Skip to main content

Advertisement

Log in

The Effects of Alcohol and Cannabis Co-use on Neurocognitive Function, Brain Structure, and Brain Function

  • Addictions (M Potenza and E DeVito, Section Editors)
  • Published:
Current Behavioral Neuroscience Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

Given increases in the rates of alcohol and cannabis co-use among adolescents and young adults, this review aims to summarize literature on the effects of alcohol and cannabis co-use on neurocognitive functioning, brain structure, and brain function.

Recent Findings

The limited existing studies examining concurrent, recent, and lifetime alcohol and cannabis co-use suggest effects on the brain are likely multifaceted. The majority of studies report that co-use is associated with negative outcomes such as impaired cognitive function and significant alterations in key structural and functional regions of the brain, while others report null effects of co-use compared to non-substance using control and single-substance use groups.

Summary

Current studies lack a general consensus on methodology, definitions of concurrent and simultaneous use, and neuroimaging approaches, which makes it challenging to draw strong conclusions about the effects of co-use. More studies are needed to explore the effects of co-use in the context of simultaneous alcohol and cannabis use.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

Papers of particular interest, published recently, have been highlighted as: • Of importance

  1. SAMHSA (2019) Results from the 2018 national survey on drug use and health: detailed tables. Subst. Abus. Ment. Heal. Serv. Adm.

  2. Midanik LT, Tam TW, Weisner C. Concurrent and simultaneous drug and alcohol use: results of the 2000 National Alcohol Survey. Drug Alcohol Depend. 2007;90:72–80. https://doi.org/10.1016/j.drugalcdep.2007.02.0240.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Earleywine M, Newcomb MD. Concurrent versus simultaneous polydrug use: prevalence, correlates, discriminant validity, and prospective effects on health outcomes. Exp Clin Psychopharmacol. 1997;5:353–64. https://doi.org/10.1037//1064-1297.5.4.353.

    Article  CAS  PubMed  Google Scholar 

  4. Collins RL, Ellickson PL, Bell RM. Simultaneous polydrug use among teens: prevalence and predictors. J Subst Abuse. 1998;10:233–53. https://doi.org/10.1016/s0899-3289(99)00007-3.

    Article  CAS  PubMed  Google Scholar 

  5. Martin CS, Clifford PR, Clapper RL. Patterns and predictors of simultaneous and concurrent use of alcohol, tobacco, marijuana, and hallucinogens in first-year college students. J Subst Abuse. 1992;4:319–26. https://doi.org/10.1016/0899-3289(92)90039-z.

    Article  CAS  PubMed  Google Scholar 

  6. Patrick ME, Kloska DD, Terry-McElrath YM, Lee CM, O’Malley PM, Johnston LD. Patterns of simultaneous and concurrent alcohol and marijuana use among adolescents. Am J Drug Alcohol Abuse. 2018;44:441–51. https://doi.org/10.1080/00952990.2017.1402335.

    Article  PubMed  Google Scholar 

  7. Subbaraman MS, Kerr WC. Simultaneous versus concurrent use of alcohol and cannabis in the National Alcohol Survey. Alcohol Clin Exp Res. 2015;39:872–9. https://doi.org/10.1111/acer.12698.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Kelly AB, Chan GCK, Mason WA, Williams JW. The relationship between psychological distress and adolescent polydrug use. Psychol Addict Behav. 2015;29:787–93. https://doi.org/10.1037/adb0000068.

    Article  PubMed  Google Scholar 

  9. Meda SA, Gueorguieva RV, Pittman B, et al. Longitudinal influence of alcohol and marijuana use on academic performance in college students. PLoS ONE. 2017;12:1–16. https://doi.org/10.1371/journal.pone.0172213.

