Evidence map›Paper›PMID 21779252›Full record

ArticleFrontiers in psychiatry2011

Disruption of maternal parenting circuitry by addictive process: rewiring of reward and stress systems.

Helena J V Rutherford, Sarah K Williams, Sheryl Moy, Linda C Mayes, Josephine M Johns

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Frontiers in 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 76 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
76citing papers in PubMed, 1 pooled it
4.7field-weighted citation impact, top 6% 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.

NCT02979093 phase2terminatednot on this mapstarted 2017, after this paper: background citation

Oxytocin and Brain Reward and Stress Responses to Infant Cues in Addicted Mothers

TypeinterventionalSponsorLane Strathearn, MBBS PhDRan2017 to 2021Enrolled59ConditionsMaternal Behavior, Maternal AddictionArmsOxytocin, Placebos, Functional MRI scanning
NCT04749771 naunknown statusnot on this mapstarted 2021, after this paper: background citation

A Scaleable Video Coaching Intervention for Opioid-using Mothers

TypeinterventionalSponsorUniversity of OregonRan2021 to 2025Enrolled180ConditionsChild Behavior, Parent-Child Relations, Substance Use, Substance AbuseArmsFilming Interactions to Nurture Development, The Healthy Toddler Program
3 · Its place in the literature

Who cites it

76 citing papers in PubMed, 1 synthesis or guideline pooled it, 139 citations in OpenAlex.

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16 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

5 authors at 2 institutions in 1 country.

Helena J V RutherfordYale Child Study Center, Yale University New Haven, CT, USA.
Sarah K Williams
Sheryl Moy
Linda C Mayes
Josephine M Johns
University of North Carolina at Chapel Hill · USYale University · US

Funding

PRENATAL COCAINE AND NEUROBEHAVIORAL FACTORS UNDERLYING MOTHER-INFANT INTERACTIONP01DA022446 · NIDA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI JOHNS, JOSEPHINE M. · 2008 to 2015
$10.2M
NIDA NIH HHS P01 DA022446
6 · The paper itself

Abstract

Addiction represents a complex interaction between the reward and stress neural circuits, with increasing drug use reflecting a shift from positive reinforcement to negative reinforcement mechanisms in sustaining drug dependence. Preclinical studies have indicated the involvement of regions within the extended amygdala as subserving this transition, especially under stressful conditions. In the addictive situation, the reward system serves to maintain habitual behaviors that are associated with the relief of negative affect, at the cost of attenuating the salience of other rewards. Therefore, addiction reflects the dysregulation between core reward systems, including the prefrontal cortex (PFC), ventral tegmental area (VTA), and nucleus accumbens (NAc), as well as the hypothalamic-pituitary-adrenal axis and extended amygdala of the stress system. Here, we consider the consequences of changes in neural function during or following addiction on parenting, an inherently rewarding process that may be disrupted by addiction. Specifically, we outline the preclinical and human studies that support the dysregulation of reward and stress systems by addiction and the contribution of these systems to parenting. Increasing evidence suggests an important role for the hypothalamus, PFC, VTA, and NAc in parenting, with these same regions being those dysregulated in addiction. Moreover, in addicted adults, we propose that parenting cues trigger stress reactivity rather than reward salience, and this may heighten negative affect states, eliciting both addictive behaviors and the potential for child neglect and abuse.

Indexed as

addictionhumanparentingpreclinicalrewardstress

Identifiers

PMID21779252
PMCPMC3133875
OpenAlexW2101025385

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.