Evidence map›Paper›PMID 24409155›Full record

ReviewFrontiers in psychiatry2013

A triadic neurocognitive approach to addiction for clinical interventions.

Xavier Noël, Damien Brevers, Antoine Bechara

Abstract readReview
In one paragraph

Review in Frontiers in psychiatry, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 67 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed, 2 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

67 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Tobacco Images Choice and its Association With Craving and Dependence in People Who Smoke Cigarettes.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2024
    Article
  14. Let's focus on the insula in addiction: A refined anatomical exploration of insula in severe alcohol and cocaine use disorders.European psychiatry : the journal of the Association of European Psychiatrists · 2024
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

7 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.

Xavier NoëlPsychological Medicine Laboratory, Faculty of Medicine, Université Libre de Bruxelles , Brussels , Belgium.
Damien BreversPsychological Medicine Laboratory, Faculty of Medicine, Université Libre de Bruxelles , Brussels , Belgium ; Department of Psychology, Brain and Creativity Institute, University of Southern California , Los Angeles, CA , USA.
Antoine BecharaDepartment of Psychology, Brain and Creativity Institute, University of Southern California , Los Angeles, CA , USA.

Funding

Neuroeconomics and decision-makingP50NS019632 · NINDS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI ANDERSON, STEVEN W · 2008 to 2011
$5.1M
Changes in Addictive Behaviors After Brain LesionsR01DA023051 · NIDA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI BECHARA, ANTOINE · 2008 to 2012
$2.4M
Neurocognitive Mechanisms of Decisions and Impulse Control in Nutrition BehaviorR01CA152062 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI AMES, SUSAN L., BECHARA, ANTOINE · 2011 to 2015
$1.9M
Changes in Addictive Behaviors after Brain LesionsR21DA016708 · NIDA · UNIVERSITY OF IOWA · PI BECHARA, ANTOINE · 2003 to 2004
$295k
NCI NIH HHS R01 CA152062NIDA NIH HHS R01 DA023051NIDA NIH HHS R21 DA016708NINDS NIH HHS P50 NS019632
6 · The paper itself

Abstract

According to the triadic neurocognitive model of addiction to drugs (e.g., cocaine) and non-drugs (e.g., gambling), weakened "willpower" associated with these behaviors is the product of an abnormal functioning in one or more of three key neural and cognitive systems: (1) an amygdala-striatum dependent system mediating automatic, habitual, and salient behaviors; (2) a prefrontal cortex dependent system important for self-regulation and forecasting the future consequences of a behavior; and (3) an insula dependent system for the reception of interoceptive signals and their translation into feeling states (such as urge and craving), which in turn plays a strong influential role in decision-making and impulse control processes related to uncertainty, risk, and reward. The described three-systems account for poor decision-making (i.e., prioritizing short-term consequences of a decisional option) and stimulus-driven actions, thus leading to a more elevated risk for relapse. Finally, this article elaborates on the need for "personalized" clinical model-based interventions targeting interactions between implicit processes, interoceptive signaling, and supervisory function aimed at helping individuals become less governed by immediate situations and automatic pre-potent responses, and more influenced by systems involved in the pursuit of future valued goals.

Indexed as

addictiondecision makingimpulsive systeminteroceptionself-regulation

Identifiers

PMID24409155
PMCPMC3873521

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.