Evidence map›Paper›PMID 31198658›Full record

ReviewAlcohol research : current reviews2018

Pharmacotherapy for Co-Occurring Alcohol Use Disorder and Post-Traumatic Stress Disorder: Targeting the Opioidergic, Noradrenergic, Serotonergic, and GABAergic/Glutamatergic Systems.

Terril L Verplaetse, Sherry A McKee, Ismene L Petrakis

Abstract readReview
In one paragraph

Review in Alcohol research : current reviews, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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.

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

11 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. [Comorbidity of posttraumatic stress disorder and addiction from a biopsychosocial perspective].Neuropsychiatrie : Klinik, Diagnostik, Therapie und Rehabilitation : Organ der Gesellschaft Osterreichischer Nervenarzte und Psychiater · 2022
    Article
  10. Article
  11. 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

3 authors.

Terril L VerplaetseTerril L. Verplaetse, Ph.D., is an associate research scientist in the Department of Psychiatry, Yale School of Medicine, New Haven, Connecticut. Sherry A. McKee, Ph.D., is a professor of psychiatry at the Yale School of Medicine, New Haven, Connecticut. Ismene L. Petrakis, M.D., is a professor of psychiatry at the Yale School of Medicine, New Haven, Connecticut.
Sherry A McKeeTerril L. Verplaetse, Ph.D., is an associate research scientist in the Department of Psychiatry, Yale School of Medicine, New Haven, Connecticut. Sherry A. McKee, Ph.D., is a professor of psychiatry at the Yale School of Medicine, New Haven, Connecticut. Ismene L. Petrakis, M.D., is a professor of psychiatry at the Yale School of Medicine, New Haven, Connecticut.
Ismene L PetrakisTerril L. Verplaetse, Ph.D., is an associate research scientist in the Department of Psychiatry, Yale School of Medicine, New Haven, Connecticut. Sherry A. McKee, Ph.D., is a professor of psychiatry at the Yale School of Medicine, New Haven, Connecticut. Ismene L. Petrakis, M.D., is a professor of psychiatry at the Yale School of Medicine, New Haven, Connecticut.

Funding

Research Training Fellowship in Substance use and Addiction (RTFSA)T32DA007238 · NIDA · YALE UNIVERSITY · PI BRIAN D. KILUK, ISMENE L. PETRAKIS · 1988 to 2026
$5.7M
Does Guanfacine, an alpha2 adrenergic agonist, attenuate stress-induced drinking?R01AA022285 · NIAAA · YALE UNIVERSITY · PI MCKEE, SHERRY ANN · 2014 to 2017
$1.5M
NIAAA NIH HHS R01 AA022285NIDA NIH HHS T32 DA007238
6 · The paper itself

Abstract

Alcohol use disorder (AUD) and post-traumatic stress disorder (PTSD) are highly comorbid, and treatment outcomes are worse in individuals with both disorders. Several neurobiological systems have been implicated in the development and maintenance of AUD and PTSD, and pharmacologic interventions targeting these systems for singular diagnoses of AUD or PTSD have proven effective. However, there are no established treatments for co-occurring AUD and PTSD, and relatively few studies have examined potential pharmacotherapy for treating symptoms of both AUD and PTSD in comorbid populations. This review provides a brief overview of the studies to date on pharmacotherapeutic treatment interventions for comorbid AUD and PTSD and highlights future directions for promising targets that have potential in the treatment of individuals with this dual diagnosis. Clinical implications of these findings are also discussed. While current medications targeting the opioidergic, noradrenergic, serotonergic, and GABAergic/glutamatergic brain systems are only modestly efficacious in improving symptoms in individuals with comorbid AUD and PTSD, novel targets within these neurobiological systems may be clinically useful for treating alcohol use outcomes and PTSD symptom severity. More work is needed to optimize pharmacologic treatment strategies that target both alcohol-motivated behavior and PTSD-related symptoms in individuals with co-occurring AUD and PTSD.

Indexed as

ComorbidityAlcoholismBrainHumansNeurotransmitter AgentsStress Disorders, Post-TraumaticNeurotransmitter Agentsalcoholalcohol use disorder (AUD)comorbiditypharmacotherapypost-traumatic stresspost-traumatic stress disorder (PTSD)

Identifiers

PMID31198658
PMCPMC6561397

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Registered trials

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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.