Evidence map›Paper›PMID 28763064›Full record

ArticleTranslational psychiatry2017

Strong seduction: impulsivity and the impact of contextual cues on instrumental behavior in alcohol dependence.

C Sommer, M Garbusow, E Jünger, S Pooseh, N Bernhardt, J Birkenstock, D J Schad, B Jabs, T Glöckler, Q M Huys and 3 more

Open access · goldAbstract read
In one paragraph

Article in Translational psychiatry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
3.7field-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

24 citing papers in PubMed, 47 citations in OpenAlex.

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  17. Association of theJournal of psychopharmacology (Oxford, England) · 2021
    Article
  18. Article
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  20. Review
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

13 authors at 4 institutions in 2 countries.

C SommerDepartment of Psychiatry and Psychotherapy, Technische Universität Dresden, Dresden, Germany.
M GarbusowDepartment of Psychiatry and Psychotherapy, Charité-Universitätsmedizin Berlin, Campus Charité Mitte, Berlin, Germany.
E JüngerDepartment of Psychiatry and Psychotherapy, Technische Universität Dresden, Dresden, Germany.
S PoosehDepartment of Psychiatry and Psychotherapy, Technische Universität Dresden, Dresden, Germany.
N BernhardtDepartment of Psychiatry and Psychotherapy, Technische Universität Dresden, Dresden, Germany.
J BirkenstockDepartment of Psychiatry and Psychotherapy, Technische Universität Dresden, Dresden, Germany.
D J SchadSocial and Preventive Medicine, Area of Excellence Cognitive Sciences, University of Potsdam, Potsdam, Germany.
B JabsDepartment of Psychiatry and Psychotherapy, Zentrum für Psychische Gesundheit Weißer Hirsch, Dresden, Germany.
T GlöcklerDepartment of Psychiatry and Psychotherapy, Zentrum für Psychische Gesundheit Weißer Hirsch, Dresden, Germany.
Q M HuysTranslational Neuromodeling Unit, Hospital of Psychiatry, University of Zürich and Swiss Federal Institute of Technology, Zürich, Switzerland.
A HeinzDepartment of Psychiatry and Psychotherapy, Charité-Universitätsmedizin Berlin, Campus Charité Mitte, Berlin, Germany.
M N SmolkaDepartment of Psychiatry and Psychotherapy, Technische Universität Dresden, Dresden, Germany.
U S ZimmermannDepartment of Psychiatry and Psychotherapy, Technische Universität Dresden, Dresden, Germany.
TU Dresden · DECharité - Universitätsmedizin Berlin · DEÉcole Polytechnique Fédérale de Lausanne · CHUniversity of Potsdam · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Alcohol-related cues acquire incentive salience through Pavlovian conditioning and then can markedly affect instrumental behavior of alcohol-dependent patients to promote relapse. However, it is unclear whether similar effects occur with alcohol-unrelated cues. We tested 116 early-abstinent alcohol-dependent patients and 91 healthy controls who completed a delay discounting task to assess choice impulsivity, and a Pavlovian-to-instrumental transfer (PIT) paradigm employing both alcohol-unrelated and alcohol-related stimuli. To modify instrumental choice behavior, we tiled the background of the computer screen either with conditioned stimuli (CS) previously generated by pairing abstract pictures with pictures indicating monetary gains or losses, or with pictures displaying alcohol or water beverages. CS paired to money gains and losses affected instrumental choices differently. This PIT effect was significantly more pronounced in patients compared to controls, and the group difference was mainly driven by highly impulsive patients. The PIT effect was particularly strong in trials in which the instrumental stimulus required inhibition of instrumental response behavior and the background CS was associated to monetary gains. Under that condition, patients performed inappropriate approach behavior, contrary to their previously formed behavioral intention. Surprisingly, the effect of alcohol and water pictures as background stimuli resembled that of aversive and appetitive CS, respectively. These findings suggest that positively valenced background CS can provoke dysfunctional instrumental approach behavior in impulsive alcohol-dependent patients. Consequently, in real life they might be easily seduced by environmental cues to engage in actions thwarting their long-term goals. Such behaviors may include, but are not limited to, approaching alcohol.

Indexed as

AdultAlcohol AbstinenceAlcoholismChoice BehaviorConditioning, OperantCuesDelay DiscountingFemaleHumansImpulsive BehaviorMaleMiddle AgedNeuropsychological Tests

Identifiers

PMID28763064
PMCPMC5611726
OpenAlexW2740903838

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.