Evidence map›Paper›PMID 40695097›Full record

ArticleDrug and alcohol dependence2025

Predicting treatment-seeking status for alcohol use disorder using polygenic scores and machine learning in a deeply-phenotyped sample.

Zeal Jinwala, ReJoyce Green, Yousef Khan, Joel Gelernter, Rachel L Kember, Emily E Hartwell

Abstract read
In one paragraph

Article in Drug and alcohol dependence, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Sex-Specific Genetic Architecture and Comorbidities of Alcohol Use Behaviors.medRxiv : the preprint server for health sciences · 2025
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Zeal JinwalaCrescenz VA Medical Center, Philadelphia, PA 19104, United States; Department of Psychiatry, University of Pennsylvania, Philadelphia, PA 19104, United States.
ReJoyce GreenMedical University of South Carolina, Charleston, SC 29425, United States.
Yousef KhanDepartment of Psychiatry, University of Pennsylvania, Philadelphia, PA 19104, United States.
Joel GelernterWest Haven VA Medical Center, West Haven, CT 06516, United States; Yale University, New Haven, CT 06511, United States.
Rachel L KemberCrescenz VA Medical Center, Philadelphia, PA 19104, United States; Department of Psychiatry, University of Pennsylvania, Philadelphia, PA 19104, United States.
Emily E HartwellCrescenz VA Medical Center, Philadelphia, PA 19104, United States; Department of Psychiatry, University of Pennsylvania, Philadelphia, PA 19104, United States. Electronic address: Emily.hartwell@va.gov.

Funding

Translational Technologies CoreP50AA012870 · NIAAA · YALE UNIVERSITY · PI John H. Krystal · 2001 to 2026
$43.7M
Characterizing the phenotypic spectrum associated with genetic liability for alcohol use disorderK01AA028292 · NIAAA · UNIVERSITY OF PENNSYLVANIA · PI KEMBER, RACHEL LORRAINE · 2021 to 2024
$505k
CSRD VA IK2 CX002336NIAAA NIH HHS K01 AA028292NIAAA NIH HHS P50 AA012870
6 · The paper itself

Abstract

backgroundFew individuals with alcohol use disorder (AUD) receive treatment. Previous studies have shown drinking behavior, psychological problems, and substance dependence to predict treatment seeking. However, to date, no studies have incorporated polygenic scores (PGS), a measure of genetic risk for AUD.

methodsIn a deeply-phenotyped sample, we identified 9103 individuals diagnosed with DSM-IV AUD and indicated treatment-seeking status. We implemented a random forest (RF) model to predict treatment-seeking based on 91 clinically relevant phenotypes. We calculated AUD PGS for those with genetic data (African ancestry [AFR] n = 3192, European ancestry [EUR] n = 3553) and generated RF models for each ancestry group, first without and then with PGS. Lastly, we developed models stratified by age (< and ≥40 years old).

results66.6 % reported treatment seeking (M

conclusionAlcohol use, psychiatric issues, and comorbid medical disorders were predictors of treatment seeking. Incorporating PGS did not substantially alter performance, but was a more important predictor in younger individuals with AUD.

Indexed as

AlcoholismMachine LearningMultifactorial InheritancePatient Acceptance of Health CareAdultFemaleHumansMaleMiddle AgedPhenotypeWhite PeopleYoung AdultAlcohol use disorderMachine learningPolygenic scoresTreatment-seeking

Identifiers

PMID40695097
PMCPMC12447308

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Registered trials

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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.