    Article  CAS  Google Scholar 

  10. Terry-McElrath YM, O’Malley PM, Johnston LD (2014) Alcohol and marijuana use patterns associated with unsafe driving among U.S. high school seniors: high use frequency, concurrent use, and simultaneous use. J Stud Alcohol Drugs 75:378–389. https://doi.org/10.15288/jsad.2014.75.378

  11. Thompson K, Holley M, Sturgess C, Leadbeater B. Co-use of alcohol and cannabis: longitudinal associations with mental health outcomes in young adulthood. Int J Environ Res Public Health. 2021. https://doi.org/10.3390/ijerph18073652.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Claus ED, Feldstein Ewing SW, Magnan RE, Montanaro E, Hutchison KE, Bryan AD. Neural mechanisms of risky decision making in adolescents reporting frequent alcohol and/or marijuana use. Brain Imaging Behav. 2018;12:564–76. https://doi.org/10.1007/s11682-017-9723-x (This study examined the neural substrates of risky decision-making that differ among adolescents (ages 14–18) who primarily use alcohol or cannabis, recent co-users of alcohol and cannabis, and non-substance using controls. Recent co-users had decreased response during BART task compared to controls across several brain regions.).

    Article  PubMed  PubMed Central  Google Scholar 

  13. Jacobus J, Squeglia LM, Meruelo AD, Castro N, Brumback T, Giedd JN, Tapert SF. Cortical thickness in adolescent marijuana and alcohol users: a three-year prospective study from adolescence to young adulthood. Dev Cogn Neurosci. 2015;16:101–9. https://doi.org/10.1016/j.dcn.2015.04.006 (This study demonstrated differences between groups (lifetime co-use, minimal substance using control) on cortical thickness among adolescents (ages 16–19 at baseline) over a 3-year period. Lifetime co-users demonstrated increased cortical thickness estimates compared to the control.).

  14. Jacobus J, Castro N, Squeglia LM, Meloy MJ, Brumback T, Huestis MA, Tapert SF. Adolescent cortical thickness pre- and post marijuana and alcohol initiation. Neurotoxicol Teratol. 2016;57:20–9. https://doi.org/10. 1016/j.ntt.2016.09.005 (This study demonstrated differences between groups (lifetime couse, minimal substance using control) on cortical thickness among adolescents (ages 16–19 at baseline) over a 3-year period. Lifetime co-users demonstrated increased cortical thickness estimates compared to the control.).

  15. Wade NE, Thomas AM, Gruber SA, Tapert SF, Filbey FM, Lisdahl KM. Binge and cannabis co-use episodes in relation to white matter integrity in emerging adults. Cannabis Cannabinoid Res. 2020;5:62–72. https://doi.org/10.1089/can.2018.0062 (This study showed more past month concurrent episodes were associated with lower AD (left inferior longitudinal fasciculus) and lower FA (left inferior longitudinal fasciculus, right anterior thalamic radiation, left cingulum cingulate gyrus).).

    Article  PubMed  PubMed Central  Google Scholar 

  16. Jacobus J, Squeglia LM, Infante MA, Castro N, Brumback T, Meruelo AD, Tapert SF. Neuropsychological performance in adolescent marijuana users with co-occurring alcohol use: a three-year longitudinal study. Neuropsychology. 2015;29:829–43. https://doi.org/10.1037/neu0000203 (This study examined longitudinal changes in neuropsychological performance among adolescent (ages 16–19) lifetime co-users compared to minimal substance using controls. Lifetime co-users performed significantly worse than controls in complex attention, memory, processing speed, and visuospatial functioning.).

  17. Harper J, Malone SM, Wilson S, Hunt RH, Thomas KM, Iacono WG. The effects of alcohol and cannabis use on the cortical thickness of cognitive control and salience brain networks in emerging adulthood: a co-twin control study. Biol Psychiatry. 2021;89:1012–22. https://doi.org/10.1016/j.biopsych.2021.01.006.

    Article  CAS  PubMed  Google Scholar 

  18. Thayer RE, YorkWilliams S, Karoly HC, Sabbineni A, Ewing SF, Bryan AD, Hutchison KE. Structural neuroimaging correlates of alcohol and cannabis use in adolescents and adults. Addiction. 2017;112:2144–54. https://doi.org/10.1111/add.13923.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Bühler M, Mann K. Alcohol and the human brain: a systematic review of different neuroimaging methods. Alcohol Clin Exp Res. 2011;35:1771–93. https://doi.org/10.1111/j.1530-0277.2011.01540.x.

