Evidence map›Paper›PMID 22330182›Full record

ArticleCognitive and behavioral neurology : official journal of the Society for Behavioral and Cognitive Neurology2012

Smoking cessation after brain damage does not lead to increased depression: implications for understanding the psychiatric complications of varenicline.

Daniel Tranel, Ashton McNutt, Antoine Bechara

Open access · greenAbstract read
In one paragraph

Article in Cognitive and behavioral neurology : official journal of the Society for Behavioral and Cognitive Neurology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 37% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Smoking cessation for improving mental health.The Cochrane database of systematic reviews · 2021
    Pooled it
  2. Review
  3. Basal ganglia plus insula damage yields stronger disruption of smoking addiction than basal ganglia damage alone.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2014
    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

3 authors at 2 institutions in 2 countries.

Daniel TranelDepartment of Neurology, Division of Behavioral Neurology and Cognitive Neuroscience, University of Iowa College of Medicine, Iowa City, IA 52242, USA. daniel-tranel@uiowa.edu
Ashton McNutt
Antoine Bechara
University of Iowa · USUniversity of Southern California · US

Funding

THE NEUROANATOMICAL ORGANIZATION OF AUDITORY-RELATED CORTICES IN THE MONKEYP01NS019632 · NINDS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI TRANEL, DANIEL T. · 1985 to 2007
$9.1M
Neuroeconomics and decision-makingP50NS019632 · NINDS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI DAMASIO, ANTONIO R · 2008 to 2011
$5.1M
Changes in Addictive Behaviors After Brain LesionsR01DA023051 · NIDA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI BECHARA, ANTOINE · 2008 to 2012
$2.4M
Neurocognitive Mechanisms of Decisions and Impulse Control in Nutrition BehaviorR01CA152062 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI AMES, SUSAN L., BECHARA, ANTOINE · 2011 to 2015
$1.9M
Drug Abuse, Social Decision-Making, and Sex-Related Functional Brain AsymmetryR01DA022549 · NIDA · UNIVERSITY OF IOWA · PI TRANEL, DANIEL T. · 2006 to 2010
$1.7M
Changes in Addictive Behaviors after Brain LesionsR21DA016708 · NIDA · UNIVERSITY OF IOWA · PI BECHARA, ANTOINE · 2003 to 2004
$295k
NCI NIH HHS R01 CA152062NIDA NIH HHS R01 DA022549NIDA NIH HHS R01 DA023051NIDA NIH HHS R01 DA16708NIDA NIH HHS R21 DA016708NINDS NIH HHS P01 NS019632NINDS NIH HHS P50 NS019632NINDS NIH HHS P50 NS19632
6 · The paper itself

Abstract

backgroundThere are concerns that varenicline (Chantix/Champix), a prescription medication used to treat smoking addiction, might cause serious neuropsychiatric side effects, such as depression, self-injurious behavior, and suicide. However, the cause of depression and related symptoms in persons who quit smoking after taking varenicline remains uncertain, because smoking cessation itself can cause such symptoms.

methodWe studied 70 patients with brain lesions: 32 had stopped smoking after suffering their lesion (Quitters) and 38 had kept smoking (Non-Quitters).

resultsThere was no indication of increased depression in the Quitters compared with the Non-Quitters. The 2 groups, which were statistically indistinguishable on demographic and neuropsychological variables, showed the same rates and levels of severity of depression and related symptoms. Moreover, in a subgroup of 16 Quitters who had stopped smoking immediately after their neurological injury in the context of losing their craving to smoke, rates of depression-related symptoms were no higher than in the other Quitters and the Non-Quitters.

conclusionsSmoking cessation did not lead to elevated levels of depression in patients with brain lesions, suggesting that psychiatric complications (particularly depression) observed after varenicline use are caused by the medication rather than the smoking cessation itself.

Indexed as

AdultBenzazepinesBrain Injury, ChronicDepressionFemaleHumansMaleMiddle AgedMMPINicotinic AgonistsPsychiatric Status Rating ScalesQuinoxalinesSmokingSmoking CessationVareniclineBenzazepinesNicotinic AgonistsQuinoxalinesVarenicline

Identifiers

PMID22330182
PMCPMC3299864
OpenAlexW2087559317

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.