Evidence map›Paper›PMID 23623507›Full record

SynthesisDrug and alcohol dependence2013

Altered risk-related processing in substance users: imbalance of pain and gain.

Joshua L Gowin, Scott Mackey, Martin P Paulus

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Drug and alcohol dependence, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 71 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
71citing papers in PubMed, 3 pooled it
4.8field-weighted citation impact, top 4% 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

71 citing papers in PubMed, 3 syntheses or guidelines pooled it, 114 citations in OpenAlex.

  1. Pooled it
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  9. Largely Intact But Less Reliable and Distributed Neural Representations of Subjective Value in Human Opioid Addiction.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2025
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  19. Review
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11 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

3 authors at 2 institutions in 1 country.

Joshua L GowinLaboratory of Biological Dynamics and Theoretical Medicine, University of California San Diego, La Jolla, CA 92093-0603, USA. jgowin@ucsd.edu
Scott Mackey
Martin P Paulus
University of California, San Diego · USVA San Diego Healthcare System · US

Funding

Neuroimaging CoreP20DA027843 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI TAPERT, SUSAN F · 2010 to 2013
$3.5M
NEUROBIOLOGY OF TRANSITION TO STIMULANT DEPENDENCER01DA016663 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI PAULUS, MARTIN P. · 2004 to 2010
$2.8M
Negative reinforcement and interoceptive dysfunction in stimulant dependence.R01DA027797 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI PAULUS, MARTIN P. · 2009 to 2013
$1.7M
STIMULANT DEPENDENCE: NEURAL MECHANISMS OF RELAPSER01DA018307 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI PAULUS, MARTIN P. · 2004 to 2008
$1.3M
NIDA NIH HHS P20-DA027834NIDA NIH HHS P20 DA027843NIDA NIH HHS R01 DA016663NIDA NIH HHS R01-DA016663NIDA NIH HHS R01 DA018307NIDA NIH HHS R01-DA018307NIDA NIH HHS R01 DA027797NIDA NIH HHS R01-DA027797
6 · The paper itself

Abstract

backgroundSubstance use disorders (SUDs) can be conceptualized as a form of risk-taking behavior with the potential for highly aversive outcomes such as health or legal problems. Risky decision-making likely draws upon several related brain processes involved in estimations of value and risk, executive control, and emotional processing. SUDs may result from a dysfunction in one or more of these cognitive processes.

methodsWe performed a systematic literature review of functional neuroimaging studies examining risk-related decision making in individuals with SUDs. A quantitative meta-analysis tool (GingerALE) and qualitative approach was used to summarize the imaging results.

resultsMeta-analysis findings indicate that individuals with SUDs exhibit differences in neural activity relative to healthy controls during risk-taking in the anterior cingulate cortex, orbitofrontal cortex, dorsolateral prefrontal cortex, striatum, insula, and somatosensory cortex. In addition, a qualitative review of the literature suggests that individuals with SUDs may have altered function in the amygdala and ventromedial prefrontal cortex.

conclusionsThe neuroimaging literature reveals that several neural substrates involved in the computation of risk may function suboptimally in SUDs. Future research is warranted to elucidate which computational processes are affected, whether dysfunctional risk-related processing recovers with sobriety, and whether different drugs of abuse have specific effects on risk-taking.

Indexed as

Risk-TakingAnimalsBrainEmotionsHumansLikelihood FunctionsPainSubstance-Related DisordersAddictionDecision-makingDrug abuseNeuroimagingRisk-taking

Identifiers

PMID23623507
PMCPMC3748224
OpenAlexW2075336088

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.