Evidence map›Paper›PMID 30268937›Full record

ArticleDrug and alcohol dependence2018

The neural representation of the association between comorbid drug use disorders and childhood maltreatment.

Bradford S Martins, Ricardo Cáceda, Josh M Cisler, Clinton D Kilts, G Andrew James

Abstract read
In one paragraph

Article in Drug and alcohol dependence, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

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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

1 citing paper in PubMed.

  1. 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

5 authors.

Bradford S MartinsPsychiatric Research Institute, University of Arkansas for Medical Sciences, 4301 West Markham Street, Little Rock, AR, 72205, USA. Electronic address: BMartins@uams.edu.
Ricardo CácedaPsychiatric Research Institute, University of Arkansas for Medical Sciences, 4301 West Markham Street, Little Rock, AR, 72205, USA; Stony Brook University, Department of Psychiatry, Stony Brook, NY, 11794, USA.
Josh M CislerPsychiatric Research Institute, University of Arkansas for Medical Sciences, 4301 West Markham Street, Little Rock, AR, 72205, USA; University of Wisconsin-Madison, Department of Psychiatry, Madison, WI, 53706, USA.
Clinton D KiltsPsychiatric Research Institute, University of Arkansas for Medical Sciences, 4301 West Markham Street, Little Rock, AR, 72205, USA.
G Andrew JamesPsychiatric Research Institute, University of Arkansas for Medical Sciences, 4301 West Markham Street, Little Rock, AR, 72205, USA.

Funding

Arkansas Center for Clinical and Translational ResearchUL1TR000039 · NCATS · UNIV OF ARKANSAS FOR MED SCIS · PI BECK, CORNELIA MARIE, JAMES, LAURA P · 2012 to 2014
$10.0M
Translational Training in AddictionT32DA022981 · NIDA · UNIV OF ARKANSAS FOR MED SCIS · PI Melissa Jean Zielinski · 2009 to 2026
$6.1M
An fMRI Study of the Impact of Stress on Drug AddictionR01DA019999 · NIDA · UNIV OF ARKANSAS FOR MED SCIS · PI KILTS, CLINTON D · 2007 to 2010
$1.3M
Arkansas Center for Clinical Translational ResearchKL2TR000063 · NCATS · UNIV OF ARKANSAS FOR MED SCIS · PI BECK, CORNELIA MARIE, JAMES, LAURA P · 2012 to 2014
$459k
Multi-Level Modeling of Addiction ComorbidityF30DA043928 · NIDA · UNIV OF ARKANSAS FOR MED SCIS · PI MARTINS, BRADFORD · 2018 to 2020
$101k
NCATS NIH HHS KL2 TR000063NCATS NIH HHS UL1 TR000039NIDA NIH HHS F30 DA043928NIDA NIH HHS R01 DA019999NIDA NIH HHS T32 DA022981
6 · The paper itself

Abstract

backgroundComorbidity of drug use disorders (DUD) with other psychopathology is associated with worse functional and treatment outcomes than DUD alone. The present study sought to identify altered functional neural circuitry underlying DUD comorbidity with other psychiatric disorders, and model the relationship of these alterations to childhood trauma (Childhood Trauma Questionnaire) and negative self-beliefs (Beck Depression Inventory).

methodsA sample of adult men and women (mean = 36.8 years) with childhood maltreatment histories (n = 81) was allocated into the following groups based on psychiatric diagnoses and drug use history: no current or past psychiatric disorders (trauma control sample, n = 20), DUD only (n = 22), psychopathology only (n = 20), and DUD comorbid with other psychiatric illness (DCoP, n = 25).

resultsMultiple regression of seed-based resting-state fMRI, controlling for age and sex, identified a functional connection between the right rostral anterior cingulate cortex (rACC) and left temporoparietal junction (TPJ) that was significantly increased in DCoP females, relative to the other clinical and control groups. Within the DCoP female sample, mediation analysis demonstrated that strength of connectivity between the subgenual cingulate cortex and both the right anterior insula and rostral lateral prefrontal cortex significantly mediated the relationship between increasing physical abuse and self-criticism with age as a moderator.

conclusionsThis study related sex-dependent alterations in functional organization of the prefrontal cortex with DCoP that are, in turn, related to magnitude of negative self-beliefs to childhood trauma exposure. Additionally, DCoP-selective alterations in rACC connectivity suggest that the neural correlates of DCoP do not represent linear additive contributions from two independent disorders.

Indexed as

AdultChildChild AbuseCohort StudiesComorbidityFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedNeural PathwaysPrefrontal CortexPsychiatric Status Rating ScalesSubstance-Related DisordersSurveys and QuestionnairesAddictionChildhood traumaComorbidityFunctional connectivityResting-state fMRISelf-belief

Identifiers

PMID30268937
PMCPMC6375711

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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.