Evidence map›Paper›PMID 30064320›Full record

ReviewNeurosurgical focus2018

Deep brain stimulation for the treatment of drug addiction.

Tony R Wang, Shayan Moosa, Robert F Dallapiazza, W Jeffrey Elias, Wendy J Lynch

Registry-linked trialOpen access · diamondAbstract readReview
In one paragraph

Review in Neurosurgical focus, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05845164 (Impulsivity Mediation Using Transcranial Direct Current Stimulation Paired With Acceptance Commitment Therapy as an Adjunctive Therapy for Substance Use Disorder), which is not on this map. Cited by 53 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 2 pooled it
7.6field-weighted citation impact, top 2% 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.

NCT05845164 naunknown statusnot on this mapstarted 2023, after this paper: background citation

Impulsivity Mediation Using Transcranial Direct Current Stimulation Paired With Acceptance Commitment Therapy as an Adjunctive Therapy for Substance Use Disorder

TypeinterventionalSponsorUniversity of ArizonaRan2023 to 2023Enrolled30ConditionsSubstance Use Disorders, Substance Abuse, Substance UseArmstDCS, tDCS Sham
3 · Its place in the literature

Who cites it

53 citing papers in PubMed, 2 syntheses or guidelines pooled it, 99 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. Article
  6. Review
  7. Review
  8. Article
  9. Review
  10. Review
  11. Article
  12. Modulation of Alcohol Use Disorder by Brain Stimulation.Current topics in behavioral neurosciences · 2025
    Review
  13. Punishment-resistant alcohol intake is mediated by the nucleus accumbens shell in female rats.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2024
    Article
  14. Review
  15. Review
  16. Article
  17. Neurosurgical neuromodulation therapy for psychiatric disorders.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2024
    Review
  18. Article
  19. Article
  20. 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

5 authors at 3 institutions in 2 countries.

Tony R Wang1Department of Neurological Surgery, University of Virginia, Charlottesville, Virginia.
Shayan Moosa1Department of Neurological Surgery, University of Virginia, Charlottesville, Virginia.
Robert F Dallapiazza2Division of Neurosurgery, Toronto Western Hospital University Health Network, Toronto, Ontario, Canada; and.
W Jeffrey Elias1Department of Neurological Surgery, University of Virginia, Charlottesville, Virginia.
Wendy J Lynch3Department of Psychiatry and Neurobehavioral Sciences, University of Virginia, Charlottesville, Virginia.
University of Virginia · USNeurological Surgery · USToronto Western Hospital · CA

Funding

Dopaminergic and Glutamatergic Mechanisms of Cocaine Addiction: Sex DifferencesR01DA024716 · NIDA · UNIVERSITY OF VIRGINIA · PI Wendy Jean Lynch · 2008 to 2026
$6.1M
Exercise as a Sex-Specific Intervention Strategy for Cocaine AddictionR01DA039093 · NIDA · UNIVERSITY OF VIRGINIA · PI LYNCH, WENDY JEAN · 2015 to 2019
$1.7M
NIDA NIH HHS R01 DA024716NIDA NIH HHS R01 DA039093
6 · The paper itself

Abstract

Drug addiction represents a significant public health concern that has high rates of relapse despite optimal medical therapy and rehabilitation support. New therapies are needed, and deep brain stimulation (DBS) may be an effective treatment. The past 15 years have seen numerous animal DBS studies for addiction to various drugs of abuse, with most reporting decreases in drug-seeking behavior with stimulation. The most common target for stimulation has been the nucleus accumbens, a key structure in the mesolimbic reward pathway. In addiction, the mesolimbic reward pathway undergoes a series of neuroplastic changes. Chief among them is a relative hypofunctioning of the prefrontal cortex, which is thought to lead to the diminished impulse control that is characteristic of drug addiction. The prefrontal cortex, as well as other targets involved in drug addiction such as the lateral habenula, hypothalamus, insula, and subthalamic nucleus have also been stimulated in animals, with encouraging results. Although animal studies have largely shown promising results, current DBS studies for drug addiction primarily use stimulation during active drug use. More data are needed on the effect of DBS during withdrawal in preventing future relapse. The published human experience for DBS for drug addiction is currently limited to several promising case series or case reports that are not controlled. Further animal and human work is needed to determine what role DBS can play in the treatment of drug addiction.

Indexed as

Deep Brain StimulationAnimalsBrainHumansNeurosurgical ProceduresSubstance-Related DisordersSubthalamic NucleusTreatment OutcomeDBS = deep brain stimulationDDS = dopamine dysregulation syndromedeep brain stimulationdrug addictionERN = error-related negativityNAc = nucleus accumbensneuromodulationnucleus accumbensOCD = obsessive-compulsive disorderPD = Parkinson diseasePFC = prefrontal cortexprefrontal cortexRI = reinstatementSA = self-administrationSTN = subthalamic nucleus

Identifiers

PMID30064320
PMCPMC6329833
OpenAlexW2885415160

What OpenQuestion holds

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Read underepoch 390

Registered trials

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.