Evidence map›Paper›PMID 29623354›Full record

Trial reportPsychopharmacology2018

Appetitive startle modulation in the human laboratory predicts Cannabis craving in the natural environment.

Ethan H Mereish, Hayley Treloar Padovano, Stephanie Wemm, Robert Miranda

Erratum issuedOpen access · greenAbstract readClinical Trial
In one paragraph

Trial report in Psychopharmacology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 45% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Ethan H MereishCenter for Alcohol and Addiction Studies, Brown University, Box S121-5, Providence, RI, 02912, USA.
Hayley Treloar PadovanoCenter for Alcohol and Addiction Studies, Brown University, Box S121-5, Providence, RI, 02912, USA.
Stephanie WemmCenter for Alcohol and Addiction Studies, Brown University, Box S121-5, Providence, RI, 02912, USA.
Robert MirandaCenter for Alcohol and Addiction Studies, Brown University, Box S121-5, Providence, RI, 02912, USA. Robert_Miranda_Jr@brown.edu.
Brown University · US

Funding

NALTREXONE, CRAVING AND DRINKING: ECOLOGICAL ASSESSMENTR01AA007850 · NIAAA · BROWN UNIVERSITY · PI MIRANDA, ROBERT · 1988 to 2015
$8.4M
Mentored Patient-Oriented Research on Adolescent Alcohol Misuse and TreatmentK24AA026326 · NIAAA · BROWN UNIVERSITY · PI ROBERT MIRANDA · 2018 to 2026
$1.7M
Biobehavioral effects of topiramate on cannabis-related outcomes in adolescentsR01DA026778 · NIDA · BROWN UNIVERSITY · PI MIRANDA, ROBERT · 2009 to 2010
$1.1M
Novel Approaches to Understanding How Alcohol Pathology Develops in AdolescentsK23AA024808 · NIAAA · BROWN UNIVERSITY · PI TRELOAR PADOVANO, HAYLEY · 2017 to 2021
$973k
Minority Stress Reactivity and Hazardous DrinkingK08AA025011 · NIAAA · AMERICAN UNIVERSITY · PI MEREISH, ETHAN H. · 2017 to 2021
$846k
NIAAA NIH HHS K08 AA025011NIAAA NIH HHS K23 AA024808NIAAA NIH HHS K24 AA026326NIAAA NIH HHS R01 AA007850NIDA NIH HHS R01 DA026778
6 · The paper itself

Abstract

rationaleDrug-related cues evoke craving and stimulate motivational systems in the brain. The acoustic startle reflex captures activation of these motivational processes and affords a unique measure of reactivity to drug cues.

objectivesThis study examined the effects of cannabis-related cues on subjective and eye blink startle reactivity in the human laboratory and tested whether these effects predicted youth's cue-elicited cannabis craving in the natural environment.

methodsParticipants were 55 frequent cannabis users, ages 16 to 24 years (M = 19.9, SD = 1.9; 55% male; 56% met criteria for cannabis dependence), who were recruited from a clinical trial to reduce cannabis use. Eye blink electromyographic activity was recorded in response to acoustic probes that elicited startle reactivity while participants viewed pleasant, unpleasant, neutral, and cannabis picture cues. Following the startle assessment, participants completed an ecological momentary assessment protocol that involved repeated assessments of cue-elicited craving in real time in their real-world environments.

resultsMultilevel models included the presence or absence of visible cannabis cues in the natural environment, startle magnitude, and the cross-level interaction of cues by startle to test whether cue-modulated startle reactivity in the laboratory was associated with cue-elicited craving in the natural environment. Analyses showed that cannabis-related stimuli evoked an appetitive startle response pattern in the laboratory, and this effect was associated with increased cue-elicited craving in the natural environment, b = - 0.15, p = .022, 95% CI [- 0.28, - 0.02]. Pleasant stimuli also evoked an appetitive response pattern, but in this case, blunted response was associated with increased cue-elicited craving in the natural environment, b = 0.27, p < .001, 95% CI [0.12, 0.43].

conclusionsOur findings support cue-modulated startle reactivity as an index of the phenotypic expression of cue-elicited cannabis craving.

Indexed as

Social EnvironmentAcoustic StimulationAdolescentAdultAppetitive BehaviorBlinkingCravingCuesEmotionsFemaleHumansMaleMarijuana AbuseMotivationPhotic StimulationPredictive Value of TestsCraving, CannabisCuesStartle responseYouth

Identifiers

PMID29623354
PMCPMC6015780
OpenAlexW2796460213

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.