    Article  CAS  PubMed  Google Scholar 

  20. Crean RD, Crane NA, Mason BJ. An evidence based review of acute and long-term effects of cannabis use on executive cognitive functions. J Addict Med. 2011;5:1–8. https://doi.org/10.1097/adm.0b013e31820c23fa.

    Article  PubMed  PubMed Central  Google Scholar 

  21. DeLisi LE, Bertisch HC, Szulc KU, Majcher M, Brown K, Bappal A, Ardekani BA. A preliminary DTI study showing no brain structural change associated with adolescent cannabis use. Harm Reduct J. 2006;3:17. https://doi.org/10.1186/1477-7517-3-17.

    Article  PubMed  PubMed Central  Google Scholar 

  22. Cookey J, Crocker CE, Bernier D, Newman AJ, Stewart S, McAllindon D, Tibbo PG. Microstructural findings in white matter associated with cannabis and alcohol use in early-phase psychosis: a diffusion tensor imaging and relaxometry study. Brain Connect. 2018;8:567–76. https://doi.org/10.1089/brain.2018.0611 (Demonstrated there was no interaction effect of lifetime cannabis and alcohol use on fractional anisoptry among individuals with early-phase psychosis.).

    Article  PubMed  Google Scholar 

  23. Wittemann M, Brielmaier J, Rubly M, et al. Cognition and Cortical Thickness in Heavy Cannabis Users. Eur Addict Res. 2021;27:115–22. https://doi.org/10.1159/000509987.

    Article  PubMed  Google Scholar 

  24. Lorenzetti V, Solowij N, Whittle S, Fornito A, Lubman DI, Pantelis C, Yücel M. Gross morphological brain changes with chronic, heavy cannabis use. Br J Psychiatry. 2015;206:77–8. https://doi.org/10.1192/bjp.bp.114.151407.

    Article  PubMed  Google Scholar 

  25. Jakabek D, Yücel M, Lorenzetti V, Solowij N. An MRI study of white matter tract integrity in regular cannabis users: effects of cannabis use and age. Psychopharmacology. 2016;233:3627–37. https://doi.org/10.1007/s00213-016-4398-3.

    Article  CAS  PubMed  Google Scholar 

  26. Infante MA, Nguyen-Louie TT, Worley M, Courtney KE, Coronado C, Jacobus J. Neuropsychological trajectories associated with adolescent alcohol and cannabis use: a prospective 14-year study. J Int Neuropsychol Soc. 2020;26:480–91. https://doi.org/10.1017/s1355617719001395.

    Article  PubMed  Google Scholar 

  27. Morin JFG, Afzali MH, Bourque J, Stewart SH, Séguin JR, O’Leary-Barrett M, Conrod PJ. A population-based analysis of the relationship between substance use and adolescent cognitive development. Am J Psychiatry. 2019;176:98–106. https://doi.org/10.1176/appi.ajp.2018.18020202.

    Article  PubMed  Google Scholar 

  28. Noorbakhsh S, Afzali MH, Boers E, Conrod PJ. Cognitive function impairments linked to alcohol and cannabis use during adolescence: a study of gender differences. Front Hum Neurosci. 2020;14:1–11. https://doi.org/10.3389/fnhum.2020.00095.

    Article  Google Scholar 

  29. Thoma RJ, Monnig MA, Lysne PA, Ruhl DA, Pommy JA, Bogenschutz M, Tonigan JS, Yeo RA. Adolescent substance abuse: the effects of alcohol and marijuana on neuropsychological performance. Alcohol Clin Exp Res. 2011;35:39–46. https://doi.org/10.1111/j.1530-0277.2010.01320.x.

