ADHD Symptoms and Medical Cannabis Use among Adults with Chronic Pain

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Bibliographic Details
Title: ADHD Symptoms and Medical Cannabis Use among Adults with Chronic Pain
Language: English
Authors: David Saunders (ORCID 0000-0002-9129-1792), Deepika Slawek, Chenshu Zhang, Nancy Sohler, Chinazo Cunningham, Haruka Minami, Joanna Starrels, Julia Arnsten, Frances Levin (ORCID 0000-0003-4209-1329)
Source: Journal of Attention Disorders. 2025 29(9):757-765.
Availability: SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: https://sagepub.com
Peer Reviewed: Y
Page Count: 9
Publication Date: 2025
Sponsoring Agency: National Institute on Drug Abuse (NIDA) (DHHS/PHS)
National Center for Advancing Translational Sciences (NCATS) (DHHS/NIH)
National Institutes of Health (NIH) (DHHS)
Contract Number: R01DA044171
K23DA053997
Document Type: Journal Articles
Reports - Research
Descriptors: Marijuana, Drug Use, Attention Deficit Hyperactivity Disorder, Symptoms (Individual Disorders), Adults, Pain, Severity (of Disability), Individual Characteristics
Geographic Terms: New York (New York)
DOI: 10.1177/10870547251336841
ISSN: 1087-0547
1557-1246
Abstract: Objective: We examined whether medical cannabis (MC) use was associated with change in ADHD symptoms across time in a sample of adults with chronic pain. Methods: We conducted a longitudinal cohort study (N = 223) across 12 months, assessing ADHD symptoms and MC use. We used mixed-effects linear regression to test whether MC use (vs. no use) and high THC (vs. low THC) MC was associated with change in ADHD symptoms from baseline to follow-up at quarterly intervals. We stratified by baseline ADHD symptoms and pain catastrophizing. Results: MC use was not associated with change in ADHD symptoms in the full sample or those with moderate/severe ADHD symptoms. Among those with minor/no baseline ADHD symptoms, high-THC MC (vs. low-THC) was associated with a decrease in ADHD symptoms. Conclusions: The null findings among participants with moderate/severe ADHD symptoms suggests that cannabis is unlikely to be a good treatment for ADHD. The preliminary findings in those with mild ADHD symptoms should be interpreted with caution given the small sample, the modest result, and all participants had chronic pain. These results may temper enthusiasm for MC as a treatment for ADHD, but further studies in larger and more generalizable samples may be justified.
Abstractor: As Provided
Entry Date: 2025
Accession Number: EJ1474618
Database: ERIC
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Description
Abstract:Objective: We examined whether medical cannabis (MC) use was associated with change in ADHD symptoms across time in a sample of adults with chronic pain. Methods: We conducted a longitudinal cohort study (N = 223) across 12 months, assessing ADHD symptoms and MC use. We used mixed-effects linear regression to test whether MC use (vs. no use) and high THC (vs. low THC) MC was associated with change in ADHD symptoms from baseline to follow-up at quarterly intervals. We stratified by baseline ADHD symptoms and pain catastrophizing. Results: MC use was not associated with change in ADHD symptoms in the full sample or those with moderate/severe ADHD symptoms. Among those with minor/no baseline ADHD symptoms, high-THC MC (vs. low-THC) was associated with a decrease in ADHD symptoms. Conclusions: The null findings among participants with moderate/severe ADHD symptoms suggests that cannabis is unlikely to be a good treatment for ADHD. The preliminary findings in those with mild ADHD symptoms should be interpreted with caution given the small sample, the modest result, and all participants had chronic pain. These results may temper enthusiasm for MC as a treatment for ADHD, but further studies in larger and more generalizable samples may be justified.
ISSN:1087-0547
1557-1246
DOI:10.1177/10870547251336841