Evidence map›Paper›PMID 23559222›Full record

Trial reportPsychopharmacology2013

Norepinephrine and impulsivity: effects of acute yohimbine.

Alan C Swann, Marijn Lijffijt, Scott D Lane, Blake Cox, Joel L Steinberg, F Gerard Moeller

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Psychopharmacology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
3.2field-weighted citation impact, top 7% 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

32 citing papers in PubMed, 74 citations in OpenAlex.

  1. Trial
  2. Pharmacological Manipulations of Physiological Arousal and Sleep-Like Slow Waves Modulate Sustained Attention.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2022
    Trial
  3. Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Validity of mental and physical stress models.Neuroscience and biobehavioral reviews · 2024
    Review
  9. DThe Journal of neuroscience : the official journal of the Society for Neuroscience · 2023
    Article
  10. Article
  11. Review
  12. Article
  13. The effects of early life stress on impulsivity.Neuroscience and biobehavioral reviews · 2022
    Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Which came first: Cannabis use or deficits in impulse control?Progress in neuro-psychopharmacology & biological psychiatry · 2021
    Review
  19. Article
  20. Biphasic effects of 5-HTNaunyn-Schmiedeberg's archives of pharmacology · 2019
    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.

Alan C SwannDepartment of Psychiatry and Behavioral Sciences, The University of Texas Health Science Center at Houston, 1941 East Road, Room 3216, Houston, TX 77054, USA. alan.c.swann@uth.tmc.edu
Marijn Lijffijt
Scott D Lane
Blake Cox
Joel L Steinberg
F Gerard Moeller
The University of Texas Health Science Center at Houston · USThe University of Texas Health Science Center · US

Funding

U OF TEXAS HLTH SCI CTR HOUSTON CENTER FOR CLINICAL AND TRANSLATIONAL SCIENCESUL1RR024148 · NCRR · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI MCPHERSON, DAVID D · 2006 to 2010
$27.9M
Norepinephrine and ImpulsivityR01MH069944 · NIMH · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI SWANN, ALAN C · 2005 to 2009
$1.5M
Serotonin, Impulsivity, and Substance AbuseK02DA000403 · NIDA · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI MOELLER, FREDERICK GERARD · 2000 to 2011
$1.2M
NCRR NIH HHS UL1 RR024148NCRR NIH HHS UL1-RR024148NIDA NIH HHS K02 DA000403NIDA NIH HHS K02-DA00403NIMH NIH HHS R01 MH069944NIMH NIH HHS R01-MH69944
6 · The paper itself

Abstract

rationaleRapid-response impulsivity, characterized by inability to withhold response to a stimulus until it is adequately appraised, is associated with risky behavior and may be increased in a state-dependent manner by norepinephrine.

objectiveWe assessed effects of yohimbine, which increases norepinephrine release by blocking alpha-2 noradrenergic receptors, on plasma catecholamine metabolites, blood pressure, subjective symptoms, and laboratory-measured rapid-response impulsivity.

methodsSubjects were 23 healthy controls recruited from the community, with normal physical examination and ECG, and negative history for hypertension, cardiovascular illness, and axis I or II disorder. Blood pressure, pulse, and behavioral measures were obtained before and periodically after 0.4 mg/kg oral yohimbine or placebo in a randomized, counterbalanced design. Metabolites of norepinephrine [3-methoxy-4-hydroxyphenylglycol (MHPG) and vanillylmandelic acid (VMA)] and dopamine [homovanillic acid (HVA)] were measured by high-pressure liquid chromatography with electrochemical detection. Rapid-response impulsivity was measured by commission errors and reaction times on the immediate memory task (IMT), a continuous performance test designed to measure impulsivity and attention.

resultsYohimbine increased plasma MHPG and VMA but not HVA. Yohimbine increased systolic and diastolic blood pressure and pulse rate. On the IMT, yohimbine increased impulsive errors and impulsive response bias and accelerated reaction times. Yohimbine-associated increase in plasma MHPG correlated with increased impulsive response rates. Time courses varied; effects on blood pressure generally preceded those on metabolites and test performance.

conclusionsThese effects are consistent with increased rapid-response impulsivity after pharmacological noradrenergic stimulation in healthy controls. Labile noradrenergic responses, or increased sensitivity to norepinephrine, may increase risk for impulsive behavior.

Indexed as

AdultBlood PressureCatecholaminesDouble-Blind MethodFemaleHeart RateHumansImpulsive BehaviorMaleMiddle AgedNorepinephrineReaction TimeYohimbineYoung AdultCatecholaminesNorepinephrineYohimbine

Identifiers

PMID23559222
PMCPMC3742556
OpenAlexW2117305868

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.