Evidence map›Paper›PMID 38147491›Full record

Trial reportJournal of dual diagnosis

Progesterone Attenuates the Stress Response in Individuals with Alcohol Dependence and Post-Traumatic Stress Disorder - A Pilot Study.

Elizabeth Ralevski, Jenelle Newcomb, Emily Pisani, Diana DeNegre, MacKenzie Peltier, Jane Serrita Jane, Gihyun Yoon, Ismene Petrakis

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of dual diagnosis. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02187224 (Progesterone Treatment in Reducing Trauma and Alcohol Induced Craving in Individuals Diagnoses With Alcohol Dependence), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.3field-weighted citation impact, top 22% 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.

NCT02187224 phase2 / phase3completednot on this map

Progesterone Treatment in Reducing Trauma and Alcohol Induced Craving in Individuals Diagnoses With Alcohol Dependence (AD) and Post-tramatic Stress Disorder (PTSD).

TypeinterventionalSponsorYale UniversityRan2016 to 2021Enrolled13ConditionsAlcohol Dependence, Post-Traumatic Stress Disorder (PTSD)ArmsProgesterone, Placebo (for Progesterone)
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 8 citations in OpenAlex.

  1. Observational
  2. Review
  3. 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

8 authors at 2 institutions in 1 country.

Elizabeth RalevskiDepartment of Psychiatry, Yale University School of Medicine, New Haven, Connecticut, USA.
Jenelle NewcombDepartment of Psychiatry, Yale University School of Medicine, New Haven, Connecticut, USA.
Emily PisaniDepartment of Psychiatry, Yale University School of Medicine, New Haven, Connecticut, USA.
Diana DeNegreDepartment of Veterans Affairs, VA Connecticut Healthcare System, West Haven, Connecticut, USA.
MacKenzie PeltierDepartment of Psychiatry, Yale University School of Medicine, New Haven, Connecticut, USA.ORCID 0000-0002-8211-4815
Jane Serrita JaneDepartment of Psychiatry, Yale University School of Medicine, New Haven, Connecticut, USA.
Gihyun YoonDepartment of Psychiatry, Yale University School of Medicine, New Haven, Connecticut, USA.
Ismene PetrakisDepartment of Psychiatry, Yale University School of Medicine, New Haven, Connecticut, USA.
Yale University · USVA Connecticut Healthcare System · US

Funding

Yale-SCORE Resource Support CoreU54AA027989 · NIAAA · YALE UNIVERSITY · PI Sherry Ann McKee · 2020 to 2026
$13.0M
NIAAA NIH HHS U54 AA027989
6 · The paper itself

Abstract

objectiveEvidence from laboratory studies suggests that progesterone may be effective in reducing stress and craving, and may improve cognitive performance in smokers and individuals with cocaine dependence. The objective of this study was to examine if progesterone would attenuate stress-induced craving, anxiety, affect and physiological measures, as well as improve stress-induced cognitive performance (processing speed and selective attention) in individuals diagnosed with alcohol use disorder (AUD) and post traumatic stress disorder (PTSD).

methodsThis laboratory study included (

resultsConsistent with other research, trauma scripts produced significantly greater increases in craving, anxiety and negative affect when compared with neutral scripts. Progesterone significantly reduced stress-induced symptoms of craving, anxiety, fear, anger and sadness but had no effect on positive emotions (joy, relaxation). Progesterone was effective in ameliorating stress-induced decreases in cognitive performance.

conclusionsThe findings from this study demonstrate that progesterone can be effective in reducing stress-induced craving, anxiety and negative affect in a laboratory setting in individuals with comorbid AUD and PTSD. Interestingly, progesterone also improved cognitive performance. These findings require replication in a larger clinical trial and may have implications for treatment among individuals with AUD and PTSD.This study was registered as NCT02187224, at www.clinicaltrials.gov.

Indexed as

AlcoholismStress Disorders, Post-TraumaticAnxietyCravingHumansPilot ProjectsProgesteroneProgesteroneAUDlaboratoryProgesteronePTSDstress reactivity

Identifiers

PMID38147491
PMCPMC11214330
OpenAlexW4390225560

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.