Evidence map›Paper›PMID 28711810›Full record

ArticleDrug and alcohol dependence2017

Cocaine dependence modulates the effect of HIV infection on brain activation during intertemporal decision making.

Christina S Meade, Andrea L Hobkirk, Sheri L Towe, Nan-Kuei Chen, Ryan P Bell, Scott A Huettel

Open access · greenAbstract 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 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 15% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Comorbid HIV and Cocaine Use Exacerbate Accelerated Brain Aging.bioRxiv : the preprint server for biology · 2026
    Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Neuroimaging the Neuropathogenesis of HIV.Current HIV/AIDS reports · 2021
    Review
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
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

6 authors at 3 institutions in 1 country.

Christina S MeadeDuke University School of Medicine, Department of Psychiatry & Behavioral Sciences, Durham, NC, 27705, USA; Duke University, Department of Psychology & Neuroscience, Durham, NC, 27708, USA; Brain Imaging and Analysis Center, Duke University Medical Center, Durham, NC 27710, USA,. Electronic address: christina.meade@duke.edu.
Andrea L HobkirkDuke University School of Medicine, Department of Psychiatry & Behavioral Sciences, Durham, NC, 27705, USA. Electronic address: andrea.hobkirk@duke.edu.
Sheri L ToweDuke University School of Medicine, Department of Psychiatry & Behavioral Sciences, Durham, NC, 27705, USA. Electronic address: sheri.towe@duke.edu.
Nan-Kuei ChenBrain Imaging and Analysis Center, Duke University Medical Center, Durham, NC 27710, USA,; Duke University School of Medicine, Department of Radiology, Durham, NC, 27705, USA. Electronic address: nankuei.chen@duke.edu.
Ryan P BellDuke University School of Medicine, Department of Psychiatry & Behavioral Sciences, Durham, NC, 27705, USA. Electronic address: ryan.bell@duke.edu.
Scott A HuettelDuke University, Department of Psychology & Neuroscience, Durham, NC, 27708, USA; Brain Imaging and Analysis Center, Duke University Medical Center, Durham, NC 27710, USA,; Duke University, Center for Cognitive Neuroscience, Durham, NC, 27708, USA. Electronic address: scott.huettel@duke.edu.
Duke University · USDuke Medical Center · USDuke University Hospital · US

Funding

Virology, Immunology, and Microbiology CoreP30AI050410 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DAVID M. MARGOLIS · 2001 to 2026
$76.9M
Neurobehavioral and fMRI Research in HIV Infection and Cocaine DependenceK23DA028660 · NIDA · DUKE UNIVERSITY · PI MEADE, CHRISTINA S · 2010 to 2014
$825k
NeuroAIDS research with disadvantaged drug usersF32DA038519 · NIDA · DUKE UNIVERSITY · PI HOBKIRK, ANDREA · 2014 to 2017
$167k
NIAID NIH HHS P30 AI050410NIDA NIH HHS F32 DA038519NIDA NIH HHS K23 DA028660
6 · The paper itself

Abstract

backgroundBoth HIV infection and chronic cocaine use alter the neural circuitry of decision making, but the interactive effects of these commonly comorbid conditions have not been adequately examined. This study tested how cocaine moderates HIV-related neural activation during an intertemporal decision-making task.

methodsThe sample included 73 participants who differed on cocaine and HIV status (18 COC+/HIV+, 19 COC+/HIV-, 19 COC-/HIV+, 17 COC-/HIV-). Participants made choices between smaller, sooner and larger, delayed rewards while undergoing functional MRI. Choices varied in difficulty based on subjective value: hard (equivalently valued), easy (disparately valued), and control choices. A mixed-effects model controlling for education and smoking identified main and interactive effects of HIV and COC during hard relative to easy choices (difficulty contrast).

resultsCOC+ status was associated with lower activation in bilateral frontal gyri and right insular and posterior parietal cortices. HIV+ status was associated with higher activation in the visual cortex, but lower activation in bilateral prefrontal cortices and cerebellum and left posterior parietal cortex. COC moderated the effects of HIV in several clusters centered in the bilateral prefrontal cortices and cerebellum. In post-hoc analyses, there were significant effects of HIV status on activation for COC+, but not COC-, participants; interaction effects remained after controlling for polysubstance use.

conclusionCocaine use may diminish the compensatory neural activation often seen among HIV+ samples during decision making. Our results highlight the importance of examining the neuropsychiatric effects of comorbid medical conditions to identify potential neural targets for cognitive remediation interventions.

Indexed as

BrainCerebral CortexChoice BehaviorCocaine-Related DisordersDecision MakingDelay DiscountingFrontal LobeHIV InfectionsHumansMagnetic Resonance ImagingPrefrontal CortexRewardCocaine dependenceDecision makingDrug addictionFunctional magnetic resonance imaging (fMRI)HIV/AIDSTemporal discounting

Identifiers

PMID28711810
PMCPMC5581980
OpenAlexW2726782644

What OpenQuestion holds

Textmetadata
LicenceTDM
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.