Evidence map›Paper›PMID 39692876›Full record

ArticlePsychopharmacology2025

Substance use disorder severity is associated with sensitivity to effort-related decision-making constraints.

Samuel F Acuff, Louisa Kane, Zachary J Stewart, Justin Riddle, Stacey B Daughters

Abstract read
In one paragraph

Article in Psychopharmacology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
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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.

Samuel F AcuffRecovery Research Institute, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 02114, USA. sacuff@mgh.harvard.edu.ORCID http://orcid.org/0000-0002-1934-2639
Louisa KaneRecovery Research Institute, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 02114, USA.
Zachary J StewartRecovery Research Institute, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 02114, USA.
Justin RiddleRecovery Research Institute, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 02114, USA.
Stacey B DaughtersRecovery Research Institute, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 02114, USA.

Funding

Technology Enhanced Behavioral Activation Treatment for Substance UseR01DA026424 · NIDA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DAUGHTERS, STACEY B · 2010 to 2019
$4.4M
Causal role of delta-beta coupling for goal-directed behavior in anhedoniaR00MH126161 · NIMH · FLORIDA STATE UNIVERSITY · PI RIDDLE, JUSTIN M · 2023 to 2025
$747k
NIDA NIH HHS R01 DA026424NIDA NIH HHS R01DA026424-11NIMH NIH HHS R00 MH126161
6 · The paper itself

Abstract

rationaleSeveral studies have reported associations between substance use and effort-related decision making, or the degree to which effort expenditure impacts the choice between lower and higher value rewards. However, previous research has not explored effort-related decision making in populations with severe substance use disorder.

objectivesInvestigate the association between effort-related decision-making and substance use disorder severity.

methodsAdults with substance use disorders (n = 106) enrolled in intensive outpatient treatment completed clinician administered diagnostic interviews and the effort expenditure for rewards task (EEfRT). General linear mixed methods tested the interactive effect of substance use disorder severity and trial-level probability and value on the likelihood of selecting a high-effort choice.

resultsThere was a significant interaction between SUD severity and both reward value and reward probability on high-effort choice. The strength of the association between both reward value and probability on high-effort choice significantly increased with SUD severity.

conclusionsThese results support theories of reward sensitivity and behavioral economics and highlight an emerging risk factor that may serve as a useful target for treatment.

Indexed as

Decision MakingRewardSubstance-Related DisordersAdultFemaleHumansMaleMiddle AgedSeverity of Illness IndexEffortGoal-directed behaviorRewardSeveritySubstance use disorderTreatment seekingValue

Identifiers

PMID39692876
PMCPMC12207658

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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.