Evidence map›Paper›PMID 28376413›Full record

ArticleDrug and alcohol dependence2017

Neurophysiological capacity in a working memory task differentiates dependent from nondependent heavy drinkers and controls.

Michael J Wesley, Joshua A Lile, Mark T Fillmore, Linda J Porrino

Abstract read
In one paragraph

Article in Drug and alcohol dependence, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

4 authors.

Michael J WesleyDepartment of Behavioral Science, University of Kentucky College of Medicine, Lexington, KY, USA. Electronic address: michael.wesley@uky.edu.
Joshua A LileDepartment of Behavioral Science, University of Kentucky College of Medicine, Lexington, KY, USA; Department of Psychology, University of Kentucky College of Arts and Sciences, Lexington, KY, USA.
Mark T FillmoreDepartment of Psychology, University of Kentucky College of Arts and Sciences, Lexington, KY, USA.
Linda J PorrinoDepartment of Physiology and Pharmacology, Wake Forest University School of Medicine, Winston-Salem, NC, USA.

Funding

Kentucky Center for Clinical and Translational ScienceUL1TR001998 · NCATS · UNIVERSITY OF KENTUCKY · PI HARTMANN, KATHERINE E, KERN, PHILIP A · 2016 to 2025
$34.2M
TROPANE EVALUATION AND GENERAL SCIENTIFIC SERVICES COREP50DA006634 · NIDA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI PORRINO, LINDA J. · 1991 to 2019
$30.8M
Training and Pilot CoreP50DA005312 · NIDA · UNIVERSITY OF KENTUCKY · PI KELLY, THOMAS H. · 1987 to 2016
$19.5M
NEUROSCIENCE OF DRUG ABUSE TRAINING PROGRAMT32DA007246 · NIDA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI CHILDERS, STEVEN R · 1991 to 2011
$2.2M
Decision Making in Marijuana UsersR01DA020074 · NIDA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI PORRINO, LINDA J. · 2006 to 2009
$1.2M
Medications Development for Cannabis-Use Disorders: Clinical StudiesK02DA031766 · NIDA · UNIVERSITY OF KENTUCKY · PI LILE, JOSHUA ANTHONY · 2011 to 2015
$487k
NCATS NIH HHS UL1 TR001998NIDA NIH HHS K02 DA031766NIDA NIH HHS P50 DA005312NIDA NIH HHS P50 DA006634NIDA NIH HHS R01 DA020074NIDA NIH HHS T32 DA007246
6 · The paper itself

Abstract

backgroundDetermining the neurobehavioral profiles that differentiate heavy drinkers who are and are not alcohol dependent will inform treatment efforts. Working memory is linked to substance use disorders and can serve as a representation of the demand placed on the neurophysiology associated with cognitive control.

methodsBehavior and brain activity (via fMRI) were recorded during an N-Back working memory task in controls (CTRL), nondependent heavy drinkers (A-ND) and dependent heavy drinkers (A-D). Typical and novel step-wise analyses examined profiles of working memory load and increasing task demand, respectively.

resultsPerformance was significantly decreased in A-D during high working memory load (2-Back), compared to CTRL and A-ND. Analysis of brain activity during high load (0-Back vs. 2- Back) showed greater responses in the dorsal lateral and medial prefrontal cortices of A-D than CTRL, suggesting increased but failed compensation. The step-wise analysis revealed that the transition to Low Demand (0-Back to 1-Back) was associated with robust increases and decreases in cognitive control and default-mode brain regions, respectively, in A-D and A-ND but not CTRL. The transition to High Demand (1-Back to 2-Back) resulted in additional engagement of these networks in A-ND and CTRL, but not A-D.

conclusionHeavy drinkers engaged working memory neural networks at lower demand than controls. As demand increased, nondependent heavy drinkers maintained control performance but relied on additional neurophysiological resources, and dependent heavy drinkers did not display further resource engagement and had poorer performance. These results support targeting these brain areas for treatment interventions.

Indexed as

AdultAlcohol DrinkingAlcoholismBrain MappingCase-Control StudiesFemaleHumansMagnetic Resonance ImagingMaleMemory, Short-TermNeural PathwaysPrefrontal CortexAddictionAlcoholExecutive functionfMRIWorking memory

Identifiers

PMID28376413
PMCPMC5425311

What OpenQuestion holds

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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.