Evidence map›Paper›PMID 28823835›Full record

ArticleDrug and alcohol dependence2017

Sex differences in guanfacine effects on stress-induced stroop performance in cocaine dependence.

Verica Milivojevic, Helen C Fox, Nitya Jayaram-Lindstrom, Gretchen Hermes, Rajita Sinha

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 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–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

17 citing papers in PubMed.

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  16. Dorsal BNST αThe Journal of neuroscience : the official journal of the Society for Neuroscience · 2018
    Article
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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.

Verica MilivojevicThe Yale Stress Center, Yale University School of Medicine, Department of Psychiatry 2 Church Street South, Suite 209, New Haven, CT, 06519, USA. Electronic address: verica.milivojevic@yale.edu.
Helen C FoxStony Brook University, Health Sciences Center, T10-040B, Stony Brook, NY, 11794, USA.
Nitya Jayaram-LindstromCentre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, and Stockholm Health Care Services, Stockholm County Council, Stockholm, Sweden.
Gretchen HermesThe Yale Stress Center, Yale University School of Medicine, Department of Psychiatry 2 Church Street South, Suite 209, New Haven, CT, 06519, USA; APT Foundation, One Long Wharf Drive, New Haven, CT, 065111, USA.
Rajita SinhaThe Yale Stress Center, Yale University School of Medicine, Department of Psychiatry 2 Church Street South, Suite 209, New Haven, CT, 06519, USA.

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
Sex Differences in Stress Related RelapseP50DA016556 · NIDA · YALE UNIVERSITY · PI SINHA, RAJITA · 2002 to 2011
$10.4M
Chronic Alcohol and Brain Stress Circuit ResponseR01AA013892 · NIAAA · YALE UNIVERSITY · PI Rajita Sinha · 2003 to 2026
$10.1M
Research Training Fellowship in Substance use and Addiction (RTFSA)T32DA007238 · NIDA · YALE UNIVERSITY · PI BRIAN D. KILUK, ISMENE L. PETRAKIS · 1988 to 2026
$5.7M
Protocols, Statistics, Collaborative Method Development and ToolsPL1DA024859 · NIDA · YALE UNIVERSITY · PI SINHA, RAJITA · 2007 to 2011
$3.6M
Development of Guanfacine to decrease drug craving, anxiety and cocaine relapse rR01DA027130 · NIDA · YALE UNIVERSITY · PI SINHA, RAJITA · 2009 to 2011
$1.0M
Cognitive Processes for Pharmacotherapy Development and Treatment Outcome IncocaK01DA029040 · NIDA · YALE UNIVERSITY · PI FOX, HELEN CECILIA · 2010 to 2014
$772k
Cognitive targets for medications development in early abstinent alcoholicsK02AA023566 · NIAAA · STATE UNIVERSITY NEW YORK STONY BROOK · PI FOX, HELEN CECILIA · 2016 to 2020
$643k
NCATS NIH HHS UL1 TR001863NIAAA NIH HHS K02 AA023566NIAAA NIH HHS L30 AA022513NIAAA NIH HHS R01 AA013892NIDA NIH HHS K01 DA029040NIDA NIH HHS P50 DA016556NIDA NIH HHS PL1 DA024859NIDA NIH HHS R01 DA027130NIDA NIH HHS T32 DA007238
6 · The paper itself

Abstract

aimsChronic drug abuse leads to sex-specific changes in drug cue and stress physiologic and neuroendocrine reactivity as well as in neural responses to stress and cue-related challenges and in executive function such as inhibitory control, cognitive flexibility and self control. Importantly, these functions have been associated with high risk of relapse and treatment. Alpha-2 agonism may enhance inhibitory cognitive processes in the face of stress with sex-specific effects, however this has not been previously assessed in cocaine dependence.

methodForty inpatient treatment-seeking cocaine dependent individuals (13F/27M) were randomly assigned to receive either placebo or up to 3mgs of Guanfacine. Three laboratory sessions were conducted following 3-4 weeks of abstinence, where patients were exposed to three 10-min personalized guided imagery conditions (stress, drug cue, combined stress/cue), one per day, on consecutive days in a random, counterbalanced order. The Stroop task was administered at baseline and immediately following imagery exposure.

resultsGuanfacine treated women improved their performance on the Stroop task following exposure to all 3 imagery conditions compared with placebo women (p=0.02). This improvement in cognitive inhibitory performance was not observed in the men.

conclusionsEnhancing the ability to cognitively regulate in the face of stress, drug cues and combined stress and drug cue reactivity may be key targets for medications development in cocaine dependent women.

Indexed as

Sex CharacteristicsCocaineCocaine-Related DisordersCuesFemaleGuanfacineHumansMaleStress, PsychologicalStroop TestCocaineGuanfacineCocaine dependenceCognitive inhibitory performanceGenderGuanfacineStress

Identifiers

PMID28823835
PMCPMC5599361

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.