By Fred Gardner December 18, 2013 Big headline in today’s New York Times: “Increasing Marijuana Use in High School is Reported.” The piece by Anahad O’Connor makes a point the headline doesn’t: “the use of alcohol and almost every other drug is falling.” Cigarette smoking by adolescents is declining. “For the first time since the survey began, the percentage of students who smoked a cigarette in the past month dropped below 10 percent.”
Given how widespread binge drinking is, and cigarette smoking, and prescription drug abuse, you’d think the biomedical establish would welcome evidence that marijuana is becoming the drug of choice for adolescents and young adults, displacing more dangerous ones. But nooo… The National Institute on Drug Abuse has just released its annual “Monitoring the Future” survey, a pretentiously titled, quasi-scientific attempt to quantify drug use by teenagers and young adults in this country. Dr. Nora Volkow of NIDA wants O’Connor of the Times to turn the obvious good news —marijuana leads to harm reduction in so many ways!— into a warning about an unproven threat posed by the herb to “developing brains.” (And hasn’t marijuana prohibition always been about protecting the youth?)
Take it away, Anahad:
Health officials are concerned by the steady increase and point to what they say is a growing body of evidence that adolescent brains, which are still developing, are susceptible to subtle changes caused by marijuana.
“The acceptance of medical marijuana in multiple states leads to the sense that if it’s used for medicinal purposes, then it can’t be harmful,” said Dr. Nora D. Volkow, director of the National Institute on Drug Abuse, which issued the report. “This survey has shown very consistently that the greater the number of kids that perceive marijuana as risky, the less that smoke it.” Starting early next year, recreational marijuana use will also be legal in Colorado and Washington.
Experts debate the extent to which heavy marijuana use may cause lasting detriment to the brain. But Dr. Volkow said that one way marijuana might affect cognitive function in adolescents was by disrupting the normal development of white matter through which cells in the brain communicate.
According to the latest federal figures, which were part of an annual survey, Monitoring the Future, more than 12 percent of eighth graders and 36 percent of seniors at public and private schools around the country said they had smoked marijuana in the past year. About 60 percent of high school seniors said they did not view regular marijuana use as harmful, up from about 55 percent last year.
The report looked at a wide variety of drugs and substances. It found, for example, that drinking was steadily declining, with roughly 40 percent of high school seniors reporting having used alcohol in the past month, down from a peak of 53 percent in 1997. Abuse of the prescription painkiller Vicodin is half what it was a decade ago among seniors; cocaine and heroin use are at historic lows in almost every grade.
Cigarette smoking has also fallen precipitously in recent years. For the first time since the survey began, the percentage of students who smoked a cigarette in the past month dropped below 10 percent. Roughly 8.5 percent of seniors smoke cigarettes on a daily basis, compared with 6.5 percent who smoke marijuana daily, a slight increase from 2010.
Studies show that the concentration of THC in marijuana, its psychoactive ingredient, has tripled since the early 1990s, and Dr. Volkow said there was concern that the rising use and increased potency could affect the likelihood of car accidents and could lower school performance.
“What is most worrisome is that we’re seeing high levels of everyday use of marijuana among teenagers,” Dr. Volkow said. “That is the type that’s most likely to have negative effects on brain function and performance.”
A new study published this week by scientists at Northwestern University, which showed what appeared to be lasting brain alterations in people who smoked marijuana as adolescents, has become part of the debate. Using brain imaging scans, the scientists showed that in comparison with young adults who had never smoked marijuana, those who used it daily for about three years as teenagers had differences in structures like the thalamus, globus pallidus and striatum.
These regions of the brain may help form a sort of mental notepad, called working memory, that allows people to solve puzzles, remember a telephone number or quickly process other bits of information needed for everyday tasks. Working memory is also a strong predictor of academic achievement in adolescents, said Matthew J. Smith, an author of the study and an assistant research professor in psychiatry and behavioral sciences at Northwestern University Feinberg School of Medicine.
The study could not determine whether the structural abnormalities were present before the subjects began smoking marijuana. But it did show that the younger the students were when they started, the greater the alterations. And the extent of those abnormalities was directly linked to how poorly the subjects did on memory tests.
One expert who was not involved in the study, Dr. Sanjiv Kumra, the director of the division of child and adolescent psychiatry at the University of Minnesota, said it was likely that more teenagers would misuse marijuana in the coming years. And that is concerning because adolescence is “a particularly susceptible period of ongoing brain development,” he said.
“There is this idea that cannabis is a harmless drug,” he added, “and these findings question that.”