Evidence map›Paper›PMID 30556903›Full record

ArticleAlcoholism, clinical and experimental research2019

Heterogeneous Dose-Response Analyses of Alcohol Abuse and Dependence.

Paul J Gruenewald, Christina Mair

Open access · greenAbstract read
In one paragraph

Article in Alcoholism, clinical and experimental research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.3field-weighted citation impact, top 36% 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

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. 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 2 institutions in 1 country.

Paul J GruenewaldPrevention Research Center , Pacific Institute for Research and Evaluation, Berkeley, California.ORCID 0000-0002-0474-9524
Christina MairDepartment of Behavioral and Community Health Sciences , Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania.
Pacific Institute For Research and Evaluation · USUniversity of Pittsburgh · US

Funding

Transitions and Alcohol Use in the Later Lifespan: Environmental and Individual-level InfluencesP60AA006282 · NIAAA · PACIFIC INSTITUTE FOR RES AND EVALUATION · PI PAUL J GRUENEWALD · 2003 to 2026
$41.2M
Dose-Response and Context-Specific Sexual Risks amongst College StudentsR21AA021438 · NIAAA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI MAIR, CHRISTINA FURBER · 2013 to 2014
$359k
NIAAA NIH HHS P60 AA006282NIAAA NIH HHS R21 AA021438
6 · The paper itself

Abstract

backgroundSurvey-based estimates of the prevalence of alcohol abuse, dependence, and disorders in the United States rely upon self-reports of drinking patterns (e.g., binge drinking), social problems (e.g., trouble at work), physiological responses to use (e.g., tolerance), and desistance from use (e.g., withdrawal). Diagnostic criteria derived from these reports enable prevalence estimates of abuse and dependence, but moderating structural relationships among symptom groups may lead some light and moderate drinkers to appear to exhibit an alcohol use disorder (AUD).

methodsA dynamic model of drinking and problems predicts that symptoms of dependence will moderate relationships between drinking measures and symptoms of abuse. Wave 1 National Epidemiologic Survey on Alcohol and Related Conditions data on DSM-IV diagnoses of abuse and dependence were used to test predictions from this model and assess whether moderating effects were observed among lighter and heavier drinkers (those who drink 1 to 3 vs. 4 or more drinks on average). A dose-response model that accounts for other known sources of risk heterogeneity related to drinking and problems enabled us to test these predictions.

resultsAs expected from previous work, symptoms of abuse and dependence and dependence criteria were nonlinearly related to drinking patterns; more symptom reports appeared and criteria were met among less frequent drinkers who drank more on each occasion and this pattern of dose-response was substantially moderated among heavier drinkers. Controlling for these effects, relationships between drinking and symptoms of abuse were moderated among respondents who met more dependence criteria. These effects were observed among both lighter and heavier drinkers.

conclusionsModerating relationships observed between measures of drinking, abuse, and dependence criteria among lighter and heavier drinkers suggest that the same etiologic forces are at play among all drinking groups. Greater symptoms of dependence among lighter drinkers may lead to greater reports of symptoms of abuse and an AUD diagnosis.

Indexed as

AdolescentAdultAlcohol DrinkingAlcoholismDose-Response Relationship, DrugEthanolFemaleHumansMaleMiddle AgedModels, PsychologicalYoung AdultEthanolAbuseAlcohol Use DisorderDependenceDrinking ProblemsDSM-IV

Identifiers

PMID30556903
PMCPMC6370497
OpenAlexW2904562641

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.