Evidence map›Paper›PMID 19776731›Full record

Trial reportNeuropsychopharmacology : official publication of the American College of Neuropsychopharmacology2010

Aggression, suicidality, and intermittent explosive disorder: serotonergic correlates in personality disorder and healthy control subjects.

Emil F Coccaro, Royce Lee, Richard J Kavoussi

Registry-linked trialOpen access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05895513 (Effect of Pimavanserin on Aggression and Social Cognition.), which is not on this map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
6.9field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05895513 phase2recruitingnot on this mapstarted 2024, after this paper: background citation

Effect of Pimavanserin on Aggression and Social Cognition.

TypeinterventionalSponsorOhio State UniversityRan2024 to 2028Enrolled35ConditionsIntermittent Explosive DisorderArmsPimavanserin 34 mg, Placebo
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 95 citations in OpenAlex.

  1. Pooled it
  2. Effects of Escitalopram Administration on Face Processing in Intermittent Explosive Disorder: An fMRI Study.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2016
    Trial
  3. Regional brain glucose uptake distinguishes suicide attempters from non-attempters in major depression.Archives of suicide research : official journal of the International Academy for Suicide Research · 2013
    Trial
  4. Plasma and cerebrospinal fluid inflammatory markers and human aggression.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2023
    Article
  5. Article
  6. Article
  7. Article
  8. Childhood serotonergic function and early adult outcomes in youth with ADHD: A 15-year follow-up study.European neuropsychopharmacology : the journal of the European College of Neuropsychopharmacology · 2018
    Article
  9. Review
  10. Article
  11. Article
  12. Is Toxoplasma gondii a Trigger of Bipolar Disorder?Pathogens (Basel, Switzerland) · 2017
    Review
  13. Review
  14. Article
  15. White Matter Integrity Reductions in Intermittent Explosive Disorder.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2016
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Emil F CoccaroClinical Neuroscience and Psychopharmacology Research Unit, Department of Psychiatry and Behavioral Neuroscience, Pritzker School of Medicine, University of Chicago, Chicago, IL 60637, USA. ecoccaro@yoda.bsd.uchicago.edu
Royce Lee
Richard J Kavoussi
University of Chicago · US

Funding

IMPULSIVE AGGRESSION--BIOLOGIC AND TREATMENT CORRELATESK02MH000951 · NIMH · UNIVERSITY OF CHICAGO · PI COCCARO, EMIL F · 1991 to 2000
$99k
SEROTONIN &IMPULSIVE AGGRESSION IN PERSONALITY DISORDERR01MH046948 · NIMH · UNIVERSITY OF CHICAGO · PI COCCARO, EMIL F · 1991 to 1999
–
NIMH NIH HHS KO2MH00951NIMH NIH HHS R01 MH046948NIMH NIH HHS R01MH46948
6 · The paper itself

Abstract

Central serotonergic (5-HT) activity has long been implicated in the regulation of impulsive aggressive behavior. This study was performed to use a highly selective agent for 5-HT (d-Fenfluramine, d-FEN) in a large group of human subjects to further explore this relationship dimensionally and categorically. One hundred and fifty healthy subjects (100 with personality disorder, PD and 50 healthy volunteer controls, HV) underwent d-FEN challenge studies. Residual peak delta prolactin (DeltaPRL[d-FEN]-R; ie, after the removal of potentially confounding variables) was used as the primary 5-HT response variable. Composite measures of aggression and impulsivity were used as dimensional measures, and history of suicidal/self-injurious behavior as well as the presence of intermittent explosive disorder (IED) were used as categorical variables. DeltaPRL[d-FEN]-R responses correlated inversely with composite aggression, but not composite impulsivity, in all subjects and in males and females examined separately. The correlation with composite aggression was strongest in male PD subjects. DeltaPRL[d-FEN]-R values were reduced in PD subjects with a history of suicidal behavior but not, self-injurious behavior. DeltaPRL[d-FEN]-R values were also reduced in patients meeting Research Criteria for IED. Physiologic responses to 5-HT stimulation are reduced as a function of aggression (but not generalized impulsivity) in human subjects. The same is true for personality disordered subjects with a history of suicidal, but not self-injurious, behavior and for subjects with a diagnosis of IED by research criteria. These data have particular relevance to the notion of impulsive aggression and the biological validity of IED.

Indexed as

AdultAggressionAnalysis of VarianceDisruptive, Impulse Control, and Conduct DisordersFemaleFenfluramineHumansMalePersonality DisordersPsychiatric Status Rating ScalesSelective Serotonin Reuptake InhibitorsSelf-Injurious BehaviorSerotoninStatistics as TopicYoung AdultFenfluramineSelective Serotonin Reuptake InhibitorsSerotonin

Identifiers

PMID19776731
PMCPMC3055394
OpenAlexW2164516180

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.