    Article  PubMed  Google Scholar 

  30. Lisdahl KM, Gilbart ER, Wright NE, Shollenbarger S. Dare to delay? The impacts of adolescent alcohol and marijuana use onset on cognition, brain structure, and function. Front psychiatry. 2013;4:53. https://doi.org/10.3389/fpsyt.2013.00053.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  31. Nguyen-Louie TT, Castro N, Matt GE, Squeglia LM, Brumback T, Tapert SF (2015) Effects of emerging alcohol and marijuana use behaviors on adolescents’ neuropsychological functioning over four years. J Stud Alcohol Drugs 76:738–748. https://doi.org/10.15288/jsad.2015.76.738

  32. Ruff R, Niemann H, Allen CC, Farrow C, Wylie T. The Ruff 2 and 7 selective attention test: a neuropsychological application. Percept Mot Skills. 1992;75:1311–9. https://doi.org/10.2466/pms.1992.75.3f.1311.

    Article  CAS  PubMed  Google Scholar 

  33. Wade NE, Bagot KS, Tapert SF, Gruber SA, Filbey FM, Lisdahl KM (2020) Cognitive functioning related to binge alcohol and cannabis co-use in abstinent adolescents and young adults. J Stud Alcohol Drugs 81:479–483. https://doi.org/10.15288/jsad.2020.81.479.Demonstrated more past month concurrent use days were associated with poorer selective attention accuracy among adolescents and young adults. Concurrent use was not associated with executive function, verbal fluency, learning and memory, and delayed recall.

    Article  PubMed  PubMed Central  Google Scholar 

  34. Stevens C, Bavelier D. The role of selective attention on academic foundations: a cognitive neuroscience perspective. Dev Cogn Neurosci. 2012;2:S30–48. https://doi.org/10.1016/j.dcn.2011.11.001.

    Article  PubMed  Google Scholar 

  35. Petker T, Ferro M, Van Ameringen M, Murphy J, MacKillop J. Daily, but not occasional, cannabis use is selectively associated with more impulsive delay discounting and hyperactive ADHD symptoms in binge-drinking young adults. Psychopharmacology. 2021. https://doi.org/10.1007/s00213-021-05781-3.10.1007/s00213-021-05781-3 (Demonstrates HRD + daily/multiple times daily group significantly greater impulsive delay discounting than HRD and HRD + weekly/monthly CA.).

    Article  PubMed  Google Scholar 

  36. Tong TT, Vaidya JG, Kramer JR, Kuperman S, Langbehn DR, O’Leary DS. Behavioral inhibition and reward processing in college students who binge drink with and without marijuana use. Drug Alcohol Depend. 2020;213: 108119. https://doi.org/10.1016/j.drugalcdep.2020.108119 (This study examined behavioral inhibition and reward processing in standard and extreme binge-drinking college students with and without regular cannabis use. All groups demonstrated strong activation in expected key cortical and striatal regions during behavioral inhibition and reward processing tasks. However, there were no significant differences between groups in specific ROIs nor did the groups differ on behavioral performance on the fMRI tasks.).

    Article  PubMed  PubMed Central  Google Scholar 

  37. Karoly HC, Bryan AD, Weiland BJ, Mayer A, Dodd A, Feldstein Ewing SW. Does incentive-elicited nucleus accumbens activation differ by substance of abuse? An examination with adolescents. Dev Cogn Neurosci. 2015;16:5–15. https://doi.org/10.1016/j.dcn.2015.05.005 (In a sample of adolescents (ages 14-18), six distinct substance use groups were identified: cannabis-only, tobacco-only, alcohol-only, cannabis/tobacco-only, cannabis/alcohol/tobacco, and non-substance using controls and all groups showed comparable performance on a monetary incentive delay (MID) task. However, brain activation in the nucleus accumbens differed between the tobacco-only compared to all other groups, while the cannabis/alcohol/tobacco group showed similar brain activation responses to non-substance using controls.).

    Article  PubMed  PubMed Central  Google Scholar 

  38. Winward JL, Hanson KL, Tapert SF, Brown SA. Heavy alcohol use, marijuana use, and concomitant use by adolescents are associated with unique and shared cognitive decrements. J Int Neuropsychol Soc. 2014;20:784–95. https://doi.org/10.1017/S1355617714000666.

