Evidence map›Paper›PMID 34976573›Full record

ReviewAlcohol research : current reviews2021

The Convergent Neuroscience of Affective Pain and Substance Use Disorder.

Amanda R Pahng, Scott Edwards

Open access · bronzeAbstract readReview
In one paragraph

Review in Alcohol research : current reviews, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

16 citing papers in PubMed, 23 citations in OpenAlex.

  1. Review
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  15. The hidden risks of alcohol use for pain relief.Alcohol, clinical & experimental research · 2023
    Article
  16. Article
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

2 authors at 1 institution in 1 country.

Amanda R PahngSoutheast Louisiana Veterans Health Care System, New Orleans, Louisiana.
Scott EdwardsDepartment of Physiology, Louisiana State University Health Sciences Center-New Orleans, New Orleans, Louisiana.
Southeast Louisiana Veterans Health Care System · US

Funding

Translational Research/Education ComponentP60AA009803 · NIAAA · LSU HEALTH SCIENCES CENTER · PI PATRICIA E. MOLINA · 2004 to 2026
$42.6M
Vasopressin Signaling in Pain and Alcohol DependenceR01AA025996 · NIAAA · LSU HEALTH SCIENCES CENTER · PI EDWARDS, SCOTT · 2018 to 2022
$1.7M
BLRD VA IK2 BX004334NIAAA NIH HHS P60 AA009803NIAAA NIH HHS R01 AA025996
6 · The paper itself

Abstract

Opioids and alcohol are widely used to relieve pain, with their analgesic efficacy stemming from rapid actions on both spinal and supraspinal nociceptive centers. As an extension of these relationships, both substances can be misused in attempts to manage negative affective symptoms stemming from chronic pain. Moreover, excessive use of opioids or alcohol facilitates the development of substance use disorder (SUD) as well as hyperalgesia, or enhanced pain sensitivity. Shared neurobiological mechanisms that promote hyperalgesia development in the context of SUD represent viable candidates for therapeutic intervention, with the ideal strategy capable of reducing both excessive substance use as well as pain symptoms simultaneously. Neurocognitive symptoms associated with SUD, ranging from poor risk management to the affective dimension of pain, are likely mediated by altered activities of key anatomical elements that modulate executive and interoceptive functions, including contributions from key frontocortical regions. To aid future discoveries, novel and translationally valid animal models of chronic pain and SUD remain under intense development and continued refinement. With these tools, future research strategies targeting severe SUD should focus on the common neurobiology between negative reinforcement and affective elements of pain, possibly by reducing excessive stress hormone and neurotransmitter activity within shared circuitry.

Indexed as

Chronic PainNeurosciencesSubstance-Related DisordersAnalgesics, OpioidAnimalsHyperalgesiaAnalgesics, Opioidalcoholcingulate cortexinsulaopioidspainreinforcement

Identifiers

PMID34976573
PMCPMC8700315
OpenAlexW4206687939

What OpenQuestion holds

Textmetadata
LicenceCC0
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.