Sarah Lichenstein
Assistant Professor of PsychiatryCards
About
Research
Publications
Featured Publications
Identification and External Validation of a Problem Cannabis Risk Network
Lichenstein S, Kiluk B, Potenza M, Garavan H, Chaarani B, Banaschewski T, Bokde A, Desrivières S, Flor H, Grigis A, Gowland P, Heinz A, Brühl R, Martinot J, Martinot M, Artiges E, Nees F, Orfanos D, Poustka L, Hohmann S, Holz N, Baeuchl C, Smolka M, Vaidya N, Walter H, Whelan R, Schumann G, Pearlson G, Yip S. Identification and External Validation of a Problem Cannabis Risk Network. Biological Psychiatry 2025, 98: 586-596. PMID: 39909136, PMCID: PMC12318113, DOI: 10.1016/j.biopsych.2025.01.022.Peer-Reviewed Original Researchalcohol use outcomescannabis useneural mechanismssample of treatment-seeking adultsneural mechanisms of risktreatment-seeking adultscannabis use disordernon-clinical samplemechanisms of riskfunctional connectivity datasample of adolescentstreatment outcomesassociated with harmful outcomespoor treatment outcomesaddiction severityuse disorderemerging adulthoodwhole-braincannabiscollege studentsbrain developmentconnectivity dataidentified networkstreatment approachesadultsBrain Networks and Adolescent Alcohol Use
Yip S, Lichenstein S, Liang Q, Chaarani B, Dager A, Pearlson G, Banaschewski T, Bokde A, Desrivières S, Flor H, Grigis A, Gowland P, Heinz A, Brühl R, Martinot J, Martinot M, Artiges E, Nees F, Orfanos D, Paus T, Poustka L, Hohmann S, Millenet S, Fröhner J, Smolka M, Vaidya N, Walter H, Whelan R, Schumann G, Garavan H. Brain Networks and Adolescent Alcohol Use. JAMA Psychiatry 2023, 80: 1131-1141. PMID: 37647053, PMCID: PMC10469292, DOI: 10.1001/jamapsychiatry.2023.2949.Peer-Reviewed Original ResearchConceptsAlcohol Use Disorders Identification Testalcohol use riskalcohol misuseuse riskalcohol use disordermale adolescentsDisorders Identification Testsingle-site studyintervention effortswhole-brain patternsmean agealcohol use dataleading causemagnetic resonance imaging dataMAIN OUTCOMEreward-related processeshigh riskseparate cohortuse disordersalcohol consumptioncurrent severityadolescent neurodevelopmentalcohol use behaviorsalcohol useAUDIT scoresDistinct neural networks predict cocaine versus cannabis treatment outcomes
Lichenstein S, Kohler R, Ye F, Potenza M, Kiluk B, Yip S. Distinct neural networks predict cocaine versus cannabis treatment outcomes. Molecular Psychiatry 2023, 28: 3365-3372. PMID: 37308679, PMCID: PMC10713861, DOI: 10.1038/s41380-023-02120-0.Peer-Reviewed Original ResearchConceptsconnectome-based predictive modelingcognitive behavior therapycognitive behavioral therapysubstance use disorderscannabis abstinenceneural mechanismsbehavior therapydistinct neural networkscomputer-based trainingcannabis use disorderfMRI scanningneural predictorsStudy 1Study 2treatment outcomescontingency managementprior workcomparison subjectsnetwork strengthuse disordersnovel treatment targetsabstinenceindependent samplescocaine abstinencetreatment respondersCannabis, connectivity, and coming of age: Associations between cannabis use and anterior cingulate cortex connectivity during the transition to adulthood
Lichenstein S, Shaw D, Forbes E. Cannabis, connectivity, and coming of age: Associations between cannabis use and anterior cingulate cortex connectivity during the transition to adulthood. Frontiers In Human Neuroscience 2022, 16: 951204. PMID: 36438638, PMCID: PMC9692120, DOI: 10.3389/fnhum.2022.951204.Peer-Reviewed Original Researchanterior thalamic radiationage 20fractional anisotropycannabis useanterior cingulate cortex connectivitylow socioeconomic statusanterior cingulate cortexsignificant adverse consequenceshigher fractional anisotropywhite matter microstructurecortex connectivitythalamic radiationwhite mattercingulate cortexmale subjectsneurobiological consequencesmoderate cannabisunderwent diffusionsocioeconomic statuscannabislongitudinal studylongitudinal resultscingulumadverse consequencesadulthoodSystematic review of structural and functional neuroimaging studies of cannabis use in adolescence and emerging adulthood: evidence from 90 studies and 9441 participants
