Evidence map›Paper›PMID 30382728›Full record

Trial reportExperimental and clinical psychopharmacology2019

Effects of oxytocin on stress reactivity and craving in veterans with co-occurring PTSD and alcohol use disorder.

Julianne C Flanagan, Nicholas P Allan, Casey D Calhoun, Christal L Badour, Megan Moran-Santa Maria, Kathleen T Brady, Sudie E Back

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Experimental and clinical psychopharmacology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
4.5field-weighted citation impact, top 6% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

  1. Pharmacotherapy for post traumatic stress disorder (PTSD).The Cochrane database of systematic reviews · 2022
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  11. The Relationship Between Oxytocin and Alcohol Dependence.Current topics in behavioral neurosciences · 2025
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  18. Alcohol and oxytocin: Scrutinizing the relationship.Neuroscience and biobehavioral reviews · 2021
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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

7 authors at 3 institutions in 1 country.

Julianne C FlanaganDepartment of Psychiatry and Behavioral Sciences, Addiction Sciences Division, Medical University of South Carolina.
Nicholas P AllanDepartment of Psychology, Ohio University.
Casey D CalhounDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina.
Christal L BadourDepartment of Psychology, University of Kentucky.
Megan Moran-Santa MariaDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina.
Kathleen T BradyDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina.
Sudie E BackDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina.
Medical University of South Carolina · USOhio University · USUniversity of Kentucky · US

Funding

Supplement for Kentucky BIRCWH Program: Training the Next Generation of Women's Health Scholars: Dr. ConnerK12DA035150 · NIDA · UNIVERSITY OF KENTUCKY · PI Thomas E Curry · 2012 to 2026
$9.0M
Integrating Neurobiology and Neuroimaging into Research on Addiction and PTSDK02DA039229 · NIDA · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI BACK, SUDIE E · 2015 to 2019
$779k
Effects of Oxytocin on Alcohol Craving and Intimate Partner AggressionK23AA023845 · NIAAA · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI FLANAGAN, JULIANNE CHRISTINA · 2016 to 2019
$774k
Department of DefenseNational Institute on Alcohol Abuse and AlcoholismNational Institute on Drug AbuseNIAAA NIH HHS K23 AA023845NIDA NIH HHS K02 DA039229NIDA NIH HHS K12 DA035150
6 · The paper itself

Abstract

Posttraumatic stress disorder (PTSD) and alcohol use disorder (AUD) are highly prevalent and commonly co-occur. The dual diagnosis of PTSD/AUD is associated with serious negative sequalae, and there are currently no effective pharmacological treatments for this comorbidity. Both PTSD and AUD are characterized by dysregulation of the hypothalamic-pituitary-adrenal (HPA) axis, which helps modulate stress reactivity. Oxytocin, a neuropeptide that attenuates HPA axis dysregulation, may be beneficial for individuals with co-occurring PTSD/AUD. Thus, the current study examined the effects of intranasal oxytocin (40 IU) as compared with placebo on stress reactivity (e.g., cortisol) as well as subjective alcohol craving in response to a laboratory stress task (Trier Social Stress Task). Participants were 67 male U.S. military veterans with current PTSD and AUD (oxytocin n = 32, placebo n = 35; overall mean age = 49.06 years). Baseline cortisol levels were examined as a moderator of outcome. The findings revealed that oxytocin marginally attenuated cortisol reactivity in response to the stress task. Furthermore, oxytocin's effect was moderated by baseline cortisol level, such that oxytocin mitigated cortisol reactivity to a greater extent among participants with higher, as compared with lower, baseline cortisol. Oxytocin did not reduce craving. Although preliminary, the findings are the first to examine oxytocin in co-occurring PTSD/AUD. The findings from this study contribute to the growing literature examining the potential utility of oxytocin among individuals with psychiatric disorders, such as PTSD and substance use disorders. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Indexed as

AlcoholismCravingStress Disorders, Post-TraumaticAdministration, IntranasalDiagnosis, Dual (Psychiatry)Double-Blind MethodDrug MonitoringFemaleHumansHydrocortisoneMaleMiddle AgedOxytocinPsychological TechniquesPsychotropic DrugsStress, PsychologicalHydrocortisoneOxytocinPsychotropic Drugs

Identifiers

PMID30382728
PMCPMC6355345
OpenAlexW2898926801

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.