Evidence map›Paper›PMID 21993878›Full record

Trial reportPsychopharmacology2012

fMRI of the brain's response to stimuli experimentally paired with alcohol intoxication.

David A Kareken, Nicholas Grahame, Mario Dzemidzic, Melissa J Walker, Cari A Lehigh, Sean J O'Connor

Open access · greenAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Psychopharmacology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 29% 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.

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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. To Infuse or Ingest in Human Laboratory Alcohol Research.Alcoholism, clinical and experimental research · 2020
    Review
  5. Article
  6. Review
  7. Review
  8. Article
  9. Neural responses to cues paired with methamphetamine in healthy volunteers.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2018
    Article
  10. GABAPsychopharmacology · 2018
    Review
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. 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

6 authors at 2 institutions in 1 country.

David A KarekenDepartment of Neurology, Indiana University School of Medicine, 541 Clinical Drive (CL 285), Indianapolis, IN 46202, USA, dkareken@iupui.edu
Nicholas Grahame
Mario Dzemidzic
Melissa J Walker
Cari A Lehigh
Sean J O'Connor
Indiana University – Purdue University Indianapolis · USIndiana University School of Medicine

Funding

Translational Research and Science Education (OUT)P60AA007611 · NIAAA · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI Marian Lee Logrip · 2003 to 2026
$45.5M
INDIANA CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTE (UL1): BPCAUL1RR025761 · NCRR · INDIANA UNIVERSITY INDIANAPOLIS · PI SHEKHAR, ANANTHA · 2008 to 2011
$21.0M
TRAINING GRANT ON GENETICS ASPECTS OF ALCOHOLISMT32AA007462 · NIAAA · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI CRISTINE L CZACHOWSKI · 1985 to 2026
$10.7M
Dopaminergic Function in AlcoholismR01AA017661 · NIAAA · INDIANA UNIVERSITY INDIANAPOLIS · PI KAREKEN, DAVID A. · 2009 to 2013
$2.8M
Neural Bases of Implicit Attention to Alcohol-Conditioned StimuliR21AA018020 · NIAAA · INDIANA UNIVERSITY INDIANAPOLIS · PI KAREKEN, DAVID A. · 2008 to 2009
$404k
NCRR NIH HHS RR 025761NCRR NIH HHS UL1 RR025761NIAAA NIH HHS P60 AA007611NIAAA NIH HHS R01 AA017661NIAAA NIH HHS R21 AA018020NIAAA NIH HHS T32 AA007462
6 · The paper itself

Abstract

rationaleIndividuals learn associations between alcohol's sensory properties and intoxication, with such conditioned stimuli (CS) becoming involved in craving and relapse. However, these CS also carry idiosyncratic associations.

objectivesThis study aimed to test brain responses to novel CS conditioned with alcohol intoxication.

methodsFourteen heavy drinkers (age 24.9 ± 3.2) performed a reaction time task with embedded novel geometric CS and were told only that the task was to measure alcohol's effect on speed. Rapid intravenous alcohol infusion (the unconditioned stimulus; UCS) began with the appearance of a CS+, using pharmacokinetic modeling to increment breath alcohol by ~18 mg% in 200 s per each of six CS-UCS pairings. Placebo-saline infusion with CS- used the same infusion parameters in same-day randomized/counterbalanced sessions. The next morning subjects, connected to inactive intravenous pumps, underwent functional magnetic resonance imaging (fMRI) of the same task with mixed brief presentations of CS+, CS-, and irrelevant CS and were told that alcohol could be infused at any time during imaging.

resultsCS- responses were significantly greater than those of CS+ in medial frontal cortex. Notably, CS+ responses were negative, suggesting reduced neural activity. Negative activity was most pronounced in early scans, extinguishing with time. As subjects were told that alcohol could be administered in fMRI, a CS+ without alcohol is similar to a negative prediction error, with associated reduced frontal activity during withheld reward.

conclusionsNovel stimuli relatively free of demand characteristics can be classically conditioned to intermittent brain exposure of even low alcohol concentrations, permitting imaging studies of conditioned alcohol expectancies.

Indexed as

Alcoholic IntoxicationBrainConditioning, PsychologicalEthanolHumansMagnetic Resonance ImagingMalePhotic StimulationPsychomotor PerformanceReaction TimeYoung AdultEthanol

Identifiers

PMID21993878
PMCPMC3298844
OpenAlexW2001482070

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.