Evidence map›Paper›PMID 34120362›Full record

ArticleAlcoholism, clinical and experimental research2021

Altered effective connectivity of the reward network during an incentive-processing task in adults with alcohol use disorder.

Albert J Arias, Liangsuo Ma, James M Bjork, Christopher J Hammond, Yi Zhou, Andrew Snyder, Frederick Gerard Moeller

Open access · greenAbstract read
In one paragraph

Article in Alcoholism, clinical and experimental research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.1field-weighted citation impact, top 26% 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

12 citing papers in PubMed, 16 citations in OpenAlex.

  1. Aberrant cortico-striato-limbic functional connectivity to alcohol cues in co-occurring bipolar disorder and alcohol use disorder.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Article
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  4. ExoTMS transcranial magnetic stimulation for the reduction of binge eating symptoms.PCN reports : psychiatry and clinical neurosciences · 2025
    Article
  5. Article
  6. Article
  7. Altered Effective Connectivity During Threat Anticipation in Individuals With Alcohol Use Disorder.Biological psychiatry. Cognitive neuroscience and neuroimaging · 2025
    Article
  8. Article
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  10. Article
  11. Article
  12. Review
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 2 institutions in 1 country.

Albert J AriasInstitute for Drug and Alcohol Studies, Virginia Commonwealth University (VCU), Richmond, VA, USA.ORCID 0000-0002-3091-8504
Liangsuo MaInstitute for Drug and Alcohol Studies, Virginia Commonwealth University (VCU), Richmond, VA, USA.ORCID 0000-0002-8856-098X
James M BjorkInstitute for Drug and Alcohol Studies, Virginia Commonwealth University (VCU), Richmond, VA, USA.
Christopher J HammondDepartment of Psychiatry, Johns Hopkins University, Baltimore, MD, USA.
Yi ZhouDepartment of Psychiatry, Virginia Commonwealth University (VCU), Richmond, VA, USA.
Andrew SnyderInstitute for Drug and Alcohol Studies, Virginia Commonwealth University (VCU), Richmond, VA, USA.
Frederick Gerard MoellerInstitute for Drug and Alcohol Studies, Virginia Commonwealth University (VCU), Richmond, VA, USA.
Virginia Commonwealth University · USJohns Hopkins University · US

Funding

Mapping the Human Connectome: Structure, Function, and HeritabilityU54MH091657 · NIMH · WASHINGTON UNIVERSITY · PI UGURBIL, KAMIL, VAN ESSEN, DAVID C · 2010 to 2014
$34.7M
Research Supplement to Promote Diversity in Health Related ResearchUL1TR002649 · NCATS · VIRGINIA COMMONWEALTH UNIVERSITY · PI MOELLER, FREDERICK GERARD · 2018 to 2022
$19.1M
Zonisamide Treatment of Alcohol Use Disorder: An Evaluation of Efficacy and Mechanism of ActionR01AA024466 · NIAAA · YALE UNIVERSITY · PI ARIAS, ALBERT JOSEPH · 2016 to 2020
$2.7M
NCATS NIH HHS UL1 TR002649NCATS NIH HHS UL1TR002649NIAAA NIH HHS R01 AA024466NIAAA NIH HHS R01AA024466NIH HHS 1U54MH091657NIMH NIH HHS U54 MH091657
6 · The paper itself

Abstract

backgroundAbnormalities of reward sensitivity and impulsivity are known to be correlated with each other and alcohol use disorder (AUD) risk, but the underlying aberrant neural circuitry involved is not clearly defined. We sought to extend the current knowledge of AUD pathophysiology by studying incentive processing in persons with AUD using functional neuroimaging data.

methodsWe utilized functional MRI data from the Human Connectome Project Database obtained during performance of a number-guessing incentive-processing task with win, loss, and neutral feedback conditions in 78 participants with either DSM-IV alcohol abuse or dependence (combined as the AUD group) and 78 age- and sex-matched control (CON) participants. Within a network consisting of anterior cingulate cortex (ACC), dorsolateral prefrontal cortex (DLPFC), insula, ventral striatum, and dorsal striatum (DS) in the right hemisphere, we performed dynamic causal modeling analysis to test group-level differences (AUD vs. CON) in effective directional connectivity (EC) as modulated by "win" and "loss" conditions. We used linear regression analyses to characterize the relations between each EC outcome and measures of cumulative alcohol exposure and impulsivity.

resultsDuring wins, AUD participants had lower ECs from ACC to the other four nodes, greater ECs from insula to the other four nodes, greater ECs from DLPFC to the other four nodes, and greater DS to DS self-connection EC than CON participants. In the total sample, EC from the insula to the DLPFC (insula → DLPFC) during wins was positively correlated with both impulsivity (as measured by the delay-discounting task) and cumulative alcohol exposure. The DS to DS self-connection EC during wins was positively correlated with impulsivity. Many of the altered ECs from the ACC and insula to other nodes were correlated with cumulative alcohol exposure.

conclusionsIndividuals with AUD have disrupted EC in both instrumentally driven and automatized corticostriatal reward circuits during non-alcohol reward feedback. These results point to disrupted corticostriatal EC in both "top-down" and "bottom-up" pathways among individuals with AUD.

Indexed as

AdultAlcoholismCase-Control StudiesCerebral CortexCorpus StriatumDelay DiscountingFemaleHumansImpulsive BehaviorMagnetic Resonance ImagingMaleRewardalcohol use disorderDCMeffective connectivityrewardventral and dorsal pathways

Identifiers

PMID34120362
PMCPMC8742221
OpenAlexW3167092103

What OpenQuestion holds

Textmetadata
LicenceTDM
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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.