How college students' mental health shapes marijuana use and grades

Depression, anxiety, substance use, and academic success among undergraduates: A healthy minds secondary analysis.

Journal of American college health : J of ACH • • Moderately Relevant
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AI Summary

This study analyzed data from over 76,000 undergraduate students to understand how depression, anxiety, and substance use—including marijuana—relate to academic performance. Researchers found that depression was more strongly linked to both alcohol and marijuana use than anxiety, suggesting that students struggling with depression may be more likely to use these substances. Notably, anxiety actually reduced the connection between depression and alcohol use, a surprising finding that highlights the complex relationships between different mental health conditions and substance use patterns.

When it came to grades, the results revealed that more frequent marijuana use was associated with lower self-reported academic performance, and the same pattern held true for depression. Interestingly, anxiety showed a positive association with grades in the statistical models—meaning anxious students sometimes reported better academic outcomes—though the researchers emphasize that all these relationships were modest in magnitude with small effect sizes. This suggests that while these associations exist, they shouldn't be overstated as major predictors of academic success.

The key takeaway is that depression appears to be the primary mental health factor driving both substance use and academic challenges among college students. These findings underscore the importance of campus mental health resources and suggest that addressing underlying depression through proper support and treatment may be more effective than simply targeting substance use alone. However, the modest effect sizes indicate that many other factors influence both substance use patterns and academic outcomes among this population.

📄 Original Abstract

Objective: To examine associations between depression, anxiety, substance use, and academic success among undergraduate students. Participants: Data were drawn from 76,406 students in the 2022-2023 Healthy Minds Study, with undergraduate analytic subsamples ranging from approximately 23,600 to 47,400 complete cases. Methods: Secondary analyses were conducted using zero-inflated Poisson regressions to assess relationships among depression, anxiety, alcohol, and marijuana use. Ordinary least squares and ordered logit models evaluated associations between mental health, substance use, and academic success. Results: Depression and anxiety were associated with alcohol and marijuana use, with depression showing a stronger association with alcohol involvement. Anxiety attenuated the association between depression and alcohol consumption. Depression and more frequent marijuana use were associated with lower self-reported grades, while anxiety showed a positive association with grades in multivariable models. Conclusions: Depression was consistently associated with substance use and academic outcomes, although effect sizes were small and associations were modest in magnitude.

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