    Article  PubMed  PubMed Central  Google Scholar 

  39. Jacobus J, Squeglia LM, Sorg SF, Nguyen-Louie TT, Tapert SF (2014) Cortical thickness and neurocognition in adolescent marijuana and alcohol users following 28 days of monitored abstinence. J Stud Alcohol Drugs 75:729–743. https://doi.org/10.15288/jsad.2014.75.729

  40. Infante MA, Courtney KE, Castro N, Squeglia LM, Jacobus J (2017) Adolescent brain surface area pre-and post-cannabis and alcohol initiation. J Stud 79:835–842. https://doi.org/10.15288/jsad.2018.79.835. Longitudinal study that examined the impact of lifetime co-use on brain surface area pre and post substance use initiation among adolescents (ages 12–14). Alcohol users showed more substantial decreases in GM surface area compared to lifetime co-users. However, co-users and controls had greater surface area at baseline and follow-up than alcohol users.

  41. Giorgio A, Watkins KE, Douaud G, James AC, James S, De Stefano N, Matthews PM, Smith SM, Johansen-Berg H. Changes in white matter microstructure during adolescence. Neuroimage. 2008;39:52–61. https://doi.org/10.1016/j.neuroimage.2007.07.043.

    Article  CAS  PubMed  Google Scholar 

  42. Lebel C, Beaulieu C. Longitudinal development of human brain wiring continues from childhood into adulthood. J Neurosci. 2011;31:10937–47. https://doi.org/10.1523/jneurosci.5302-10.2011.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  43. Bathelt J, Johnson A, Zhang M, Astle DE (2019) The cingulum as a marker of individual differences in neurocognitive development. 1–16. https://doi.org/10.1038/s41598-019-38894-z

  44. Jacobus J, McQueeny T, Bava S, Schweinsburg BC, Frank LR, Yang TT, Tapert SF. White matter integrity in adolescents with histories of marijuana use and binge drinking. Neurotoxicol Teratol. 2009;31:349–55. https://doi.org/10.1016/j.ntt.2009.07.006.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  45. Bava S, Jacobus J, Mahmood O, Yang TT, Tapert SF. Neurocognitive correlates of white matter quality in adolescent substance users. Brain Cogn. 2010;72:347–54. https://doi.org/10.1016/j.bandc.2009.10.012.

    Article  PubMed  Google Scholar 

  46. Jacobus J, Squeglia LM, Alejandra Infante M, Bava S, Tapert SF. White matter integrity pre- and post marijuana and alcohol initiation in adolescence. Brain Sci. 2013;3:396–414. https://doi.org/10.3390/brainsci3010396.

    Article  PubMed  PubMed Central  Google Scholar 

  47. Jacobus J, Squeglia LM, Bava S, Tapert SF. White matter characterization of adolescent binge drinking with and without co-occurring marijuana use: a 3-year investigation. Psychiatry Res. 2013;214:374–81. https://doi.org/10.1016/j.pscychresns.2013.07.014.

    Article  PubMed  PubMed Central  Google Scholar 

  48. Squeglia LM, Jacobus J, Sorg SF, Jernigan TL, Tapert SF. Early adolescent cortical thinning is related to better neuropsychological performance. J Int Neuropsychol Soc. 2013;19:962–70. https://doi.org/10.1017/S1355617713000878.

    Article  PubMed  PubMed Central  Google Scholar 

  49. Morris VL, Owens MM, Syan SK, Petker TD, Sweet LH, Oshri A, MacKillop J, Amlung M. Associations between drinking and cortical thickness in younger adult drinkers: findings from the human connectome project. Alcohol Clin Exp Res. 2019;43:1918–27. https://doi.org/10.1111/acer.14147.

    Article  PubMed  PubMed Central  Google Scholar 

  50. Epstein KA, Kumra S. Altered cortical maturation in adolescent cannabis users with and without schizophrenia. Schizophr Res. 2015;162:143–52. https://doi.org/10.1016/j.schres.2014.11.029.

    Article  PubMed  Google Scholar 

  51. Giedd JN. Structural magnetic resonance imaging of the adolescent brain. Ann N Y Acad Sci. 2004;1021:77–85. https://doi.org/10.1196/annals.1308.009.

