Evidence map›Paper›PMID 20731973›Full record

ArticleJournal of studies on alcohol and drugs2010

Do premorbid predictors of alcohol dependence also predict the failure to recover from alcoholism?

Elizabeth C Penick, Joachim Knop, Elizabeth J Nickel, Per Jensen, Ann M Manzardo, Erik Lykke-Mortensen, William F Gabrielli

Abstract readComparative Study
In one paragraph

Article in Journal of studies on alcohol and drugs, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
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  11. Article
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  14. Seventy-five years of comorbidity research.Journal of studies on alcohol and drugs. Supplement · 2014
    Review
  15. Article
  16. Article
  17. X chromosome inactivation in women with alcoholism.Alcoholism, clinical and experimental research · 2012
    Article
  18. Review
  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

7 authors.

Elizabeth C PenickDepartment of Psychiatry and Behavioral Sciences, University of Kansas Medical Center, 3901 Rainbow Boulevard, MS 4015, Kansas City, Kansas 66160, USA. epenick@kumc.edu
Joachim Knop
Elizabeth J Nickel
Per Jensen
Ann M Manzardo
Erik Lykke-Mortensen
William F Gabrielli

Funding

Identification of Genes for Alcohol Preference:Rats/MiceR01AA015933 · NIAAA · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI BICE, PAULA J · 2006 to 2009
$1.3M
A Forty-Year Followup of Men at High Risk for AlcoholismR21AA013374 · NIAAA · UNIVERSITY OF KANSAS MEDICAL CENTER · PI PENICK, ELIZABETH C · 2002 to 2004
$269k
NIAAA NIH HHS K01-AA015933NIAAA NIH HHS R01 AA015933NIAAA NIH HHS R21 AA013374NIAAA NIH HHS R21-AA13374PHS HHS R01-03448,PHS HHS R01-08176
6 · The paper itself

Abstract

objectiveIn a search for viable endophenotypes of alcoholism, this longitudinal study attempted to identify premorbid predictors of alcohol dependence that also predicted the course of alcoholism.

methodThe 202 male subjects who completed a 40-year follow-up were originally selected from a Danish birth cohort (N = 9,182). Two thirds of the subjects were high-risk biological sons of treated alcoholics. A large number of measures (361) were obtained at different periods before any subject had developed an alcohol-use disorder. At age 40, a psychiatrist provided mutually exclusive lifetime diagnoses of alcohol abuse or alcohol dependence that were characterized as currently active or currently in remission according to Diagnostic and Statistical Manual of Mental Disorders, Third Edition, Revised, course specifiers.

resultsThe majority of subjects with a diagnosis of alcohol abuse were in remission at age 40 compared with those with a diagnosis of alcohol dependence (88% vs. 58%). Treatment did not predict remission. Fourteen of the 18 predictors of remission that also predicted dependence were submitted to an exploratory factor analysis (varimax). Two premorbid dimensions were identified: cognitive efficiency and early behavioral dyscontrol in childhood. Both factors predicted the failure to remit (low cognitive efficiency and high behavioral dyscontrol) even when lifetime alcoholism severity was controlled.

conclusionsThis 4-decade study found a striking disconnect between measures that predicted alcohol dependence and measures that predicted remission from alcohol dependence. Reduced cognitive efficiency and increased behavioral dyscontrol may be basic to gaining a fuller understanding of the etiology of alcoholism.

Indexed as

AdolescentAdultAlcoholismCognition DisordersCohort StudiesComorbidityDenmarkEndophenotypesFollow-Up StudiesHumansLongitudinal StudiesMaleMental DisordersPredictive Value of TestsRisk FactorsTreatment Failure

Identifiers

PMID20731973
PMCPMC2930498

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

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.