Ruling out alternative explanations. Shown is change in full-scale IQ (in SD units) from childhood to adulthood as a function of the number of study waves between ages 18 y and 38 y for which a study member met criteria for cannabis dependence. Change scores are presented for the full birth cohort and the cohort excluding (i) past 24-h cannabis users, (ii) past-week cannabis users, (iii) those with persistent tobacco dependence, (iv) those with persistent hard-drug dependence, (v) those with persistent alcohol dependence, and (vi) those with lifetime schizophrenia. Persistent tobacco, hard-drug, and alcohol dependence were each defined as dependence at three or more study waves. IQ decline could not be explained by other factors. Error bars = SEs.