Evidence map›Paper›PMID 23584113›Full record

ReviewAlcohol research : current reviews2012

Stress and the HPA axis: role of glucocorticoids in alcohol dependence.

Mary Ann C Stephens, Gary Wand

Open access · greenAbstract readReview
In one paragraph

Review in Alcohol research : current reviews, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 332 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
332citing papers in PubMed, 5 pooled it
3.0field-weighted citation impact, top 8% 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

332 citing papers in PubMed, 5 syntheses or guidelines pooled it, 483 citations in OpenAlex.

  1. Pooled it
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  3. Yohimbine as a pharmacological probe for alcohol research: a systematic review of rodent and human studies.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2022
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272 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

2 authors at 1 institution in 1 country.

Mary Ann C StephensJohns Hopkins University School of Medicine, Baltimore, MD, USA.
Gary Wand
Johns Hopkins University · US

Funding

HYPOTHALAMIC/PITUITARY/ADRENAL AXIS AND ALCOHOLISMR01AA010158 · NIAAA · JOHNS HOPKINS UNIVERSITY · PI WAND, GARY S · 1995 to 2011
$5.5M
ALCOHOLISM AND ENDOGENOUS OPIOID ACTIVITYR37AA012303 · NIAAA · JOHNS HOPKINS UNIVERSITY · PI WAND, GARY S · 1999 to 2008
$3.4M
NIAAA NIH HHS AA-10158NIAAA NIH HHS AA-12303
6 · The paper itself

Abstract

Stress has long been suggested to be an important correlate of uncontrolled drinking and relapse. An important hormonal response system to stress-the hypothalamic-pituitary-adrenal (HPA) axis-may be involved in this process, particularly stress hormones known as glucocorticoids and primarily cortisol. The actions of this hormone system normally are tightly regulated to ensure that the body can respond quickly to stressful events and return to a normal state just as rapidly. The main determinants of HPA axis activity are genetic background, early-life environment, and current life stress. Alterations in HPA axis regulation are associated with problematic alcohol use and dependence; however, the nature of this dysregulation appears to vary with respect to stage of alcohol dependence. Much of this research has focused specifically on the role of cortisol in the risk for, development of, and relapse to chronic alcohol use. These studies found that cortisol can interact with the brain's reward system, which may contribute to alcohol's reinforcing effects. Cortisol also can influence a person's cognitive processes, promoting habit-based learning, which may contribute to habit formation and risk of relapse. Finally, cortisol levels during abstinence may be useful clinical indicators of relapse vulnerability in alcohol-dependent people.

Indexed as

Alcoholic IntoxicationAlcoholismCentral Nervous System DepressantsEpigenesis, GeneticEthanolGlucocorticoidsHumansHydrocortisoneHypothalamo-Hypophyseal SystemPituitary-Adrenal SystemStress, PsychologicalSubstance Withdrawal SyndromeCentral Nervous System DepressantsEthanolGlucocorticoidsHydrocortisone

Identifiers

PMID23584113
PMCPMC3860380
OpenAlexW1587734848

What OpenQuestion holds

Textmetadata
LicenceCC0
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.