Evidence map›Paper›PMID 27009547›Full record

ArticleAddiction (Abingdon, England)2016

Gender-specific effects of comorbid depression and anxiety on the propensity to drink in negative emotional states.

Victor M Karpyak, Joanna M Biernacka, Jennifer R Geske, Osama A Abulseoud, Michael D Brunner, Mohit Chauhan, Daniel K Hall-Flavin, Kriste A Lewis, Larissa L Loukianova, George J Melnyk and 7 more

Open access · bronzeAbstract read
In one paragraph

Article in Addiction (Abingdon, England), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
4.8field-weighted citation impact, top 5% 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

34 citing papers in PubMed, 62 citations in OpenAlex.

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  3. Impact of sex chromosomes and gonad type in stress susceptibility in corticostriatal brain regions.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
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  5. Sex-Specific Genetic Architecture and Comorbidities of Alcohol Use Behaviors.medRxiv : the preprint server for health sciences · 2025
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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

17 authors at 7 institutions in 1 country.

Victor M KarpyakDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA.
Joanna M BiernackaDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA.
Jennifer R GeskeDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN, USA.
Osama A AbulseoudDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA.
Michael D BrunnerFountain Centers, Mayo Clinic Health System, Albert Lea, MN, USA.
Mohit ChauhanAddiction Recovery Services, Mayo Clinic Health System, Austin, MN, USA.
Daniel K Hall-FlavinDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA.
Kriste A LewisDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA.
Larissa L LoukianovaDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA.
George J MelnykDepartment of Psychiatry, Mayo Clinic Health System-Franciscan Healthcare, La Crosse, WI, USA.
David A OnsrudDepartment of Family Medicine, Mayo Clinic Health System-Franciscan Healthcare, La Crosse, WI, USA.
Brian D ProctorDepartment of Psychiatry, Mayo Clinic Health System-Franciscan Healthcare, La Crosse, WI, USA.
Terry D SchneeklothDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA.
Michelle K SkimeDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA.
John E WittkoppAddiction Recovery Services, Mayo Clinic Health System, Austin, MN, USA.
Mark A FryeDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA.
David A MrazekDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA.
Mayo Clinic · USMayo Clinic Health System · USWinnMed · USMayo Clinic in Arizona · USMayo Clinic in Florida · USPiedmont Atlanta Hospital · USWheaton Franciscan Healthcare · US

Funding

The Mayo Clinic Center for Individualized Treatment of Alcohol DependenceP20AA017830 · NIAAA · MAYO CLINIC ROCHESTER · PI CHOI, DOO-SUP · 2009 to 2010
$2.5M
NIAAA NIH HHS P20 AA017830
6 · The paper itself

Abstract

BACKGROUND AND

aimsDepression and anxiety are often comorbid with alcoholism and contribute to craving and relapse. We aimed to estimate the prevalence of life-time diagnoses of major depressive disorder (MDD), substance-induced depression (SID), anxiety disorder (AnxD) and substance-induced anxiety (SIA), the effects of these comorbidities on the propensity to drink in negative emotional states (negative craving), and test whether these effects differ by sex.

designSecondary analyses of baseline data collected in a single-arm study of pharmacogenetic predictors of acamprosate response.

settingAcademic medical center and affiliated community-based treatment programs in the American upper mid-west.

participantsA total of 287 males and 156 females aged 18-80 years, meeting DSM-IV criteria for alcohol dependence. MEASUREMENTS: The primary outcome measure was 'propensity to drink in negative emotional situations' (determined by the Inventory of Drug Taking Situations) and the key predictors/covariates were sex and psychiatric comorbidities, including MDD, SID, AnxD and SIA (determined by Psychiatric Research Interview of Substance and Mood Disorders).

findingsThe prevalence of the MDD, SID and AnxD was higher in females compared with males (33.1 versus 18.4%, 44.8 versus 26.4% and 42.2 versus 27.4%, respectively; P < 0.01, each), while SIA was rare (3.3%) and did not differ by sex. Increased propensity to drink in negative emotional situations was associated with comorbid MDD (β = 6.6, P = 0.013) and AnxD (β = 4.8, P = 0.042) as well as a SID × sex interaction effect (P = 0.003), indicating that the association of SID with propensity to drink in negative emotional situations differs by sex and is stronger in males (β = 7.9, P = 0.009) compared with females (β = -6.6, P = 0.091).

conclusionsThere appears to be a higher prevalence of comorbid depression and anxiety disorders as well as propensity to drink in negative emotional situations in female compared with male alcoholics. Substance-induced depression appears to have a sex-specific effect on the increased risk for drinking in negative emotional situations in males.

Indexed as

AdolescentAdultAgedAged, 80 and overAlcohol DrinkingAnxietyAnxiety DisordersComorbidityDepressionEmotionsFemaleHumansMajor Depressive DisorderMaleMiddle AgedPrevalenceAlcohol use disorderanxietycravingdepressiongendersubstance-induced

Identifiers

PMID27009547
PMCPMC4940218
OpenAlexW2305047126

What OpenQuestion holds

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LicenceCC BY-NC
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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.