Evidence map›Paper›PMID 25469682›Full record

ArticleNeuropsychopharmacology : official publication of the American College of Neuropsychopharmacology2015

Working memory-related neural activity predicts future smoking relapse.

James Loughead, E Paul Wileyto, Kosha Ruparel, Mary Falcone, Ryan Hopson, Ruben Gur, Caryn Lerman

Abstract read
In one paragraph

Article in Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 1 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

57 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Interventions for tobacco use cessation in people living with HIV.The Cochrane database of systematic reviews · 2024
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  18. Differences in Cognition and Smoking Abstinence Rates Among People With and Without HIV Who Smoke.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

James LougheadCenter for Interdisciplinary Research on Nicotine Addiction, Department of Psychiatry, University of Pennsylvania, Philadelphia, PA, USA.
E Paul WileytoBrain Behavior Laboratory, Department of Psychiatry, University of Pennsylvania, Philadelphia, PA, USA.
Kosha RuparelBrain Behavior Laboratory, Department of Psychiatry, University of Pennsylvania, Philadelphia, PA, USA.
Mary FalconeCenter for Interdisciplinary Research on Nicotine Addiction, Department of Psychiatry, University of Pennsylvania, Philadelphia, PA, USA.
Ryan HopsonBrain Behavior Laboratory, Department of Psychiatry, University of Pennsylvania, Philadelphia, PA, USA.
Ruben GurBrain Behavior Laboratory, Department of Psychiatry, University of Pennsylvania, Philadelphia, PA, USA.
Caryn LermanCenter for Interdisciplinary Research on Nicotine Addiction, Department of Psychiatry, University of Pennsylvania, Philadelphia, PA, USA.

Funding

UNIVERSITY OF PENNSYLVANIA CAN CTR SUPPORT GRANTP30CA016520 · NCI · UNIVERSITY OF PENNSYLVANIA · PI Robert H. Vonderheide · 1985 to 2026
$222.3M
PREDOCTORAL TRAINING PROGRAM IN PHARMACOLOGYT32GM008076 · NIGMS · UNIVERSITY OF PENNSYLVANIA · PI BLENDY, JULIE A · 1985 to 2023
$10.8M
Neuroimaging Abstinence and Medication ResponseP50CA143187 · NCI · UNIVERSITY OF PENNSYLVANIA · PI AUDRAIN-MCGOVERN, JANET E · 2009 to 2013
$8.6M
Nicotine Abstinence-Induced Cognitive Alterations by COMT GenotypeR03DA027438 · NIDA · UNIVERSITY OF PENNSYLVANIA · PI LERMAN, CARYN, LOUGHEAD, JAMES W · 2009 to 2010
$474k
NCI NIH HHS P30 CA016520NCI NIH HHS P50 CA143187NCI NIH HHS P50CA143187NIDA NIH HHS R03 DA027438NIDA NIH HHS R03DA027438NIGMS NIH HHS T32 GM008076
6 · The paper itself

Abstract

Brief abstinence from smoking impairs cognition, particularly executive function, and this has a role in relapse to smoking. This study examined whether working memory-related brain activity predicts subsequent smoking relapse above and beyond standard clinical and behavioral measures. Eighty treatment-seeking smokers completed two functional magnetic resonance imaging sessions (smoking satiety vs 24 h abstinence challenge) during performance of a visual N-back task. Brief counseling and a short-term quit attempt followed. Relapse during the first 7 days was biochemically confirmed by the presence of the nicotine metabolite cotinine. Mean percent blood oxygen level-dependent (BOLD) signal change was extracted from a priori regions of interest: bilateral dorsolateral prefrontal cortex (DLPFC), medial frontal/cingulate gyrus, posterior cingulate cortex (PCC), and ventromedial prefrontal cortex. Signal from these brain regions and additional clinical measures were used to model outcome status, which was then validated with resampling techniques. Relapse to smoking was predicted by increased withdrawal symptoms, decreased left DLPFC and increased PCC BOLD percent signal change (abstinence vs smoking satiety). Receiver operating characteristic analysis demonstrated 81% area under the curve using these predictors, a significant improvement over the model with clinical variables only. The combination of abstinence-induced decreases in left DLPFC activation and reduced suppression of PCC may be a prognostic marker for poor outcome, specifically early smoking relapse.

Indexed as

AdolescentAdultAgedBrainBrain MappingCerebrovascular CirculationFemaleHumansMagnetic Resonance ImagingMaleMemory, Short-TermMiddle AgedNeuropsychological TestsOxygenPrognosisRecurrenceOxygen

Identifiers

PMID25469682
PMCPMC4397393

What OpenQuestion holds

Textmetadata
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.