Evidence map›Paper›PMID 26049025›Full record

ReviewPharmacology & therapeutics2015

Emergence of sex differences in the development of substance use and abuse during adolescence.

Cynthia Kuhn

Open access · greenAbstract readReview
In one paragraph

Review in Pharmacology & therapeutics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 97 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
97citing papers in PubMed, 1 pooled it
8.7field-weighted citation impact, top 1% 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

97 citing papers in PubMed, 1 synthesis or guideline pooled it, 175 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  4. Article
  5. Article
  6. The role of peer influence in shaping developmental trajectories of substance use expectancies in early adolescence.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2026
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  7. Review
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  20. Concurrent and long-term effects of early pubertal timing on alcohol, cigarette, and cannabis use from adolescence to adulthood.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2024
    Article

37 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

1 author at 1 institution in 1 country.

Cynthia KuhnDepartment of Pharmacology and Cancer Biology, Box 3813, Duke University Medical Center, Durham, NC 27710, United States. Electronic address: ckuhn@duke.edu.
Duke University Hospital · US

Funding

Alcohol, Puberty, and Adolescent Brain DevelopmentR01AA017621 · NIAAA · DUKE UNIVERSITY · PI KUHN, CYNTHIA M · 2011 to 2015
$1.6M
NIAAA NIH HHS AA017621NIAAA NIH HHS R01 AA017621
6 · The paper itself

Abstract

Substance use and abuse begin during adolescence. Male and female adolescent humans initiate use at comparable rates, but males increase use faster. In adulthood, more men than women use and abuse addictive drugs. However, some women progress more rapidly from initiation of use to entry into treatment. In animal models, adolescent males and females consume addictive drugs similarly. However, reproductively mature females acquire self-administration faster, and in some models, escalate use more. Sex/gender differences exist in neurobiologic factors mediating both reinforcement (dopamine, opioids) and aversiveness (CRF, dynorphin), as well as intrinsic factors (personality, psychiatric co-morbidities) and extrinsic factors (history of abuse, environment especially peers and family) which influence the progression from initial use to abuse. Many of these important differences emerge during adolescence, and are moderated by sexual differentiation of the brain. Estradiol effects which enhance both dopaminergic and CRF-mediated processes contribute to the female vulnerability to substance use and abuse. Testosterone enhances impulsivity and sensation seeking in both males and females. Several protective factors in females also influence initiation and progression of substance use including hormonal changes of pregnancy as well as greater capacity for self-regulation and lower peak levels of impulsivity/sensation seeking. Same sex peers represent a risk factor more for males than females during adolescence, while romantic partners increase risk for women during this developmental epoch. In summary, biologic factors, psychiatric co-morbidities as well as personality and environment present sex/gender-specific risks as adolescents begin to initiate substance use.

Indexed as

Sex CharacteristicsAdolescentAdolescent DevelopmentAnimalsBrainFemaleHumansMaleProtective FactorsRisk FactorsSex FactorsSubstance-Related DisordersAddictionAdolescenceImpulsivitySelf-regulationSexSubstance abuse

Identifiers

PMID26049025
PMCPMC4527891
OpenAlexW569394052

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.