Evidence map›Paper›PMID 28938184›Full record

ArticleDrug and alcohol dependence2017

Preliminary evidence that reactivity to uncertain threat is an endophenotype for alcohol use disorder.

Stephanie M Gorka, Stewart A Shankman

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 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.1field-weighted citation impact, top 27% 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

18 citing papers in PubMed, 24 citations in OpenAlex.

  1. Longitudinal associations between binge drinking and changes in behavioral and neural threat reactivity in youth.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Article
  2. Altered Effective Connectivity During Threat Anticipation in Individuals With Alcohol Use Disorder.Biological psychiatry. Cognitive neuroscience and neuroimaging · 2025
    Article
  3. Article
  4. Article
  5. Impact of handgun ownership and biological sex on startle reactivity to predictable and unpredictable threats.International journal of psychophysiology : official journal of the International Organization of Psychophysiology · 2024
    Article
  6. Article
  7. Behavioral and brain reactivity to uncertain stress prospectively predicts binge drinking in youth.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2023
    Article
  8. Article
  9. Article
  10. Alcohol's effects during uncertain and uncontrollable stressors in the laboratory.Clinical psychological science : a journal of the Association for Psychological Science · 2022
    Article
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  12. Review
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  18. Transdiagnostic physiological correlates of unpredictable threat anticipation.International journal of clinical and health psychology : IJCHP
    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

2 authors at 1 institution in 1 country.

Stephanie M GorkaUniversity of Illinois-Chicago, Department of Psychiatry, 1747 West Roosevelt Road, Chicago, IL 60608, United States. Electronic address: sgorka2@uic.edu.
Stewart A ShankmanUniversity of Illinois-Chicago, Department of Psychiatry, 1747 West Roosevelt Road, Chicago, IL 60608, United States; University of Illinois-Chicago, Department of Psychology, 1007 West Harrison St. (M/C 285), Chicago, IL 60607, United States.
University of Illinois Chicago · US

Funding

Family Study of Reward and Threat Sensitivity in Internalizing PsychopathologyR01MH098093 · NIMH · UNIVERSITY OF ILLINOIS AT CHICAGO · PI SHANKMAN, STEWART AARON · 2012 to 2015
$2.7M
Brain-Behavior Reactivity to Threat and Alcohol Abuse Risk in Young AdultsK23AA025111 · NIAAA · UNIVERSITY OF ILLINOIS AT CHICAGO · PI GORKA, STEPHANIE · 2017 to 2020
$764k
NIAAA NIH HHS K23 AA025111NIMH NIH HHS R01 MH098093
6 · The paper itself

Abstract

backgroundHaving an exaggerated reactivity to threats that are uncertain (U-threat) may facilitate the initiation and maintenance of excessive alcohol use in some individuals. This abnormality may not just be a concomitant for alcohol use disorder (AUD), but also an endophenotype for AUD.

methodThe aim of the current study was therefore to provide a preliminary test of whether U-threat is an endophenotype for AUD using several of the endophenotype criteria outlined by Gottesman and Gould (2003). Specifically, the study examined whether heightened U-threat reactivity is evidenced in those with: 1) current AUD; 2) remitted AUD (early and sustained remission examined separately); and 3) at-risk for AUD by virtue of having a positive family history of AUD. Participants (N = 147) completed a well-validated threat-of-shock task and startle eyeblink potentiation was collected as an index of aversive responding. Individuals and all available first-degree family members were diagnosed using structured clinical interviews.

resultsIndividuals at-risk for AUD, with current AUD, and AUD in remission (both early and sustained) all displayed exaggerated reactivity to U-threat, but not predictable threat, compared with non-AUD controls. Moreover, there were no significant differences between the at-risk and any of the AUD groups indicating that exaggerated reactivity to U-threat is relatively state-independent and present regardless of current AUD disease status.

conclusionsThe findings together highlight that exaggerated reactivity to U-threat may be a promising endophenotype for AUD that can aid in the refinement of mechanistic AUD disease models.

Indexed as

EndophenotypesAlcoholismHumansUncertaintyAlcohol use disorderEndophenotypeStartle potentiationUncertain threat

Identifiers

PMID28938184
PMCPMC5679723
OpenAlexW2756448437

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.