“…It is important to note that the causal relations between CEN rsFC, depressive symptoms, and substance use may be multidirectional. For example, lower CEN rsFC may increase susceptibility to problematic cannabis use, and problematic cannabis use may lead to further alterations in CEN rsFC ( Ertl et al, 2023 ). Thus, CEN rsFC, depressive symptoms, and substance use may form their own feedback loop nested within the broader neuroimmune feedback loop.…”