Evidence map›Paper›PMID 32231315›Full record

ReviewNature reviews. Neuroscience2020

The transition to compulsion in addiction.

Christian Lüscher, Trevor W Robbins, Barry J Everitt

Open access · greenAbstract readReview
In one paragraph

Review in Nature reviews. Neuroscience, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 244 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
244citing papers in PubMed, 2 pooled it
29.9field-weighted citation impact, top 1% 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

244 citing papers in PubMed, 2 syntheses or guidelines pooled it, 469 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
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  9. Administration of an extrasynaptic δ-subunit GABAJournal of psychopharmacology (Oxford, England) · 2026
    Article
  10. Review
  11. Article
  12. Article
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  15. A manifesto for theoretical innovation.Addiction (Abingdon, England) · 2026
    Article
  16. Article
  17. Review
  18. Adenosine APsychopharmacology · 2026
    Article
  19. Article
  20. Review

184 more citing papers are in PubMed but not listed here.

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 at 2 institutions in 3 countries.

Christian LüscherDepartment of Basic Neurosciences, University of Geneva, Geneva, Switzerland. christian.luscher@unige.ch.ORCID http://orcid.org/0000-0001-7917-4596
Trevor W RobbinsBehavioural and Clinical Neuroscience Institute, Department of Psychology, University of Cambridge, Cambridge, UK. twr2@cam.ac.uk.ORCID http://orcid.org/0000-0003-0642-5977
Barry J EverittBehavioural and Clinical Neuroscience Institute, Department of Psychology, University of Cambridge, Cambridge, UK. bje10@cam.ac.uk.ORCID http://orcid.org/0000-0003-4431-6536
University of Cambridge · GBUniversity of Geneva · CH

Funding

European Research Council 883746Medical Research Council MR/N02530X/1Wellcome TrustWellcome Trust 104631/Z/14/Z/
6 · The paper itself

Abstract

Compulsion is a cardinal symptom of drug addiction (severe substance use disorder). However, compulsion is observed in only a small proportion of individuals who repeatedly seek and use addictive substances. Here, we integrate accounts of the neuropharmacological mechanisms that underlie the transition to compulsion with overarching learning theories, to outline how compulsion develops in addiction. Importantly, we emphasize the conceptual distinctions between compulsive drug-seeking behaviour and compulsive drug-taking behaviour (that is, use). In the latter, an individual cannot stop using a drug despite major negative consequences, possibly reflecting an imbalance in frontostriatal circuits that encode reward and aversion. By contrast, an individual may compulsively seek drugs (that is, persist in seeking drugs despite the negative consequences of doing so) when the neural systems that underlie habitual behaviour dominate goal-directed behavioural systems, and when executive control over this maladaptive behaviour is diminished. This distinction between different aspects of addiction may help to identify its neural substrates and new treatment strategies.

Indexed as

AnimalsBehavior, AddictiveCompulsive BehaviorDrug-Seeking BehaviorHumansNeural PathwaysReinforcement, PsychologySubstance-Related Disorders

Identifiers

PMID32231315
PMCPMC7610550
OpenAlexW3013064929

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.