Evidence map›Paper›PMID 27981033›Full record

ArticleNeuroImage. Clinical2017

Cingulate cortex functional connectivity predicts future relapse in alcohol dependent individuals.

Yasmin Zakiniaeiz, Dustin Scheinost, Dongju Seo, Rajita Sinha, R Todd Constable

Open access · goldAbstract read
In one paragraph

Article in NeuroImage. Clinical, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 4 pooled it
3.5field-weighted citation impact, top 7% 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

56 citing papers in PubMed, 4 syntheses or guidelines pooled it, 84 citations in OpenAlex.

  1. Pooled it
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  4. Imaging resilience and recovery in alcohol dependence.Addiction (Abingdon, England) · 2018
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  11. Selective dysregulation of serotonin dynamics in the anterior cingulate cortex and central amygdala following binge alcohol consumption.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Article
  12. Aberrant cortico-striato-limbic functional connectivity to alcohol cues in co-occurring bipolar disorder and alcohol use disorder.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
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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 at 1 institution in 1 country.

Yasmin ZakiniaeizInterdepartmental Neuroscience Program, Yale University School of Medicine, New Haven, CT, United States.
Dustin ScheinostDepartment Radiology and Biomedical Imaging, Yale University School of Medicine, New Haven, CT, United States.
Dongju SeoDepartment of Psychiatry, Yale University School of Medicine, New Haven, CT, United States.
Rajita SinhaDepartment of Psychiatry, Yale University School of Medicine, New Haven, CT, United States.
R Todd ConstableInterdepartmental Neuroscience Program, Yale University School of Medicine, New Haven, CT, United States; Department Radiology and Biomedical Imaging, Yale University School of Medicine, New Haven, CT, United States; Department of Neurosurgery, Yale University School of Medicine, New Haven, CT, United States.
Yale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Chronic Alcohol and Brain Stress Circuit ResponseR01AA013892 · NIAAA · YALE UNIVERSITY · PI Rajita Sinha · 2003 to 2026
$10.1M
Neuroimaging Sciences Training ProgramT32DA022975 · NIDA · YALE UNIVERSITY · PI Graeme F Mason, Rajita Sinha · 2007 to 2026
$5.7M
Interdisciplinary Research on Stress, Self-Control & AddictionUL1DE019586 · NIDCR · YALE UNIVERSITY · PI SINHA, RAJITA · 2008 to 2011
$5.0M
Protocols, Statistics, Collaborative Method Development and ToolsPL1DA024859 · NIDA · YALE UNIVERSITY · PI SINHA, RAJITA · 2007 to 2011
$3.6M
Multimodal Neuroimaging of Stress, Arousal and Alcoholism RiskK08AA023545 · NIAAA · YALE UNIVERSITY · PI SEO, DONGJU · 2015 to 2019
$948k
NCATS NIH HHS UL1 TR001863NIAAA NIH HHS K08 AA023545NIAAA NIH HHS R01 AA013892NIDA NIH HHS PL1 DA024859NIDA NIH HHS T32 DA022975NIDCR NIH HHS UL1 DE019586
6 · The paper itself

Abstract

Alcohol dependence is a chronic relapsing illness. Alcohol and stress cues have consistently been shown to increase craving and relapse risk in recovering alcohol dependent (AUD) patients. However, differences in functional connectivity in response to these cues have not been studied using data-driven approaches. Here, voxel-wise connectivity is used in a whole-brain investigation of functional connectivity differences associated with alcohol and stress cues and to examine whether these differences are related to subsequent relapse. In Study 1, 45, 4- to 8-week abstinent, recovering AUD patients underwent functional magnetic resonance imaging during individualized imagery of alcohol, stress, and neutral cues. Relapse measures were collected prospectively for 90 days post-discharge from inpatient treatment. AUD patients showed blunted anterior (ACC), mid (MCC) and posterior cingulate cortex (PCC), voxel-wise connectivity responses to stress compared to neutral cues and blunted PCC response to alcohol compared to neutral cues. Using Cox proportional hazard regression, weaker connectivity in ACC and MCC during neutral exposure was associated with longer time to relapse (better recovery outcome). Similarly, greater connectivity in PCC during alcohol-cue compared to stress cue was associated with longer time to relapse. In Study 2, a sub-group of 30 AUD patients were demographically-matched to 30 healthy control (HC) participants for group comparisons. AUD compared to HC participants showed reduced cingulate connectivity during alcohol and stress cues. Using novel data-driven approaches, the cingulate cortex emerged as a key region in the disruption of functional connectivity during alcohol and stress-cue processing in AUD patients and as a marker of subsequent alcohol relapse.

Indexed as

CuesOutcome Assessment, Health CareAdolescentAdultAlcoholismConnectomeFemaleFollow-Up StudiesGyrus CinguliHumansInpatientsMagnetic Resonance ImagingMaleMiddle AgedPrognosisRecurrenceAddictionAlcohol dependenceCingulate cortexCue reactivityFunctional connectivityRelapse

Identifiers

PMID27981033
PMCPMC5144743
OpenAlexW2547515170

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.