Executive Control, Social Cognition/Emotion Processing, and Reward Processing in Cannabis Using Youth
title_fullStr A Meta-Analysis of fMRI Studies of Youth Cannabis Use: Alterations in Executive Control, Social Cognition/Emotion Processing, and Reward Processing in Cannabis Using Youth
title_full_unstemmed A Meta-Analysis of fMRI Studies of Youth Cannabis Use: Alterations in Executive Control, Social Cognition/Emotion Processing, and Reward Processing in Cannabis Using Youth
title_short A Meta-Analysis of fMRI Studies of Youth Cannabis Use: Alterations in Executive Control, Social Cognition/Emotion Processing, and Reward Processing in Cannabis Using Youth
title_sort meta analysis of fmri studies of youth cannabis use alterations in executive control social cognition emotion processing and reward processing in cannabis using youth
topic adolescence
cannabis use
executive control
emotion processing
reward processing
brain activation
url https://www.mdpi.com/2076-3425/12/10/1281
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