Evidence map›Paper›PMID 25124303›Full record

Trial reportDrug and alcohol dependence2014

Correlates of polysomnographic sleep changes in cocaine dependence: self-administration and clinical outcomes.

Gustavo A Angarita, Sofija V Canavan, Erica Forselius, Andrew Bessette, Peter T Morgan

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Drug and alcohol dependence, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
0.6field-weighted citation impact, top 32% 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

17 citing papers in PubMed, 30 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. The use ofFrontiers in cell and developmental biology · 2026
    Review
  5. Observational
  6. Sleep and substance use: Practice considerations for social workers.Journal of social work practice in the addictions · 2023
    Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Review
  12. Observational
  13. Article
  14. Dose response of acute cocaine on sleep/waking behavior in mice.Neurobiology of sleep and circadian rhythms · 2018
    Article
  15. Article
  16. Article
  17. Cocaine use by older populations, sleep quality, and associated risks.Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999)
    Article
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

5 authors at 2 institutions in 1 country.

Gustavo A AngaritaPsychiatry, Yale University School of Medicine, New Haven, CT, United States; Clinical Neuroscience Research Unit of the Connecticut Mental Health Center, New Haven, CT, United States. Electronic address: Gustavo.angarita@yale.edu.
Sofija V CanavanPsychiatry, Yale University School of Medicine, New Haven, CT, United States; Clinical Neuroscience Research Unit of the Connecticut Mental Health Center, New Haven, CT, United States.
Erica ForseliusPsychiatry, Yale University School of Medicine, New Haven, CT, United States; Clinical Neuroscience Research Unit of the Connecticut Mental Health Center, New Haven, CT, United States.
Andrew BessettePsychiatry, Yale University School of Medicine, New Haven, CT, United States; Clinical Neuroscience Research Unit of the Connecticut Mental Health Center, New Haven, CT, United States.
Peter T MorganPsychiatry, Yale University School of Medicine, New Haven, CT, United States; Clinical Neuroscience Research Unit of the Connecticut Mental Health Center, New Haven, CT, United States.
Connecticut Mental Health Center · USYale University · US

Funding

Yale University Clinical and Translational Science Award ProgramUL1TR000142 · NCATS · YALE UNIVERSITY · PI SHERWIN, ROBERT S · 2012 to 2015
$31.8M
Modafinil, sleep architecture, and cocaine relapseR01DA011744 · NIDA · YALE UNIVERSITY · PI MORGAN, PETER T · 1999 to 2014
$4.4M
NCATS NIH HHS UL1 TR000142NIDA NIH HHS R01 DA011744NIDA NIH HHS R01DA011744
6 · The paper itself

Abstract

backgroundAbstinence from chronic cocaine use is associated with abnormal sleep architecture. As sleep abnormalities are associated with clinical outcome in alcohol dependence, we hypothesized a similar relationship in cocaine dependence.

methodsWe report data from a cocaine self-administration study (N=12) and the placebo arm of a randomized clinical trial (N=20). Self-administration participants underwent three cocaine self-administration sessions during a three-week inpatient stay. Treatment participants underwent two weeks of inpatient followed by six weeks of outpatient treatment including once-weekly cognitive behavioral therapy. Measurements included polysomnography from early and late in abstinence during the inpatient stays. Clinical outcomes included amount of cocaine self-administered, urine tests, and self-reported use and withdrawal symptoms.

resultsChange in slow-wave sleep from early to late abstinence (ΔSWS; p=0.05), late abstinence rapid eye movement sleep (REM; p=0.002), and late abstinence total sleep time (p=0.02) were negatively correlated with the amount of cocaine self-administered. Early abstinence REM was positively correlated with withdrawal symptoms (p=0.02). Late abstinence REM was positively correlated with percent negative urines and maximum consecutive number of days abstinent (both p<0.001). ΔSWS was positively correlated with percent negative urines (p=0.03) and participants with increased SWS had greater percent negative urines (p=0.008) and maximum consecutive number of days abstinent (p=0.009).

conclusionsCorrelations between sleep deficits and amount of cocaine self-administered, clinical outcomes, and severity of withdrawal symptoms underscore the relevance of sleep in clinical outcomes in the treatment of cocaine dependence.

Indexed as

AdultAnesthetics, LocalCocaineCocaine-Related DisordersCognitive Behavioral TherapyDose-Response Relationship, DrugFemaleHumansMaleMiddle AgedPolysomnographySelf AdministrationSleep Wake DisordersSubstance Abuse DetectionSubstance Withdrawal SyndromeAnesthetics, LocalCocaineAbstinenceClinical outcomesCocainePolysomnographySelf-administrationSleep

Identifiers

PMID25124303
PMCPMC4207081
OpenAlexW2061934555

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.