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Marijuana use may be linked to the development of psychotic symptoms in some teenagers, but the reverse could also be true: psychosis in adolescents may be linked to later pot use, according to a new study from the Netherlands.

“We have focused mainly on temporal order: Is it the chicken or the egg?” the study’s lead author Merel Griffith-Lendering, a doctoral candidate in the Netherlands, wrote to Reuters. “As the study shows, it is a bidirectional relationship.”