Evidence map›Paper›PMID 21464363›Full record

Trial reportArchives of general psychiatry2011

Rewarding, stimulant, and sedative alcohol responses and relationship to future binge drinking.

Andrea C King, Harriet de Wit, Patrick J McNamara, Dingcai Cao

2 registry-linked trialsOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Archives of general psychiatry, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 288 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
288citing papers in PubMed, 3 pooled it
19.0field-weighted citation impact, top 1% 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.

NCT00961792 naactive not recruitingnot on this map

Individual Differences After Consumption of Alcohol and Other Common Substances and Long-Term Follow-Up of Social Drinking, Young Adults

TypeinterventionalSponsorUniversity of ChicagoRan2004 to 2027Enrolled800ConditionsAlcoholismArmsEthanol, Placebo, Diphenhydramine, Caffeine
NCT02330419 phase2completednot on this mapstarted 2015, after this paper: background citation

Better Than Study: Targeting Heavy Alcohol Use With Naltrexone Among MSM

TypeinterventionalSponsorUniversity of California, San FranciscoRan2015 to 2021Enrolled120ConditionsBinge Drinking, HIVArmsPlacebo, Naltrexone, Medical Management (MM) counseling for alcohol use:, Urinalysis for novel alcohol biochemical markers:, Behavioral survey measurements:
3 · Its place in the literature

Who cites it

288 citing papers in PubMed, 3 syntheses or guidelines pooled it, 373 citations in OpenAlex.

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  12. The neurobiological markers of acute alcohol's subjective effects in humans.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2022
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  18. Neural correlates of inhibitory control are associated with stimulant-like effects of alcohol.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2021
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  20. Striatal activation to monetary reward is associated with alcohol reward sensitivity.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2021
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228 more citing papers are in PubMed but not listed here.

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

4 authors at 1 institution in 1 country.

Andrea C KingDepartment of Psychiatry and Behavioral Neuroscience, The University of Chicago, Chicago, IL 60637, USA. aking@bsd.uchicago.edu
Harriet de Wit
Patrick J McNamara
Dingcai Cao
University of Chicago · US

Funding

VIRAL ONCOLOGY CORE FACILITYP30CA014599 · NCI · UNIVERSITY OF CHICAGO · PI MARK W. LINGEN · 1985 to 2026
$122.1M
TRANSLATIONAL RESEARCH UNIVERSITY OF CHICAGO: CLINICAL TRIALSUL1RR024999 · NCRR · UNIVERSITY OF CHICAGO · PI SOLWAY, JULIAN · 2007 to 2011
$25.3M
Alcohol Stimulation and Sedation in Binge Drinkers - Renewal 01R01AA013746 · NIAAA · UNIVERSITY OF CHICAGO · PI DANIEL J FRIDBERG, ANDREA C KING · 2003 to 2026
$11.6M
Determinants of Drug Preference in Humans--Administrative SupplementR01DA002812 · NIDA · UNIVERSITY OF CHICAGO · PI DE WIT, HARRIET · 1985 to 2024
$10.6M
NCI NIH HHS P30 CA014599NCI NIH HHS P30-CA14599NCRR NIH HHS UL1 RR024999NIAAA NIH HHS R01 AA013746NIAAA NIH HHS R01-AA013746NIDA NIH HHS R01 DA002812
6 · The paper itself

Abstract

contextExcessive consumption of alcohol is a major problem in the United States and abroad. Despite many years of study, it is unclear why some individuals drink alcohol excessively while others do not. It has been postulated that either lower or greater acute responses to alcohol, or both, depending on the limb of the breath alcohol concentration curve, contribute to propensity for alcohol misuse.

objectiveTo prospectively assess the relationship of acute alcohol responses to future binge drinking.

designWithin-subject, double-blind, placebo-controlled, multidose laboratory alcohol challenge study with intensive follow-up. Each participant completed 3 randomized sessions examining responses to a high (0.8 g/kg) and low (0.4 g/kg) alcohol dose and placebo, followed by quarterly assessments for 2 years examining drinking behaviors and alcohol diagnoses.

settingParticipants recruited from the community.

participantsHigh-risk heavy social drinkers aged 21 to 35 years who habitually engage in weekly binge drinking (n = 104) and light drinker controls (n = 86).

interventionWe conducted 570 laboratory sessions with a subsequent 99.1% follow-up (1506 of 1520).

main outcome measuresBiphasic Alcohol Effects Scale, Drug Effects Questionnaire, cortisol response, Timeline Follow-Back, Drinker Inventory of Consequences-Recent, and DSM-IV alcohol abuse and dependence.

resultsAlcohol produced greater stimulant and rewarding (liking and wanting) responses and lower sedative and cortisol responses in heavy vs light drinkers. Among the heavy drinkers, greater positive effects and lower sedative effects after alcohol consumption predicted increased binge drinking frequency during follow-up. In turn, greater frequency of binge drinking during follow-up was associated with greater likelihood of meeting diagnostic criteria for alcohol abuse and dependence.

conclusionsThe widely held low level response theory and differentiator model should be revised: in high-risk drinkers, stimulant and rewarding alcohol responses even at peak breath alcohol concentrations are important predictors of future alcohol problems.

trial registrationclinicaltrials.gov Identifier: NCT00961792.

Indexed as

RewardAdultAlcohol DrinkingAlcoholismBreath TestsEthanolFemaleHumansHydrocortisoneHypnotics and SedativesMaleSalivaEthanolHydrocortisoneHypnotics and Sedatives

Identifiers

PMID21464363
PMCPMC4633413
OpenAlexW2126586632

What OpenQuestion holds

Textmetadata
LicenceTDM
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.