Evidence map›Paper›PMID 23855999›Full record

ReviewNeuropharmacology2014

Interoception and drug addiction.

Martin P Paulus, Jennifer L Stewart

Abstract readReview
In one paragraph

Review in Neuropharmacology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 158 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
158citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

158 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Connectome-based encoding of subjective drug responses to acute oral methamphetamine.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2025
    Trial
  5. Trial
  6. Impact of warm mindfulness on emotion regulation: A randomized controlled effectiveness trial.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2023
    Trial
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  8. Neural correlates of inhibitory control are associated with stimulant-like effects of alcohol.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2021
    Trial
  9. Trial
  10. Trial
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  12. High-dose ondansetron reduces activation of interoceptive and sensorimotor brain regions.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2019
    Trial
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  14. Trial
  15. Article
  16. Article
  17. Article
  18. Article
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  20. Article

98 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.

Martin P PaulusDepartment of Psychiatry, University of California San Diego, La Jolla, CA, USA; Psychiatry Service, VA San Diego Healthcare System, La Jolla, CA, USA. Electronic address: mpaulus@ucsd.edu.
Jennifer L Stewart

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

The role of interoception and its neural basis with relevance to drug addiction is reviewed. Interoception consists of the receiving, processing, and integrating body-relevant signals with external stimuli to affect ongoing motivated behavior. The insular cortex is the central nervous system hub to process and integrate these signals. Interoception is an important component of several addiction relevant constructs including arousal, attention, stress, reward, and conditioning. Imaging studies with drug-addicted individuals show that the insular cortex is hypo-active during cognitive control processes but hyperactive during cue reactivity and drug-specific, reward-related processes. It is proposed that interoception contributes to drug addiction by incorporating an "embodied" experience of drug uses together with the individual's predicted versus actual internal state to modulate approach or avoidance behavior, i.e. whether to take or not to take drugs. This opens the possibility of two types of interventions. First, one may be able to modulate the embodied experience by enhancing insula reactivity where necessary, e.g. when engaging in drug seeking behavior, or attenuating insula when exposed to drug-relevant cues. Second, one may be able to reduce the urge to act by increasing the frontal control network, i.e. inhibiting the urge to use by employing cognitive training. This article is part of a Special Issue entitled 'NIDA 40th Anniversary Issue'.

Indexed as

Substance-Related DisordersAnimalsAttentionBrainConditioning, PsychologicalHumansRewardStress, PsychologicalCue reactivityEmbodimentInsulaInteroceptionRelapse

Identifiers

PMID23855999
PMCPMC3858461

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.