Evidence map›Paper›PMID 32061544›Full record

ArticleBiological psychiatry. Cognitive neuroscience and neuroimaging2020

Heart Rate Variability, Cue-Evoked Ventromedial Prefrontal Cortical Response, and Problem Alcohol Use in Adult Drinkers.

Wuyi Wang, Simon Zhornitsky, Thang M Le, Sheng Zhang, Chiang-Shan R Li

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Biological psychiatry. Cognitive neuroscience and neuroimaging, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06800703 (Opioid Use Disorder and Pain), which is not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.1field-weighted citation impact, top 11% 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.

NCT06800703 recruitingnot on this mapstarted 2025, after this paper: background citation

Opioid Use Disorder and Pain

TypeobservationalSponsorYale UniversityRan2025 to 2028Enrolled180ConditionsOpioid Use Disorder, Healthy Controls Group - Age and Sex-matchedArmsfollow up interviews for 12 months to determine opioid use
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 25 citations in OpenAlex.

  1. Article
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  4. Polygenic Risks for Depression and Neural Responses to Reward and Punishment in Young Adults.Biological psychiatry. Cognitive neuroscience and neuroimaging · 2025
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  13. Heart Rate Variability as a Link Between Brain-Elicited Substance Cues and Substance Use Severity.Biological psychiatry. Cognitive neuroscience and neuroimaging · 2020
    Article
  14. Article
  15. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Wuyi WangDepartment of Psychiatry, Yale University School of Medicine, New Haven, Connecticut.
Simon ZhornitskyDepartment of Psychiatry, Yale University School of Medicine, New Haven, Connecticut.
Thang M LeDepartment of Psychiatry, Yale University School of Medicine, New Haven, Connecticut.
Sheng ZhangDepartment of Psychiatry, Yale University School of Medicine, New Haven, Connecticut.
Chiang-Shan R LiDepartment of Psychiatry, Yale University School of Medicine, New Haven, Connecticut; Department of Neuroscience, Yale University School of Medicine, New Haven, Connecticut; Department of Interdepartmental Neuroscience Program, Yale University, New Haven, Connecticut. Electronic address: chiang-shan.li@yale.edu.
Yale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Cerebral Correlates of Early Habitual DrinkingR01AA021449 · NIAAA · YALE UNIVERSITY · PI LI, CHIANG-SHAN RAY · 2013 to 2017
$1.2M
NCATS NIH HHS UL1 TR001863NIAAA NIH HHS R01 AA021449
6 · The paper itself

Abstract

backgroundMany studies employed cue exposure paradigms to investigate the neural processes underlying cue-elicited alcohol craving. Cue exposure elicits robust autonomic reactivity. However, whether or how cue-elicited autonomic response relates to the severity of alcohol misuse and the neural bases underlying the potential relationship remain unclear.

methodsWe examined cue-related brain activations in association with heart rate variability, as indexed by the root mean square of the successive differences (RMSSD), during alcohol versus neutral cue blocks in 50 adult alcohol drinkers (24 men). Imaging and heart rate variability data were collected and processed with published routines. Mediation analyses were conducted to examine the interrelationship between regional activities, cue-elicited changes in RMSSD, and the severity of problem alcohol use, as assessed with the Alcohol Use Disorders Identification Test (AUDIT).

resultsThe results showed higher RMSSD during alcohol than during neutral cue exposures, with alcohol (vs. neutral) cue-evoked RMSSD positively correlated with AUDIT score. Further, alcohol (vs. neutral) cue-elicited activity in the ventromedial prefrontal cortex was negatively correlated both with increases in RMSSD and with the AUDIT score. Mediation analyses suggested that the RMSSD mediated the relationship between ventromedial prefrontal cortex cue activity and the AUDIT score.

conclusionsThese findings substantiate the neural correlates of the presumably parasympathetic response during alcohol cue exposure and the interrelationship among ventromedial prefrontal cortex activity, autonomic response, and problem alcohol use.

Indexed as

AlcoholismAdultCravingCuesHeart RateHumansMalePrefrontal CortexAlcoholAutonomicCueHRVImagingVentromedial PFC

Identifiers

PMID32061544
PMCPMC7286768
OpenAlexW2997710392

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.