Lichenstein SD, Manco N, Cope LM, Egbo L, Garrison KA, Hardee J, Hillmer AT, Reeder K, Stern EF, Worhunsky P, Yip SW. Systematic review of structural and functional neuroimaging studies of cannabis use in adolescence and emerging adulthood: evidence from 90 studies and 9441 participants. Neuropsychopharmacology 2021, 47: 1000-1028. PMID: 34839363, PMCID: PMC8938408, DOI: 10.1038/s41386-021-01226-9.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsConceptsadolescent cannabis userscannabis-related harmscannabis userscannabis effectsadolescent brain functionongoing brain developmentfunctional neuroimaging studieseffects of cannabisadolescent brainneuroimaging studiesneural effectspotential moderatorsneural alterationscannabis policy changesreduced perceptionsystematic reviewcannabis usecerebellar regionsadolescencebrain functionpreliminary evidencefuture researchearly interventionlong-term goalextant literatureDissociable neural substrates of opioid and cocaine use identified via connectome-based modelling
Lichenstein SD, Scheinost D, Potenza MN, Carroll KM, Yip SW. Dissociable neural substrates of opioid and cocaine use identified via connectome-based modelling. Molecular Psychiatry 2019, 26: 4383-4393. PMID: 31719641, PMCID: PMC7214212, DOI: 10.1038/s41380-019-0586-y.Peer-Reviewed Original ResearchConceptsbrain statesdissociable neural substratesmultiple brain statessubstance use outcomeshealthy comparison subjectswhole-brain approachfMRI scanningfrontoparietal networkneural substratessubstance use treatmentneural mechanismsdifferent brain statesfurther clinical relevancedefault modefMRI datasubject replicationtreatment approachesreduced connectivityuse outcomescomparison subjectsnetwork strengthuse disorderssensory networkstreatment responderssensory connectivity
2026
Behavioral Inhibition Network Predicts Alcohol Use in Men and Stress in Women.
Aksen D, Potenza M, Meda S, Pearlson G, Lichenstein S. Behavioral Inhibition Network Predicts Alcohol Use in Men and Stress in Women. Journal Of Studies On Alcohol And Drugs 2026 PMID: 42233289, DOI: 10.15288/jsad.25-00235.Peer-Reviewed Original ResearchConnectome-based predictive modelingAlcohol useDefault modeAssociated with stressful life eventsCPM modelsPredicting alcohol useAssociated with alcohol useStressful life eventsTask fMRI dataStress-related concernsImpulsivity domainsImpulsive behaviorNeural substratesImpulsive actionBrain networksLife eventsCerebellar networkAddiction treatmentAlcohol researchFMRI dataSex differencesYoung adultsAddictionComplex constructionNetwork strength394. Relationships Between Opioid Abstinence Network Strength, Craving, and Relapse in OUD Patients Maintained on Methadone vs. Buprenorphine
LoFaro F, Weng Y, Rohlhill W, Lichenstein S, Yip S, Konova A. 394. Relationships Between Opioid Abstinence Network Strength, Craving, and Relapse in OUD Patients Maintained on Methadone vs. Buprenorphine. Biological Psychiatry 2026, 99: s268-s269. DOI: 10.1016/j.biopsych.2026.03.628.Peer-Reviewed Original ResearchA qualitative study of same session co-use of nicotine and cannabis among adolescents and young adults
Davis D, Cavallo D, Bold K, Morean M, Kong G, Li W, Ponte V, Franco N, Lichenstein S, Krishnan-Sarin S. A qualitative study of same session co-use of nicotine and cannabis among adolescents and young adults. PLOS ONE 2026, 21: e0340050. PMID: 41499437, PMCID: PMC12779067, DOI: 10.1371/journal.pone.0340050.Peer-Reviewed Original ResearchConceptsSession useCannabis usePsychoactive effectsPsychoactive effects of nicotineCo-use of nicotineCo-usePsychoactive effects of cannabisEffects of cannabisCo-use behaviorsEffects of nicotineYoung adultsCannabis use experienceCannabis effectsCannabisNicotineCannabis vapingCessation effortsSessionsAdolescentsBehavioral patternsMask tasteThroat irritationAYAParticipantsAdultsPrenatal Cannabis Exposure Exacerbates Striatal Reward System Alterations Associated With Early Risk for Psychosis
Lichenstein S. Prenatal Cannabis Exposure Exacerbates Striatal Reward System Alterations Associated With Early Risk for Psychosis. Biological Psychiatry 2026, 99: 102-103. PMID: 41386816, DOI: 10.1016/j.biopsych.2025.10.030.Peer-Reviewed Original Research
Clinical Trials
Current Trials
Connectivity While Coming of Age
IRB ID2000028368RolePrincipal InvestigatorPrimary Completion Date12/31/2026Recruiting ParticipantsGenderBothAge18 years - 25 years
News
News
- February 06, 2025Source: Biological Psychiatry
Identification and External Validation of a Problem Cannabis Risk Network
- April 22, 2024
Mentorship and Science
- September 08, 2023
WHRY Welcomes New Class of Undergraduate Fellows
- June 08, 2023
Yale Child Study Center welcomes 2023 summer interns