    Article  PubMed  Google Scholar 

  52. Bray S, Krongold M, Cooper C, Lebel C (2015) Synergistic effects of age on patterns of white and gray matter volume across childhood and adolescence. eNeuro 2:ENEURO.0003–15.2015. https://doi.org/10.1523/eneuro.0003-15.2015

  53. Volkow ND, Fowler JS. Addiction, a disease of compulsion and drive: involvement of the orbitofrontal cortex. Cereb Cortex. 2000;10:318–25. https://doi.org/10.1093/cercor/10.3.318.

    Article  CAS  PubMed  Google Scholar 

  54. Leiker EK, Meffert H, Thornton LC, et al. Alcohol use disorder and cannabis use disorder symptomatology in adolescents are differentially related to dysfunction in brain regions supporting face processing. Psychiatry Res - Neuroimaging. 2019;292:62–71. https://doi.org/10.1016/j.pscychresns.2019.09.004.

    Article  PubMed  PubMed Central  Google Scholar 

  55. Blair RJR, White SF, Tyler PM, Johnson K, Lukoff J, Thornton LC, Leiker EK, Filbey F, Dobbertin M, Blair KS. Threat responsiveness as a function of cannabis and alcohol use disorder severity. J Child Adolesc Psychopharmacol. 2019;29:526–34. https://doi.org/10.1089/cap.2019.0004.

    Article  PubMed  Google Scholar 

  56. Aloi J, Blair KS, Crum KI, et al. Adolescents show differential dysfunctions related to alcohol and cannabis use disorder severity in emotion and executive attention neuro-circuitries. NeuroImage Clin. 2018;19:782–92. https://doi.org/10.1016/j.nicl.2018.06.005.

    Article  PubMed  PubMed Central  Google Scholar 

  57. Aloi J, Blair KS, Crum KI, et al. Alcohol use disorder, but not cannabis use disorder, symptomatology in adolescents is associated with reduced differential responsiveness to reward versus punishment feedback during instrumental learning. Biol Psychiatry Cogn Neurosci Neuroimaging. 2020;5:610–8. https://doi.org/10.1016/j.bpsc.2020.02.003.

    Article  PubMed  PubMed Central  Google Scholar 

  58. Aloi J, Crum KI, Blair KS, et al. Individual associations of adolescent alcohol use disorder versus cannabis use disorder symptoms in neural prediction error signaling and the response to novelty. Dev Cogn Neurosci. 2021;48: 100944. https://doi.org/10.1016/j.dcn.2021.100944.

    Article  PubMed  PubMed Central  Google Scholar 

  59. Casey BJ, Getz S, Galvan A. The adolescent brain. Dev Rev. 2008;28:62–77. https://doi.org/10.1016/j.dr.2007.08.003.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  60. Feldstein Ewing SW, Houck JM, Bryan AD (2015) Neural activation during response inhibition is associated with adolescents’ frequency of risky sex and substance use. Addict Behav 44:80–87. https://doi.org/10.1016/j.addbeh.2014.12.007 (This study found significant negative correlations between past month alcohol and cannabis use days and response inhibition (left IFG, right insula BOLD activation).).

    Article  PubMed  Google Scholar 

  61. Geier CF. Adolescent cognitive control and reward processing: implications for risk taking and substance use. Horm Behav. 2013;64:333–42. https://doi.org/10.1016/j.yhbeh.2013.02.008.

    Article  PubMed  Google Scholar 

  62. Schweinsburg AD, Schweinsburg BC, Nagel BJ, Eyler LT, Tapert SF. Neural correlates of verbal learning in adolescent alcohol and marijuana users. Addiction. 2011;106:564–73. https://doi.org/10.1111/j.1360-0443.2010.03197.x.

    Article  PubMed  Google Scholar 

  63. Mechelli A, Humphreys GW, Mayall K, Olson A, Price CJ. Differential effects of word length and visual contrast in the fusiform and lingual gyri during reading. Proceedings Biol Sci. 2000;267:1909–13. https://doi.org/10.1098/rspb.2000.1229.

