Evidence map›Paper›PMID 21942262›Full record

Trial reportExperimental and clinical psychopharmacology2012

Effects of varenicline and bupropion on cognitive processes among nicotine-deprived smokers.

Rebecca L Ashare, Sherry A McKee

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Experimental and clinical psychopharmacology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 3 pooled it
–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

28 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Developing and validating a human laboratory model to screen medications for smoking cessation.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2012
    Trial
  9. Trial
  10. Trial
  11. Smoking cessation pharmacotherapy; varenicline or bupropion?Daru : journal of Faculty of Pharmacy, Tehran University of Medical Sciences · 2024
    Review
  12. Review
  13. Review
  14. Review
  15. Cognitive rigidity and BDNF-mediated frontostriatal glutamate neuroadaptations during spontaneous nicotine withdrawal.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2020
    Article
  16. Review
  17. Review
  18. Review
  19. Cognitive Effects of Nicotine: Recent Progress.Current neuropharmacology · 2018
    Review
  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

2 authors.

Rebecca L AshareDepartment of Psychiatry, Yale University School of Medicine, USA. rlashare@mail.med.upenn.edu
Sherry A McKee

Funding

YALE UNIVERSITY CLINICAL AND TRANSLATIONAL SCIENCE AWARD PROGRAMUL1RR024139 · NCRR · YALE UNIVERSITY · PI SHERWIN, ROBERT S · 2006 to 2011
$56.8M
Tobacco Dependence &Risk Factors for Treatment FailureP50AA015632 · NIAAA · YALE UNIVERSITY · PI PICCIOTTO, MARINA R · 2004 to 2008
$9.2M
Modeling Stress-Precipitated Smoking Lapse for Medication Development (9 of 14)RL1DA024857 · NIDA · YALE UNIVERSITY · PI MCKEE, SHERRY ANN · 2007 to 2011
$1.3M
Resident/Intern Substance Use Research Education (REINSURE)R25DA020515 · NIDA · YALE UNIVERSITY · PI BALL, SAMUEL A. · 2006 to 2012
$1.1M
NCRR NIH HHS UL1 RR024139NIAAA NIH HHS P50 AA015632NIAAA NIH HHS P50AA015632NIDA NIH HHS R25 DA020515NIDA NIH HHS R25DA020515NIDA NIH HHS RL1 DA024857NIDA NIH HHS RL1DA024857PHS HHS CTSA-UL144024139
6 · The paper itself

Abstract

Nicotine deprivation is associated with craving, negative affect, and difficulty concentrating, which may contribute to subsequent relapse. Bupropion and varenicline are both effective treatments for smoking cessation, and evidence from clinical trials suggests that these treatments increase abstinence rates. However, the mechanism by which these medications reduce relapse remains unclear. Recent research has focused on cognitive processes, such as attention and working memory, which may predict relapse. In addition, there may also be sex differences in cognitive-related deficits during nicotine deprivation. The current sample consisted of 58 (22 females) daily smokers (at least 10 cigarettes per day) randomized to receive bupropion (300 mg/day), varenicline (2 mg/day), or placebo. After a 1-week run-up phase, participants completed a 9.5-hr laboratory session after overnight abstinence (CO verified). Participants completed measures of attention (Conners' Continuous Performance Task [CPT]), working memory (digits backward), and delay discounting. Measures of craving, withdrawal, and mood were also collected. Between-subjects ANCOVA models revealed that varenicline speeded reaction time, but reduced accuracy on the CPT compared with placebo. Sex moderated the effect of bupropion compared with placebo on working memory and delay discounting. Bupropion enhanced working memory for females but not males, and this pattern was reversed for delay discounting. The current data highlight the complex processes associated with nicotine deprivation and the need for future research to examine whether cognitive-related deficits are related to relapse. Identifying these mechanisms may help in the development of new pharmacological treatments.

Indexed as

AdultBenzazepinesBupropionCognitionDouble-Blind MethodFemaleHumansMaleMemory, Short-TermMiddle AgedQuinoxalinesReaction TimeSmokingSmoking CessationTreatment OutcomeVareniclineBenzazepinesBupropionQuinoxalinesVarenicline

Identifiers

PMID21942262
PMCPMC3640636

What OpenQuestion holds

Textmetadata
LicenceTDM
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.