Evidence map›Paper›PMID 26958467›Full record

SynthesisNeuroImage. Clinical2014

The effect of alcohol consumption on the adolescent brain: A systematic review of MRI and fMRI studies of alcohol-using youth.

Sarah W Feldstein Ewing, Ashok Sakhardande, Sarah-Jayne Blakemore

Registry-linked trialOpen access · goldAbstract readSystematic Review
In one paragraph

Synthesis in NeuroImage. Clinical, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06634771 (Frontal E/I Balance Mediation of tACS Effects on Behavioral Flexibility), which is not on this map. Cited by 94 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
94citing papers in PubMed, 5 pooled it
19.2field-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.

NCT06634771 naterminatednot on this mapstarted 2024, after this paper: background citation

Frontal E/I Balance Mediation of tACS Effects on Behavioral Flexibility

TypeinterventionalSponsorUniversity of North Carolina, Chapel HillRan2024 to 2025Enrolled7ConditionsBehavioral Flexibility, Healthy Volunteers, High Risk Alcohol UseArms10 Hz transcranial alternating current stimulation (tACS), sham transcranial alternating current stimulation (tACS)
3 · Its place in the literature

Who cites it

94 citing papers in PubMed, 5 syntheses or guidelines pooled it, 184 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  5. Pooled it
  6. Long-Term RCT outcomes for adolescent alcohol and cannabis use within a predominantly Hispanic sample.Journal of research on adolescence : the official journal of the Society for Research on Adolescence · 2023
    Trial
  7. Longitudinal associations between binge drinking and changes in behavioral and neural threat reactivity in youth.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Article
  8. Article
  9. Article
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  11. Article
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  15. Adolescent trauma and alcohol: increased risk for severe head injury and organ dysfunction-insights from the TraumaRegister DGUEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
    Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Article

34 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 3 institutions in 2 countries.

Sarah W Feldstein EwingUniversity of New Mexico, Department of Psychiatry, Albuquerque, NM 87131, USA.
Ashok SakhardandeUCL Institute of Cognitive Neuroscience, 17 Queen Square, London WC1N 3AR, UK.
Sarah-Jayne BlakemoreUCL Institute of Cognitive Neuroscience, 17 Queen Square, London WC1N 3AR, UK.
National Hospital for Neurology and Neurosurgery · GBUniversity College London · GBUniversity of New Mexico · US

Funding

AMICA: Assessing Fit of Motivational Interviewing by Cultures with AdolescentsR01AA017878 · NIAAA · UNIVERSITY OF NEW MEXICO · PI FELDSTEIN EWING, SARAH W. · 2009 to 2013
$2.3M
NIAAA NIH HHS 1R01 AA017878-01A2NIAAA NIH HHS R01 AA017878
6 · The paper itself

Abstract

backgroundA large proportion of adolescents drink alcohol, with many engaging in high-risk patterns of consumption, including binge drinking. Here, we systematically review and synthesize the existing empirical literature on how consuming alcohol affects the developing human brain in alcohol-using (AU) youth.

methodsFor this systematic review, we began by conducting a literature search using the PubMED database to identify all available peer-reviewed magnetic resonance imaging (MRI) and functional magnetic resonance imaging (fMRI) studies of AU adolescents (aged 19 and under). All studies were screened against a strict set of criteria designed to constrain the impact of confounding factors, such as co-occurring psychiatric conditions.

resultsTwenty-one studies (10 MRI and 11 fMRI) met the criteria for inclusion. A synthesis of the MRI studies suggested that overall, AU youth showed regional differences in brain structure as compared with non-AU youth, with smaller grey matter volumes and lower white matter integrity in relevant brain areas. In terms of fMRI outcomes, despite equivalent task performance between AU and non-AU youth, AU youth showed a broad pattern of lower task-relevant activation, and greater task-irrelevant activation. In addition, a pattern of gender differences was observed for brain structure and function, with particularly striking effects among AU females.

conclusionsAlcohol consumption during adolescence was associated with significant differences in structure and function in the developing human brain. However, this is a nascent field, with several limiting factors (including small sample sizes, cross-sectional designs, presence of confounding factors) within many of the reviewed studies, meaning that results should be interpreted in light of the preliminary state of the field. Future longitudinal and large-scale studies are critical to replicate the existing findings, and to provide a more comprehensive and conclusive picture of the effect of alcohol consumption on the developing brain.

Indexed as

Magnetic Resonance ImagingAdolescentAlcohol DrinkingBrainFemaleHumansImage Processing, Computer-AssistedMaleRisk-TakingAdolescenceAlcoholBrainDiffusion tensor imagingFunctional magnetic resonance imagingMagnetic resonance imaging

Identifiers

PMID26958467
PMCPMC4749850
OpenAlexW2159107867

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.