Cannabis Use During Early Pregnancy and Child Diagnoses of Depressive and Anxiety Disorders

Kelly C Young-Wolff1,2,3, Mahlet Shenkute1, Nina Oberman1

  • 1Division of Research, Kaiser Permanente Northern California.

Insights

Prenatal cannabis use did not increase the risk of anxiety or depressive disorders in children. This large study found no association between early pregnancy cannabis exposure and offspring mental health diagnoses.

Area of Science:

  • Obstetrics and Gynecology
  • Child and Adolescent Psychiatry
  • Public Health

Background:

  • Prenatal cannabis exposure is linked to adverse pregnancy outcomes.
  • Limited research exists on the association between prenatal cannabis use and child anxiety or depressive disorders.

Purpose of the Study:

  • To investigate the hypothesis that prenatal cannabis use is associated with child anxiety or depressive disorder diagnoses.
  • To examine the relationship between early pregnancy cannabis exposure and offspring mental health outcomes.

Main Methods:

  • Population-based retrospective birth cohort study (N=115,553 children).
  • Screening for prenatal cannabis use (self-report or toxicology for delta-9-tetrahydrocannabinol [THC]).
  • Cox proportional hazards regression models analyzed associations with child anxiety/depressive disorders (ages 6-13).

Main Results:

  • Prenatal cannabis use was associated with a lower risk of child anxiety disorders (aHR:0.84, 95%CI:0.75-0.95) when defined by toxicology.
  • No significant association was found for self-reported use or for depressive disorders.
  • Maternal prenatal cannabis use was not linked to increased risk of child depressive disorders (aHR:1.15, 95%CI:0.85-1.54).

Conclusions:

  • Prenatal cannabis use in early pregnancy was not associated with an increased risk of offspring anxiety disorders.
  • The study found no association between prenatal cannabis exposure and early onset of child depressive disorders.
Abstract

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