Evidence map›Paper›PMID 24095683›Full record

ReviewPharmacology, biochemistry, and behavior2013

Neural mechanisms of pain and alcohol dependence.

A Vania Apkarian, Volker Neugebauer, George Koob, Scott Edwards, Jon D Levine, Luiz Ferrari, Mark Egli, Soundar Regunathan

Registry-linked trialAbstract readReview
In one paragraph

Review in Pharmacology, biochemistry, and behavior, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04908410 (The Norwegian Addiction, Pain and Trauma Study), which is not on this map. Cited by 65 papers.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed
3.7field-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.

NCT04908410 active not recruitingnot on this mapstarted 2021, after this paper: background citation

The Norwegian Addiction, Pain and Trauma Study

TypeobservationalSponsorUniversity Hospital, AkershusRan2021 to 2030Enrolled1,650ConditionsChronic Pain, Post-traumatic Stress Disorder, Substance Use Disorders
3 · Its place in the literature

Who cites it

65 citing papers in PubMed, 114 citations in OpenAlex.

  1. Trial
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  4. Analgesic effects of alcohol in adults with chronic jaw pain.Alcoholism, clinical and experimental research · 2022
    Trial
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  7. Article
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  10. Observational
  11. Review
  12. Review
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  17. Article
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  20. Article

5 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

8 authors at 5 institutions in 1 country.

A Vania ApkarianDepartment of Neuroscience, Northwestern University Med School, Chicago, IL, USA.
Volker Neugebauer
George Koob
Scott Edwards
Jon D Levine
Luiz Ferrari
Mark Egli
Soundar Regunathan
National Institute on Alcohol Abuse and Alcoholism · USScripps Research Institute · USUniversity of California, San Francisco · USNorthwestern University · USThe University of Texas Medical Branch at Galveston · US

Funding

PAIN, NOCICEPTION, AND THE AMYGDALAR01NS038261 · NINDS · UNIVERSITY OF TEXAS MEDICAL BR GALVESTON · PI Volker Neugebauer, Igor Ponomarev · 1999 to 2026
$8.7M
CORTICAL PATHOPHYSIOLOGY OF PAINR01NS035115 · NINDS · UPSTATE MEDICAL UNIVERSITY · PI APKARIAN, APKAR VANIA · 1996 to 2013
$5.6M
Amygdala Serotonin Neurotransmission and Neuropathic PainR01NS081121 · NINDS · UNIVERSITY OF TEXAS MED BR GALVESTON · PI GREEN, THOMAS ARTHUR, NEUGEBAUER, VOLKER · 2013 to 2017
$2.3M
NINDS NIH HHS R01 NS035115NINDS NIH HHS R01 NS038261NINDS NIH HHS R01 NS081121
6 · The paper itself

Abstract

An association between chronic pain conditions and alcohol dependence has been revealed in numerous studies with episodes of alcohol abuse antedating chronic pain in some people and alcohol dependence emerging after the onset of chronic pain in others. Alcohol dependence and chronic pain share common neural circuits giving rise to the possibility that chronic pain states could significantly affect alcohol use patterns and that alcohol dependence could influence pain sensitivity. The reward and emotional pathways that regulate drug/alcohol addiction also mediate chronic pain. For example, pain-evoked activation of brain learning and brain reward circuitry may modulate cortical processing of pain and central sensitization mediated by mesocorticolimbic circuitry. Imbalance and reorganization of amygdala-mPFC interactions may not only be important for persistent pain, but also for disorders characterized by the abnormal persistence of emotional-affective states such as drug and alcohol addiction. Further studies are necessary to understand how these neural circuits are regulated in comorbid conditions of alcoholism and chronic pain. In addition, long term alcohol use could induce pain symptoms and may exacerbate chronic pain arising from other sources. While prior studies have established a role of neuroendocrine stress axis mediators in alcohol abuse and neurotoxic effects, these studies have not explored the distinction between the individual impact of alcohol and stress hormones. Future studies should explore the mechanisms mediating the contribution of alcohol and stress axis hormones on pain, an important question in our understanding of the neurobiology of alcohol abuse and chronic pain.

Indexed as

AlcoholismHumansNeuralgiaAlcoholChronic painDrug addictionEmotionReward

Identifiers

PMID24095683
PMCPMC4887744
OpenAlexW2001470706

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.