Evidence map›Paper›PMID 26520240›Full record

ReviewBiological psychiatry2016

Enhancement of Psychosocial Treatment With D-Cycloserine: Models, Moderators, and Future Directions.

Michael W Otto, M Alexandra Kredlow, Jasper A J Smits, Stefan G Hofmann, David F Tolin, Rianne A de Kleine, Agnes van Minnen, A Eden Evins, Mark H Pollack

Open access · greenAbstract readReview
In one paragraph

Review in Biological psychiatry, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 2 pooled it
4.8field-weighted citation impact, top 4% 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

36 citing papers in PubMed, 2 syntheses or guidelines pooled it, 70 citations in OpenAlex.

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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

9 authors at 4 institutions in 2 countries.

Michael W OttoDepartment of Psychological and Brain Sciences, Boston University, Boston, Massachusetts. Electronic address: mwotto@bu.edu.
M Alexandra KredlowDepartment of Psychological and Brain Sciences, Boston University, Boston, Massachusetts.
Jasper A J SmitsInstitute for Mental Health Research and Department of Psychology, University of Texas at Austin, Austin, Texas.
Stefan G HofmannDepartment of Psychological and Brain Sciences, Boston University, Boston, Massachusetts.
David F TolinDepartment of Psychological and Brain Sciences, Boston University, Boston, Massachusetts; Institute for Mental Health Research and Department of Psychology, University of Texas at Austin, Austin, Texas; Overwaal Centre for Anxiety Disorders, Pro Persona, Radboud University Nijmegen, Behavioral Science Institute, Nijmegen, The Netherlands; Department of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts; Department of Psychiatry, Rush University Medical Center, Chicago, Illinois.
Rianne A de KleineOverwaal Centre for Anxiety Disorders, Pro Persona, Radboud University Nijmegen, Behavioral Science Institute, Nijmegen, The Netherlands.
Agnes van MinnenOverwaal Centre for Anxiety Disorders, Pro Persona, Radboud University Nijmegen, Behavioral Science Institute, Nijmegen, The Netherlands.
A Eden EvinsDepartment of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts.
Mark H PollackDepartment of Psychiatry, Rush University Medical Center, Chicago, Illinois.
Boston University · USRadboud University Nijmegen · NLHarvard University · USRush University Medical Center · US

Funding

Mentoring in Addiction Treatment ResearchK24DA030443 · NIDA · MASSACHUSETTS GENERAL HOSPITAL · PI EVINS, A EDEN · 2010 to 2020
$2.0M
Dose Timing of D-cycloserine to Augment CBT for Social Anxiety DisorderR34MH099309 · NIMH · RUSH UNIVERSITY MEDICAL CENTER · PI POLLACK, MARK H · 2014 to 2016
$698k
3/3-Dose Timing of D-cycloserine to Augment CBT for Social Anxiety DisorderR34MH099318 · NIMH · UNIVERSITY OF TEXAS AT AUSTIN · PI SMITS, JASPER · 2014 to 2016
$695k
Exposure Therapy for Fear of Falling in Older AdultsR34MH086668 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI WETHERELL, JULIE L · 2010 to 2012
$691k
Improving Therapeutic Learning in Depression: Proof of ConceptR21MH102646 · NIMH · BOSTON UNIVERSITY (CHARLES RIVER CAMPUS) · PI OTTO, MICHAEL W. · 2014 to 2015
$452k
Exploring the Boundaries of Post-Retrieval Extinction in Anxious IndividualsF31MH103969 · NIMH · BOSTON UNIVERSITY (CHARLES RIVER CAMPUS) · PI KREDLOW, MARIA ALEXANDRA G · 2014 to 2016
$104k
NIDA NIH HHS K24 DA030443NIMH NIH HHS F31 MH103969NIMH NIH HHS R21 MH102646NIMH NIH HHS R34 MH086668NIMH NIH HHS R34 MH099309NIMH NIH HHS R34 MH099318
6 · The paper itself

Abstract

Advances in the understanding of the neurobiology of fear extinction have resulted in the development of d-cycloserine (DCS), a partial glutamatergic N-methyl-D-aspartate agonist, as an augmentation strategy for exposure treatment. We review a decade of research that has focused on the efficacy of DCS for augmenting the mechanisms (e.g., fear extinction) and outcome of exposure treatment across the anxiety disorders. Following a series of small-scale studies offering strong support for this clinical application, more recent larger-scale studies have yielded mixed results, with some showing weak or no effects. We discuss possible explanations for the mixed findings, pointing to both patient and session (i.e., learning experiences) characteristics as possible moderators of efficacy, and offer directions for future research in this area. We also review recent studies that have aimed to extend the work on DCS augmentation of exposure therapy for the anxiety disorders to DCS enhancement of learning-based interventions for addiction, anorexia nervosa, schizophrenia, and depression. Here, we attend to both DCS effects on facilitating therapeutic outcomes and additional therapeutic mechanisms beyond fear extinction (e.g., appetitive extinction, hippocampal-dependent learning).

Indexed as

Anxiety DisordersAntimetabolitesCombined Modality TherapyCycloserineExtinction, PsychologicalHumansImplosive TherapyAntimetabolitesCycloserineAddictionAnxietyDCSd-cycloserineDepressionExtinction

Identifiers

PMID26520240
PMCPMC4808479
OpenAlexW1780722919

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.