Evidence map›Paper›PMID 34753083›Full record

Trial reportDrug and alcohol dependence2021

Longitudinal changes in network engagement during cognitive control in cocaine use disorder.

Kristen P Morie, Elise E DeVito, Marc N Potenza, Patrick D Worhunsky

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Drug and alcohol dependence, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.3field-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

7 citing papers in PubMed, 14 citations in OpenAlex.

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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

4 authors at 1 institution in 1 country.

Kristen P MorieDepartment of Psychiatry, Yale University School of Medicine, New Haven, 06510 CT, USA. Electronic address: kristen.morie@yale.edu.
Elise E DeVitoDepartment of Psychiatry, Yale University School of Medicine, New Haven, 06510 CT, USA.
Marc N PotenzaDepartment of Psychiatry, Yale University School of Medicine, New Haven, 06510 CT, USA; Child Study Center, Yale University School of Medicine, New Haven, 06510 CT, USA; Department of Neuroscience, Yale University, New Haven, 06510 CT, USA; Connecticut Mental Health Center, New Haven 06519, USA; Connecticut Council on Problem Gambling, Wethersfield, 06109 CT, USA.
Patrick D WorhunskyDepartment of Psychiatry, Yale University School of Medicine, New Haven, 06510 CT, 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
TSF to enhance treatment of cocaine dependenceP50DA009241 · NIDA · YALE UNIVERSITY · PI CARROLL, KATHLEEN M. · 1994 to 2018
$40.5M
Computer-Based Training in Cognitve Behavioral TherapyR37DA015969 · NIDA · YALE UNIVERSITY · PI CARROLL, KATHLEEN M. · 2003 to 2009
$2.6M
Neural mechanisms of CBT in cocaine dependence (Gender Differences Supplement)R01DA035058 · NIDA · YALE UNIVERSITY · PI CARROLL, KATHLEEN M., POTENZA, MARC N · 2013 to 2016
$2.3M
fMRI of CBT and CM for Cocaine DependenceR01DA020908 · NIDA · YALE UNIVERSITY · PI POTENZA, MARC N · 2005 to 2009
$1.7M
Maximizing CBT's Efficacy with Medication &CMR01DA019078 · NIDA · YALE UNIVERSITY · PI CARROLL, KATHLEEN M. · 2005 to 2009
$1.6M
PSYCHOTHERAPY OF SUBSTANCE USE DISORDERSK05DA000457 · NIDA · YALE UNIVERSITY · PI CARROLL, KATHLEEN M. · 2000 to 2009
$1.2M
DIAGNOSIS &TREATMENT OF SUBSTANCE USE DISORDERSK05DA000089 · NIDA · YALE UNIVERSITY · PI ROUNSAVILLE, BRUCE JAMES · 1988 to 2008
$1.0M
Development of Reward Processing in prenatally exposed adolescents and young adultsK01DA042937 · NIDA · YALE UNIVERSITY · PI MORIE, KRISTEN PAULA · 2017 to 2021
$907k
Investigation of neurofunctional reorganization in cocaine addiction using mGluR5 PET and fMRIK01DA042998 · NIDA · YALE UNIVERSITY · PI WORHUNSKY, PATRICK D · 2017 to 2021
$900k
Functional networks related to cocaine dependence and its treatment and relapseR01DA039136 · NIDA · YALE UNIVERSITY · PI POTENZA, MARC N · 2016 to 2018
$754k
NCATS NIH HHS UL1 TR001863NIDA NIH HHS K01 DA042937NIDA NIH HHS K01 DA042998NIDA NIH HHS K05 DA000089NIDA NIH HHS K05 DA000457NIDA NIH HHS P50 DA009241NIDA NIH HHS R01 DA019078NIDA NIH HHS R01 DA020908NIDA NIH HHS R01 DA035058NIDA NIH HHS R01 DA039136NIDA NIH HHS R37 DA015969
6 · The paper itself

Abstract

backgroundCocaine use disorder (CUD) is characterized by poor cognitive control and has limited empirically supported treatment options. Furthermore, an understanding of brain mechanisms underlying CUD is at a relatively early stage. Thus, this study aimed to investigate longitudinal alterations in functional neural networks associated with cognitive control in cocaine use disorder (CUD).

methodsSecondary analysis was performed on data from 44 individuals who participated in three randomized clinical trials for CUD and completed an fMRI Stroop task both at baseline and post-treatment. Independent component analysis (ICA) was performed to assess changes in functional network engagement and investigate associations with cocaine-use behaviors. Mixed linear models were performed to test for longitudinal effects on network engagement and relationships with baseline patterns of cocaine use (i.e., past-month frequency and lifetime years of use) and periods of abstinence/use between scans (i.e., percent negative urine toxicology and maximum days of contiguous abstinence).

resultsSix functional networks were identified as being related to cognitive control and/or exhibiting changes in engagement following treatment. Results indicated that engagement of amygdala-striatal, middle frontal and right-frontoparietal networks were reduced over time in CUD. Less change in the amygdala-striatal network was associated with greater lifetime years of cocaine use. Additional analyses revealed that negative toxicology results and achievement of continuous abstinence were associated with greater engagement of the right-frontoparietal network.

conclusionsNeural systems that underlie cognitive control may change over time in individuals with CUD. A longer history of cocaine-use may hinder changes in network activity, potentially impeding recovery.

Indexed as

CocaineCocaine-Related DisordersSubstance-Related DisordersBrainCognitionHumansMagnetic Resonance ImagingCocaineCocaineFMRIImagingIndependent Component AnalysisLongitudinalTreatment

Identifiers

PMID34753083
PMCPMC8671376
OpenAlexW3209773823

What OpenQuestion holds

Textmetadata
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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.