Evidence map›Paper›PMID 25499957›Full record

ReviewBiological psychiatry2015

The cognition-enhancing effects of psychostimulants involve direct action in the prefrontal cortex.

Robert C Spencer, David M Devilbiss, Craig W Berridge

Open access · greenAbstract readReview
In one paragraph

Review in Biological psychiatry, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 83 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
83citing papers in PubMed, 1 pooled it
8.3field-weighted citation impact, top 2% 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

83 citing papers in PubMed, 1 synthesis or guideline pooled it, 166 citations in OpenAlex.

  1. Pooled it
  2. From rest to focus: pharmacological modulation of the relationship between resting state dorsal attention network dynamics and task-based brain activation.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
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  11. Selective Visual Attention in ADHD: A Narrative Review.Current neurology and neuroscience reports · 2025
    Review
  12. Article
  13. Article
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  15. Cognition-enhancing and cognition-impairing doses of psychostimulants exert opposing actions on frontostriatal neural coding of delay in working memory.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2024
    Article
  16. Article
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  18. Review
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23 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 at 1 institution in 1 country.

Robert C SpencerDepartment of Psychology, University of Wisconsin, Madison, Wisconsin.
David M DevilbissDepartment of Psychology, University of Wisconsin, Madison, Wisconsin.
Craig W BerridgeDepartment of Psychology, University of Wisconsin, Madison, Wisconsin. Electronic address: berridge@wisc.edu.
University of Wisconsin–Madison · US

Funding

Low-Dose Methylphenidate and the Prefrontal CortexR01MH081843 · NIMH · UNIVERSITY OF WISCONSIN-MADISON · PI BERRIDGE, CRAIG W · 2009 to 2018
$4.1M
SYNTHETIC STRATEGIES TOWARD THE ELUCIDATION OF CENTRAL MECHANISMS IN THE BEHAVIORZ01DA000389 · NIDA · NATIONAL INSTITUTE ON DRUG ABUSE · PI NEWMAN, AMY HAUCK · 1996 to 2008
$1.3M
NEUROCHEMISTRY OF AMPHETAMINE INDUCED AROUSALK02DA000389 · NIDA · UNIVERSITY OF WISCONSIN-MADISON · PI BERRIDGE, CRAIG W · 1999 to 2008
$1.1M
Neurobiology of the Cognition Enhancing Actions of PsychostimulantsF31MH098631 · NIMH · UNIVERSITY OF WISCONSIN-MADISON · PI SPENCER, ROBERT C. · 2012 to 2014
$98k
Intramural NIH HHS Z01 DA000389NIDA NIH HHS DA000389NIDA NIH HHS K02 DA000389NIMH NIH HHS F31 MH098631NIMH NIH HHS MH081843NIMH NIH HHS MH098631NIMH NIH HHS R01 MH081843
6 · The paper itself

Abstract

Psychostimulants are highly effective in the treatment of attention-deficit/hyperactivity disorder. The clinical efficacy of these drugs is strongly linked to their ability to improve cognition dependent on the prefrontal cortex (PFC) and extended frontostriatal circuit. The procognitive actions of psychostimulants are only associated with low doses. Surprisingly, despite nearly 80 years of clinical use, the neurobiology of the procognitive actions of psychostimulants has only recently been systematically investigated. Findings from this research unambiguously demonstrate that the cognition-enhancing effects of psychostimulants involve the preferential elevation of catecholamines in the PFC and the subsequent activation of norepinephrine α2 and dopamine D1 receptors. In contrast, while the striatum is a critical participant in PFC-dependent cognition, where examined, psychostimulant action within the striatum is not sufficient to enhance cognition. At doses that moderately exceed the clinical range, psychostimulants appear to improve PFC-dependent attentional processes at the expense of other PFC-dependent processes (e.g., working memory, response inhibition). This differential modulation of PFC-dependent processes across dose appears to be associated with the differential involvement of noradrenergic α2 versus α1 receptors. Collectively, this evidence indicates that at low, clinically relevant doses, psychostimulants are devoid of the behavioral and neurochemical actions that define this class of drugs and instead act largely as cognitive enhancers (improving PFC-dependent function). This information has potentially important clinical implications as well as relevance for public health policy regarding the widespread clinical use of psychostimulants and for the development of novel pharmacologic treatments for attention-deficit/hyperactivity disorder and other conditions associated with PFC dysregulation.

Indexed as

AnimalsCentral Nervous System StimulantsCognitionHumansPrefrontal CortexCentral Nervous System StimulantsADHDCognitionDopamineNorepinephrinePrefrontal cortexStimulants

Identifiers

PMID25499957
PMCPMC4377121
OpenAlexW2080244900

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.