Evidence map›Paper›PMID 26806781›Full record

ReviewProgress in brain research2016

Competing neurobehavioral decision systems theory of cocaine addiction: From mechanisms to therapeutic opportunities.

Warren K Bickel, Sarah E Snider, Amanda J Quisenberry, Jeffrey S Stein, Colleen A Hanlon

Abstract readReview
In one paragraph

Review in Progress in brain research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 2 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

34 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  9. Abnormal ventromedial-to-dorsolateral hierarchical topography of striatal circuits in cocaine use disorder and its modulations by brain stimulation.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2025
    Article
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  11. Phenylketonuria as an Adherence Disease.Patient preference and adherence · 2025
    Review
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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

5 authors.

Warren K BickelAddiction Recovery Research Center, Virginia Tech Carilion Research Institute, Roanoke, VA, USA. Electronic address: wkbickel@vtc.vt.edu.
Sarah E SniderAddiction Recovery Research Center, Virginia Tech Carilion Research Institute, Roanoke, VA, USA.
Amanda J QuisenberryAddiction Recovery Research Center, Virginia Tech Carilion Research Institute, Roanoke, VA, USA.
Jeffrey S SteinAddiction Recovery Research Center, Virginia Tech Carilion Research Institute, Roanoke, VA, USA.
Colleen A HanlonMedical University of South Carolina, Charleston, SC, USA.

Funding

TREATING ETHANOL WITHDRAWAL WITH LORAZEPAM/NALTREXONEP50AA010761 · NIAAA · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI Lisa M McTeague · 1996 to 2026
$46.8M
Tobacco Constituent and Biomarker Assessment CoreU19CA157345 · NCI · UNIVERSITY OF MINNESOTA · PI HATSUKAMI, DOROTHY K · 2012 to 2016
$13.3M
Self-Control Improvement Intervention (SCII): Improving Abstinence in SmokersR01DA034755 · NIDA · VIRGINIA POLYTECHNIC INST AND ST UNIV · PI BICKEL, WARREN K · 2013 to 2017
$3.6M
The Repair of Self Control in Alcohol Dependence: Working Memory & Real Time fMRIR01AA021529 · NIAAA · VIRGINIA POLYTECHNIC INST AND ST UNIV · PI BICKEL, WARREN K, LACONTE, STEPHEN M · 2013 to 2017
$2.8M
Longitudinal study of functional connectivity among cocaine users in treatmentR01DA036617 · NIDA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI HANLON, COLLEEN A · 2014 to 2018
$1.6M
Impact of vMPFC Brain Stimulation on Outcomes in Treatment-Engaged Cocaine UsersR21DA041610 · NIDA · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI HANLON, COLLEEN A · 2016 to 2017
$391k
NCI NIH HHS U19 CA157345NCI NIH HHS U19CA157345NIAAA NIH HHS P50 AA010761NIAAA NIH HHS R01 AA021529NIAAA NIH HHS R01AA021529NIDA NIH HHS R01 DA034755NIDA NIH HHS R01DA034755NIDA NIH HHS R01 DA036617NIDA NIH HHS R01DA036617NIDA NIH HHS R21 DA041610
6 · The paper itself

Abstract

Cocaine dependence is a difficult-to-treat, chronically relapsing disorder. Multiple scientific disciplines provide distinct perspectives on this disorder; however, connections between disciplines are rare. The competing neurobehavioral decision systems (CNDS) theory posits that choice results from the interaction between two decision systems (impulsive and executive) and that regulatory imbalance between systems can induce pathology, including addiction. Using this view, we integrate a diverse set of observations on cocaine dependence, including bias for immediacy, neural activity and structure, developmental time course, behavioral comorbidities, and the relationship between cocaine dependence and socioeconomic status. From the CNDS perspective, we discuss established and emerging behavioral, pharmacological, and neurological treatments and identify possible targets for future treatments. The ability of the CNDS theory to integrate diverse findings highlights its utility for understanding cocaine dependence and supports that dysregulation between the decision systems contributes to addiction.

Indexed as

Social BehaviorAnimalsBehavior, AddictiveChoice BehaviorCocaineCocaine-Related DisordersHumansSystems TheoryCocaineCocaine dependenceCompeting neurobehavioral decision systemsDelay discountingDual systemsExecutive functionImpulsivitySelf-controlTranscranial magnetic stimulation

Identifiers

PMID26806781
PMCPMC5495192

What OpenQuestion holds

Textmetadata
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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.