title: Cannabis and anxiety and depression in young adults: a large prospective study.
abstract: OBJECTIVE
  To examine whether age of first use or frequency of use of cannabis is associated with anxiety and depression (AD) in young adults, independent of known potential confounders, including the use of other illicit drugs.
  
  
  METHODS
  A cohort of 3,239 Australian young adults was followed from birth to the age of 21 when data on AD were obtained from sample members along with information on their use of cannabis at 21 years. Potential confounding factors were prospectively measured when the child was born and at 14 years.
  
  
  RESULTS
  After controlling for confounding factors, those who started using cannabis before age 15 years and used it frequently at 21 years were more likely to report symptoms of AD in early adulthood (odds ratio 3.4; 95% CI 1.9-6.1). This association was of similar magnitude for those who had only used cannabis and those who reported having used cannabis and other illicit drugs.
  
  
  CONCLUSIONS
  The relationship between early-onset and frequent use of cannabis and symptoms of AD is independent of individual and family backgrounds. Frequent cannabis use is associated with increased AD in young adults independently of whether the person also uses other illicit drugs.
authors.affiliation: Drs. Hayatbakhsh, Mamun, Alati, Najman, and Jamrozik are with the School of Population Health, University of Queensland, Brisbane, Australia; Dr. Bor is with the Mater Centre for Service Research in Mental Health, Mater Hospital, Brisbane, Australia; and Dr. Najman is also with the School of Social Science, University of Queensland. Electronic address: m.hayatbakhsh@sph.uq.edu.au.
authors.forename: Mohammad R
authors.initials: MR
authors.lastname: Hayatbakhsh
authors.affiliation: Drs. Hayatbakhsh, Mamun, Alati, Najman, and Jamrozik are with the School of Population Health, University of Queensland, Brisbane, Australia; Dr. Bor is with the Mater Centre for Service Research in Mental Health, Mater Hospital, Brisbane, Australia; and Dr. Najman is also with the School of Social Science, University of Queensland.
authors.forename: Jake M
authors.initials: JM
authors.lastname: Najman
authors.affiliation: Drs. Hayatbakhsh, Mamun, Alati, Najman, and Jamrozik are with the School of Population Health, University of Queensland, Brisbane, Australia; Dr. Bor is with the Mater Centre for Service Research in Mental Health, Mater Hospital, Brisbane, Australia; and Dr. Najman is also with the School of Social Science, University of Queensland.
authors.forename: Konrad
authors.initials: K
authors.lastname: Jamrozik
authors.affiliation: Drs. Hayatbakhsh, Mamun, Alati, Najman, and Jamrozik are with the School of Population Health, University of Queensland, Brisbane, Australia; Dr. Bor is with the Mater Centre for Service Research in Mental Health, Mater Hospital, Brisbane, Australia; and Dr. Najman is also with the School of Social Science, University of Queensland.
authors.forename: Abdullah A
authors.initials: AA
authors.lastname: Mamun
authors.affiliation: Drs. Hayatbakhsh, Mamun, Alati, Najman, and Jamrozik are with the School of Population Health, University of Queensland, Brisbane, Australia; Dr. Bor is with the Mater Centre for Service Research in Mental Health, Mater Hospital, Brisbane, Australia; and Dr. Najman is also with the School of Social Science, University of Queensland.
authors.forename: Rosa
authors.initials: R
authors.lastname: Alati
authors.affiliation: Drs. Hayatbakhsh, Mamun, Alati, Najman, and Jamrozik are with the School of Population Health, University of Queensland, Brisbane, Australia; Dr. Bor is with the Mater Centre for Service Research in Mental Health, Mater Hospital, Brisbane, Australia; and Dr. Najman is also with the School of Social Science, University of Queensland.
authors.forename: William
authors.initials: W
authors.lastname: Bor
mesh_terms: D000293:Adolescent; D000328:Adult; D001008:Anxiety Disorders / Q000175:diagnosis / Q000453:epidemiology* / Q000523:psychology; D003865:Major Depressive Disorder / Q000175:diagnosis / Q000453:epidemiology* / Q000523:psychology; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D002189:Marijuana Abuse / Q000453:epidemiology*; D011446:Prospective Studies; D012189:Retrospective Studies; D011795:Surveys and Questionnaires