    Article  CAS  Google Scholar 

  64. Vergara VM, Weiland BJ, Hutchison KE, Calhoun VD. The impact of combinations of alcohol, nicotine, and cannabis on dynamic brain connectivity. Neuropsychopharmacology. 2018;43:877–90. https://doi.org/10.1038/npp.2017.280 (This study utilized fMRI data to estimate dynamic functional network connectivity to examine the effects of single or combined use of alcohol, cannabis, and tobacco. Results showed cannabis and alcohol co-users had lower occupancy rates in state 2 (supplementary motor area-6 and right fusiform/lingual) than CON. Cannabis and alcohol co-users had higher connectivity in state 1 (between postcentral and inferior frontal gyrus) and 4 (left putamen/caudate and postcentral) than alcohol users. Cannabis and alcohol co-users no differences in connectivity compared to cannabis alone.).

    Article  CAS  PubMed  Google Scholar 

  65. Kowal MA, van Steenbergen H, Colzato LS, Hazekamp A, van der Wee NJA, Manai M, Durieux J, Hommel B. Dose-dependent effects of cannabis on the neural correlates of error monitoring in frequent cannabis users. Eur Neuropsychopharmacol. 2015;25:1943–53. https://doi.org/10.1016/j.euroneuro.2015.08.001.

    Article  CAS  PubMed  Google Scholar 

  66. Lenroot RK, Giedd JN. Brain development in children and adolescents: insights from anatomical magnetic resonance imaging. Neurosci Biobehav Rev. 2006;30:718–29. https://doi.org/10.1016/j.neubiorev.2006.06.001.

    Article  PubMed  Google Scholar 

  67. National Institute on Alcohol Abuse and Alcoholism Drinking Levels Defined. https://www.niaaa.nih.gov/alcohol-health/overview-alcohol-consumption/%0Amoderate-binge-drinking.

  68. Korponay C, Kosson DS, Decety J, Kiehl KA, Koenigs M. Brain volume correlates with duration of abstinence from substance abuse in a region-specific and substance-specific manner. Biol psychiatry Cogn Neurosci neuroimaging. 2017;2:626–35. https://doi.org/10.1016/j.bpsc.2017.03.011.

    Article  PubMed  PubMed Central  Google Scholar 

  69. Schulte MHJ, Cousijn J, den Uyl TE, Goudriaan AE, van den Brink W, Veltman DJ, Schilt T, Wiers RW. Recovery of neurocognitive functions following sustained abstinence after substance dependence and implications for treatment. Clin Psychol Rev. 2014;34:531–50. https://doi.org/10.1016/j.cpr.2014.08.002.

    Article  PubMed  Google Scholar 

  70. Sowell ER, Peterson BS, Thompson PM, Welcome SE, Henkenius AL, Toga AW. Mapping cortical change across the human life span. Nat Neurosci. 2003;6:309–15. https://doi.org/10.1038/nn1008.

    Article  CAS  PubMed  Google Scholar 

  71. Sowell ER, Thompson PM, Holmes CJ, Jernigan TL, Toga AW. In vivo evidence for post-adolescent brain maturation in frontal and striatal regions. Nat Neurosci. 1999;2:859–61. https://doi.org/10.1038/13154.

    Article  CAS  PubMed  Google Scholar 

  72. Johnston LD, Miech RA, O’Malley PM, Bachman JG, Schulenberg JE, Patrick ME (2019) Monitoring the Future National Survey Results on Drug Use, 1975–2018: Overview, Key Findings on Adolescent Drug Use. Inst. Soc. Res.

Download references

Funding

This work was supported by the National Institute on Drug Abuse (R01DA039924; PI Ansell) and by the National Institute on Alcohol Abuse and Alcoholism (R00AA25401; PI Blaine).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Emily B. Ansell.

Ethics declarations

Conflict of Interest

The authors declare no competing interests.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

This article is part of the Topical Collection on Addictions

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Bedillion, M.F., Blaine, S.K., Claus, E.D. et al. The Effects of Alcohol and Cannabis Co-use on Neurocognitive Function, Brain Structure, and Brain Function. Curr Behav Neurosci Rep 8, 134–149 (2021). https://doi.org/10.1007/s40473-021-00243-8

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s40473-021-00243-8

Keywords

Navigation