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Updated: Mar 10, 2026

Brain Morphology of Cannabis Users With or Without Psychosis: A Pilot MRI Study
Published on: August 18, 2020
Assessing causality in associations between cannabis use and schizophrenia risk: a two-sample Mendelian randomization
S H Gage1, H J Jones1, S Burgess2
1MRC Integrative Epidemiology Unit (IEU), University of Bristol,Bristol,UK.
This study suggests cannabis initiation may slightly increase schizophrenia risk. However, schizophrenia risk appears to more strongly predict cannabis initiation, possibly due to genetic factors.
Area of Science:
- Psychiatry
- Genetics
- Epidemiology
Background:
- Observational studies link cannabis use to schizophrenia, but causation remains unclear.
- Mendelian randomization (MR) is a method to infer causation from observational data.
- This study utilizes publicly available genome-wide association data.
Purpose of the Study:
- To investigate the causal relationship between cannabis initiation and schizophrenia risk.
- To explore the potential causal effect of schizophrenia risk on cannabis initiation.
- To apply bi-directional two-sample MR for robust causal inference.
Main Methods:
- Bi-directional two-sample MR was performed using summary-level data.
- Genome-wide association study data from the International Cannabis Consortium and Psychiatric Genomics Consortium were utilized.
- Single nucleotide polymorphisms (SNPs) for cannabis initiation and schizophrenia were identified and analyzed.
Main Results:
- Some evidence suggests cannabis initiation causally increases schizophrenia risk (OR 1.04).
- Stronger evidence indicates schizophrenia risk causally influences cannabis initiation (OR 1.10).
- Control analyses for height and education supported the methodology.
Conclusions:
- Cannabis initiation may have a small causal effect on increasing schizophrenia risk.
- Schizophrenia risk appears to be a stronger predictor of cannabis initiation.
- Genetic instrument strength may explain the asymmetry in causal findings.
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