Evidence map›Paper›PMID 37348702›Full record

Trial reportBrain stimulation

Frontal tDCS reduces alcohol relapse rates by increasing connections from left dorsolateral prefrontal cortex to addiction networks.

Jazmin Camchong, Donovan Roediger, Mark Fiecas, Casey S Gilmore, Matt Kushner, Erich Kummerfeld, Bryon A Mueller, Kelvin O Lim

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Brain stimulation. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 8% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Substance Use Disorder Treatment Outcomes: Methodological Overview of Metrics and Criteria.International journal of methods in psychiatric research · 2025
    Pooled it
  2. Trial
  3. Relapse in alcohol dependence is characterized by disrupted modular brain network organization.European archives of psychiatry and clinical neuroscience · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. A Computational Framework for EEG Causal Oscillatory Connectivity.Proceedings of machine learning research · 2023
    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

8 authors at 2 institutions in 1 country.

Jazmin CamchongUniversity of Minnesota Department of Psychiatry and Behavioral Sciences, 2312 S. 6th St., Floor 2, Suite F-275, Minneapolis, MN, 55454, USA. Electronic address: camch002@umn.edu.
Donovan RoedigerUniversity of Minnesota Department of Psychiatry and Behavioral Sciences, 2312 S. 6th St., Floor 2, Suite F-275, Minneapolis, MN, 55454, USA.
Mark FiecasUniversity of Minnesota School of Public Health, 420 Delaware St SE, Minneapolis, MN, 55455, USA.
Casey S GilmoreUniversity of Minnesota Department of Psychiatry and Behavioral Sciences, 2312 S. 6th St., Floor 2, Suite F-275, Minneapolis, MN, 55454, USA; Minneapolis VA Health Care System, Geriatrics Research Education and Clinical Center (GRECC), 1 Veterans Dr., Minneapolis, MN, 55417, USA.
Matt KushnerUniversity of Minnesota Department of Psychiatry and Behavioral Sciences, 2312 S. 6th St., Floor 2, Suite F-275, Minneapolis, MN, 55454, USA.
Erich KummerfeldUniversity of Minnesota Institute for Health Informatics, 8-100 Phillips-Wangensteen Building, 516 Delaware Street SE, Minneapolis, MN, 55455, USA.
Bryon A MuellerUniversity of Minnesota Department of Psychiatry and Behavioral Sciences, 2312 S. 6th St., Floor 2, Suite F-275, Minneapolis, MN, 55454, USA.
Kelvin O LimUniversity of Minnesota Department of Psychiatry and Behavioral Sciences, 2312 S. 6th St., Floor 2, Suite F-275, Minneapolis, MN, 55454, USA; Minneapolis VA Health Care System, Geriatrics Research Education and Clinical Center (GRECC), 1 Veterans Dr., Minneapolis, MN, 55417, USA.
University of Minnesota · USMinnesota Department of Health · US

Funding

University of Minnesota Clinical and Translational Science Institute (UMN CTSI)UL1TR000114 · NCATS · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R · 2012 to 2015
$35.0M
University of Minnesota Clinical and Translational Science Institute (UMN CTSI)UL1TR002494 · NCATS · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R, WEISDORF, DANIEL J · 2018 to 2022
$34.9M
TRD4 - Ultrahigh Field Engineering and SafetyP41EB027061 · NIBIB · UNIVERSITY OF MINNESOTA · PI Gregory John Metzger, KAMIL UGURBIL · 2019 to 2026
$11.7M
Institutional Center Cores for Advanced NeuroimagingP30NS076408 · NINDS · UNIVERSITY OF MINNESOTA · PI UGURBIL, KAMIL · 2012 to 2020
$4.2M
Increased thalamocortical connectivity in tdcs-potentiated generalization of cognitive trainingRF1MH116987 · NIMH · UNIVERSITY OF MINNESOTA · PI LIM, KELVIN O., MACDONALD, ANGUS W · 2018 to 2018
$2.8M
Functional Connectivity Changes During Early Recovery as a Marker for RelapseR01DA038984 · NIDA · UNIVERSITY OF MINNESOTA · PI LIM, KELVIN O. · 2015 to 2019
$2.6M
Effects of Neuromodulation and Cognitive Training on Brain Networks Associated with Relapse in Alcohol Use DisorderK01AA026349 · NIAAA · UNIVERSITY OF MINNESOTA · PI CAMCHONG, Y. JAZMIN · 2018 to 2022
$833k
Combined tDCS and Cognitive Training for the Treatment of Opioid AddictionUG3DA048508 · NIDA · UNIVERSITY OF MINNESOTA · PI LIM, KELVIN O. · 2019 to 2020
$741k
High Performance Connectome Upgrade for Human 3T MR ScannerS10OD017974 · OD · UNIVERSITY OF MINNESOTA · PI LIM, KELVIN O. · 2014 to 2014
$600k
NCATS NIH HHS UL1 TR000114NCATS NIH HHS UL1 TR002494NIAAA NIH HHS K01 AA026349NIBIB NIH HHS P41 EB027061NIDA NIH HHS R01 DA038984NIDA NIH HHS UG3 DA048508NIH HHS S10 OD017974NIMH NIH HHS RF1 MH116987NINDS NIH HHS P30 NS076408
6 · The paper itself

Abstract

backgroundBrain-based interventions are needed to address persistent relapse in alcohol use disorder (AUD). Neuroimaging evidence suggests higher frontal connectivity as well as higher within-network connectivity of theoretically defined addiction networks are associated with reduced relapse rates and extended abstinence during follow-up periods.

objective/Hypothesis: A longitudinal randomized double-blind sham-controlled clinical trial investigated whether a non-invasive neuromodulation intervention delivered during early abstinence can (i) modulate connectivity of addiction networks supporting abstinence and (ii) improve relapse rates. HYPOTHESES: Active transcranial direct current stimulation (tDCS) will (i) increase connectivity of addiction networks known to support abstinence and (ii) reduce relapse rates.

methodsShort-term abstinent AUD participants (n = 60) were assigned to 5 days of either active tDCS or sham during cognitive training. Causal discovery analysis (CDA) examined the directional influence from left dorsolateral prefrontal cortex (LDLPFC, stimulation site) to addiction networks that support abstinence.

resultsActive tDCS had an effect on the average strength of CDA-determined connectivity from LDLPFC to the incentive salience and negative emotionality addiction networks - increasing in the active tDCS group only. Active tDCS had an effect on relapse rates following the intervention, with lower probability of relapse in the active tDCS vs. sham. Active tDCS showed an unexpected sex-dependent effect on relapse rates.

conclusionOur results suggest that LDLPFC stimulation delivered during early abstinence has an effect on addiction networks supporting abstinence and on relapse rates. The unexpected sex-dependent neuromodulation effects need to be further examined in larger clinical trials.

Indexed as

Behavior, AddictiveTranscranial Direct Current StimulationAlcohol DrinkingChronic DiseaseDorsolateral Prefrontal CortexDouble-Blind MethodFemaleHumansMalePrefrontal CortexAlcohol use disorderCausal connectivityDorsolateral prefrontal cortexIncentive salienceRelapseTranscranial direct current stimulation

Identifiers

PMID37348702
PMCPMC10530485
OpenAlexW4381434706

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.