Evidence map›Paper›PMID 38362235›Full record

ArticleCurrent addiction reports2022

The Potential of N-acetyl Cysteine in Behavioral Addictions and Related Compulsive and Impulsive Behaviors and Disorders: a Scoping Review.

Norman R Greenberg, Farzaneh Farhadi, Benjamin Kazer, Marc N Potenza, Gustavo A Angarita

Open access · greenAbstract readScoping Review
In one paragraph

Article in Current addiction reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.0field-weighted citation impact, top 25% 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

4 citing papers in PubMed, 5 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

5 authors at 3 institutions in 1 country.

Norman R GreenbergDepartment of Psychiatry, Weill Cornell Medicine, 418 E 71st Street, New York, NY, USA.
Farzaneh FarhadiDepartment of Psychiatry, University of Washington School of Medicine, Seattle, WA, USA.
Benjamin KazerDepartment of Psychiatry, Yale School of Medicine, New Haven, CT, USA.
Marc N PotenzaDepartment of Psychiatry, Yale School of Medicine, New Haven, CT, USA.
Gustavo A AngaritaDepartment of Psychiatry, Yale School of Medicine, New Haven, CT, USA.
Yale University · USCornell University · USUniversity of Washington · US

Funding

Aberrant Synaptic Plasticity in Cocaine Use Disorder: A 11C UCB J PET StudyR01DA052454 · NIDA · YALE UNIVERSITY · PI ANGARITA, GUSTAVO ADOLFO · 2021 to 2025
$3.7M
Neurocognitive fMRI Mechanisms of CBT and Lisdexamfetamine Outcomes in Obesity and BEDR01DK121551 · NIDDK · YALE UNIVERSITY · PI GRILO, CARLOS M, POTENZA, MARC N · 2019 to 2023
$1.8M
Vitamin D Modulation of Midbrain Dopamine Function: A 11C-PHNO PET Study in Healthy HumansR01AT010508 · NCCIH · YALE UNIVERSITY · PI POTENZA, MARC N · 2019 to 2020
$1.7M
Assessing Glutamate Homeostasis in Cocaine Addiction Using 7T 1H-MRSR21DA043055 · NIDA · YALE UNIVERSITY · PI ANGARITA, GUSTAVO ADOLFO · 2017 to 2018
$461k
NCCIH NIH HHS R01 AT010508NIDA NIH HHS R01 DA052454NIDA NIH HHS R21 DA043055NIDDK NIH HHS R01 DK121551
6 · The paper itself

Abstract

Purpose of Review: Behavioral addictions (also termed disorders due to addictive behaviors) contain impulsive and compulsive features and have been shown to involve glutamate dysregulation. N-acetylcysteine (NAC), a well-tolerated cysteine pro-drug and antioxidant, may reduce addictive behaviors by restoring glutamate homeostasis. The current review details and discusses the use of NAC in behavioral addictions and related impulsive and compulsive behaviors, including gambling disorder, problematic use of the internet, problematic video gaming, compulsive sexual behavior, problematic shopping/buying, problematic stealing, repetitive self-injurious behavior, and binge eating disorder. Recent Findings: Preliminary results have indicated the usefulness of NAC in gambling disorder, self-injurious behaviors, and compulsive sexual behaviors. Preclinical studies indicate that NAC is effective in improving binge eating behavior, but clinical trials are limited to a small open-label trial and case report. Studies are lacking on the efficacy of NAC in problematic use of the internet, problematic video gaming, problematic stealing, and problematic shopping/buying. Summary: NAC demonstrates potential for use in behavioral addictions and compulsive behaviors, particularly in gambling disorder and self-injury. However, more studies are needed to assess the effectiveness of NAC in other behavioral addictions and the mechanisms by which NAC improves these conditions.

Indexed as

Addictive BehaviorsCompulsive BehaviorsGlutamate HypothesisImpulse Control DisordersImpulsive BehaviorsN-acetylcysteine

Identifiers

PMID38362235
PMCPMC10868722
OpenAlexW4298004675

What OpenQuestion holds

Textmetadata
LicenceTDM
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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.