Evidence map›Paper›PMID 37124360›Full record

ArticleBiological psychiatry global open science2023

Medial Prefrontal Cortex Theta Burst Stimulation Improves Treatment Outcomes in Alcohol Use Disorder: A Double-Blind, Sham-Controlled Neuroimaging Study.

Daniel M McCalley, Navneet Kaur, Julia P Wolf, Ingrid E Contreras, Sarah W Book, Joshua P Smith, Colleen A Hanlon

Open access · goldAbstract read
In one paragraph

Article in Biological psychiatry global open science, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 2 pooled it
4.2field-weighted citation impact, top 5% 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

40 citing papers in PubMed, 2 syntheses or guidelines pooled it, 51 citations in OpenAlex.

  1. Pooled it
  2. A systematic review and meta-analysis of neuromodulation therapies for substance use disorders.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2024
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  12. Females have shorter scalp-to-cortex distances and receive stronger TMS electrical fields: Implications for clinical treatment.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
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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 2 institutions in 1 country.

Daniel M McCalleyDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, South Carolina.
Navneet KaurDepartment of Cancer Biology, Wake Forest School of Medicine, Winston-Salem, North Carolina.
Julia P WolfDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, South Carolina.
Ingrid E ContrerasDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, South Carolina.
Sarah W BookDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, South Carolina.
Joshua P SmithDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, South Carolina.
Colleen A HanlonDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, South Carolina.
Medical University of South Carolina · USWake Forest University · US

Funding

TREATING ETHANOL WITHDRAWAL WITH LORAZEPAM/NALTREXONEP50AA010761 · NIAAA · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI John J. Woodward · 1996 to 2026
$46.8M
Longitudinal Investigation of TMS as a Tool to Improve Alcohol Treatment OutcomesR01AA027705 · NIAAA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI ADDICOTT, MERIDETH A., LAURIENTI, PAUL · 2019 to 2023
$3.4M
Career Development and Mentoring in Clinical/Translational Alcohol ResearchK05AA017435 · NIAAA · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI ANTON, RAYMOND F · 2008 to 2017
$2.2M
Evaluating Neural Architecture as a Novel Biomarker for TMS Efficacy in AUDF31AA028426 · NIAAA · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI MCCALLEY, DANIEL · 2020 to 2021
$92k
NIAAA NIH HHS F31 AA028426NIAAA NIH HHS K05 AA017435NIAAA NIH HHS P50 AA010761NIAAA NIH HHS R01 AA027705
6 · The paper itself

Abstract

Background: Alcohol use disorder (AUD) is associated with elevated brain response to cues. Recent studies have suggested that theta burst stimulation (TBS) to the medial prefrontal cortex (MPFC) can decrease reactivity to cues in a transdiagnostic manner. The goal of this clinical trial was to evaluate the effect of continuous TBS as a tool to decrease drinking behavior and brain reactivity to alcohol cues among individuals with AUD. Methods: A total of 50 individuals with AUD were recruited from an intensive outpatient treatment program. Using a randomized, double-blind, sham-controlled design, participants received 10 sessions of continuous TBS (left frontal pole, 1 session/10 days, 110% resting motor threshold, 3600 pulse/session, cue provocation before and during session). Brain reactivity to alcohol cues was acquired at four time points: at baseline and after all TBS sessions (1 month, 2 months, and 3 months). Results: Overall, 80% of the participants completed all TBS sessions. Individuals who received real TBS were 2.71 times more likely to remain enrolled in the study after 3 months and 3.09 times more likely to remain sober 3 months after treatment initiation. Real TBS also led to a significantly greater reduction in brain reactivity to alcohol cues, specifically a reduction in MPFC-striatum and MPFC-insula connectivity 2 and 3 months after TBS treatment. Conclusions: Ten days of MPFC TBS is well tolerated, reduces drinking, and decreases brain reactivity to alcohol cues for up to 3 months after treatment initiation. These results pave a critical next step in the path toward developing transcranial magnetic stimulation as an intervention for AUD and disorders associated with elevated cue reactivity.

Indexed as

Alcohol use disorderCue reactivityfMRIMedial prefrontal cortexTheta burst stimulationTranscranial magnetic stimulation

Identifiers

PMID37124360
PMCPMC10140456
OpenAlexW4220856623

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.