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Updated: Jul 2, 2026

Brain Morphology of Cannabis Users With or Without Psychosis: A Pilot MRI Study
Published on: August 18, 2020
Gene-environment interplay between cannabis and psychosis
Cécile Henquet1, Marta Di Forti, Paul Morrison
1Department of Psychiatry and Neuropsychology, EURON, Maastricht University Medical Centre, South Limburg Mental Health Research and Teaching Network, Maastricht, The Netherlands. cecile.henquet@sp.unimaas.nl
Cannabis use contributes to psychosis, but genetics and environmental factors like stress play a key role in determining risk. Gene-environment interactions, not single genes, likely explain why some cannabis users develop schizophrenia.
Area of Science:
- Psychiatry
- Genetics
- Neuroscience
Background:
- Cannabis use is linked to schizophrenia and psychotic disorders.
- Only a subset of cannabis users develop psychosis, indicating other contributing factors.
- Age of first use, consumption patterns, and cannabis potency influence psychosis risk.
Purpose of the Study:
- To review the interplay between genetic factors and cannabis exposure in psychosis development.
- To explore gene-environment correlations and interactions in the cannabis-psychosis association.
- To investigate higher-order interactions influencing psychosis risk.
Main Methods:
- Review of genetic, epidemiological, experimental, and observational studies.
- Analysis of gene-environment correlation and interaction mechanisms.
- Examination of higher-order interactions in cannabis-psychosis link.
Main Results:
- Evidence suggests gene-environment interaction mechanisms underlie the cannabis-psychosis association.
- Multiple gene variations interacting with environmental factors increase psychosis risk.
- Cannabis use's impact on psychosis is influenced by a complex interplay of genetic and environmental factors.
Conclusions:
- Gene-environment interactions are crucial in understanding why cannabis use leads to psychosis in some individuals.
- Higher-order interactions involving multiple genes and environmental factors are likely key.
- Further research is needed to elucidate the biological pathways of cannabis-induced psychosis.
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