Evidence map›Paper›PMID 33211853›Full record

ArticleThe international journal of neuropsychopharmacology2021

The Neural Processes Interlinking Social Isolation, Social Support, and Problem Alcohol Use.

Thang M Le, Wuyi Wang, Simon Zhornitsky, Isha Dhingra, Yu Chen, Sheng Zhang, Chiang-Shan R Li

Open access · goldAbstract read
In one paragraph

Article in The international journal of neuropsychopharmacology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 21% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
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  12. The Associations Between Physical Activity and Mental Health Problems in Middle-aged Indonesians.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2024
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  19. Covid-19 and alcohol associated liver disease.Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver · 2022
    Review
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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 1 institution in 1 country.

Thang M LeDepartment of Psychiatry, Yale University School of Medicine, New Haven, Connecticut, USA.
Wuyi WangDepartment of Psychiatry, Yale University School of Medicine, New Haven, Connecticut, USA.
Simon ZhornitskyDepartment of Psychiatry, Yale University School of Medicine, New Haven, Connecticut, USA.
Isha DhingraDepartment of Psychiatry, Yale University School of Medicine, New Haven, Connecticut, USA.
Yu ChenDepartment of Psychiatry, Yale University School of Medicine, New Haven, Connecticut, USA.
Sheng ZhangDepartment of Psychiatry, Yale University School of Medicine, New Haven, Connecticut, USA.
Chiang-Shan R LiDepartment of Neuroscience, Yale University School of Medicine, New Haven, Connecticut, USA.
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
NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

backgroundSubjective feeling of social isolation, as can be measured by perceived burdensomeness (PB), is a major risk factor for alcohol misuse. Heightened PB is associated with elevated stress response and diminished cognitive control, both of which contribute to problem drinking. Here, we sought to identify the neural substrates underlying the relationship between PB and alcohol misuse.

methodsWe employed resting-state functional magnetic resonance imaging data collected from 61 problem drinkers to characterize the functional connectivity of the hypothalamus and ventral striatum (VS) in relation to PB. We specifically examined whether the connectivities of the hypothalamus and VS were differentially influenced by PB to produce contrasting effects on alcohol use. Finally, we evaluated how individual differences in social support modulate the inter-relationships of social isolation, neural connectivity, and the severity of problem drinking.

resultsWhole-brain multiple regressions show a positive relationship between PB and hypothalamic connectivity with the hippocampus and an inverse pattern for VS connectivity with the middle frontal gyrus. Difference in strength between the 2 connectivities predicted the severity of problem drinking, suggesting an imbalance involving elevated hypothalamic and diminished prefrontal cortical modulation in socially isolated problem drinkers. A path analysis further revealed that the lack of social support was associated with a bias toward low prefrontal connectivity, which in turn increased PB and facilitated problem drinking.

conclusionsAltered hypothalamus and VS connectivity may underlie problem drinking induced by social isolation. The current findings also highlight the important role of social support as a potential protective factor against alcohol misuse.

Indexed as

ConnectomeSelf ConceptSocial IsolationSocial SupportAdultAlcoholismFemaleHumansHypothalamusMagnetic Resonance ImagingMaleMiddle AgedPatient AcuityVentral StriatumYoung AdulthypothalamusPerceived burdensomenessproblem drinkingsocial supportventral striatum

Identifiers

PMID33211853
PMCPMC8059487
OpenAlexW3105021484

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.