Evidence map›Paper›PMID 40900159›Full record

ReviewDer Nervenarzt2026

[Assessment of recommendations for low-risk use of alcohol, cannabis, gambling and gaming: state of knowledge].

Hans-Jürgen Rumpf, Ulrich John, Helmut Seitz, Florian Rehbein, Norbert Scherbaum, Ursula Havemann-Reinecke, Tobias Hayer

Abstract readEnglish AbstractReview
PubMed Publisher
In one paragraph

Review in Der Nervenarzt, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Hans-Jürgen RumpfKlinik für Psychiatrie und Psychotherapie, Universität zu Lübeck, Ratzeburger Allee 160, 23538, Lübeck, Deutschland. hans-juergen.rumpf@uksh.de.ORCID http://orcid.org/0000-0001-6848-920X
Ulrich JohnInstitut für Community Medicine, Abteilung für Präventionsforschung und Sozialmedizin, Universitätsmedizin Greifswald, Greifswald, Deutschland.
Helmut SeitzAlkoholforschungszentrum, Krankenhaus Salem, Universität Heidelberg und Medizinische Klinik, Heidelberg, Deutschland.
Florian RehbeinFachbereich Sozialwesen, FH Münster, Münster, Deutschland.
Norbert ScherbaumLVR-Universitätsklinik Essen, Klinik für Psychiatrie und Psychotherapie, Medizinische Fakultät der Universität Duisburg-Essen, Essen, Deutschland.
Ursula Havemann-ReineckeKlinik für Psychiatrie und Psychotherapie, Universitätsmedizin Göttingen, Göttingen, Deutschland.
Tobias HayerInstitut für Public Health und Pflegeforschung, Abteilung für Gesundheit und Gesellschaft, Arbeitseinheit Glücksspielforschung, Universität Bremen, Bremen, Deutschland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimFrom a public health perspective, the provision of information on low-risk consumption is highly relevant for behavior with addictive potential and negative health, psychological or social consequences. This article provides an overview of the effectiveness and benefits of such recommendations for alcohol, cannabis, gambling and gaming.

methodsAn overview based on a narrative review.

resultsThe recommendation for alcohol consumption limits can no longer be upheld on the basis of current evidence. Instead, abstinence is recommended. In the case of cannabis, it is currently not possible to determine thresholds for the frequency and quantity of use with regard to consequential harms. Current recommendations, therefore, relate to "safer use". With respect to gambling, initial but not yet reliable empirical data are available. Thresholds of varying consumption dimensions, such as the involvement in different forms of gambling, the regularity or duration of gambling as well as the amount of money spent, must be taken into account. There are no evidence-based consumption recommendations for gaming. Furthermore, a consideration of the media content that goes beyond pure usage time is essential before any recommendations can be derived. Overall, the effectiveness of recommendations depends on the perception and acceptance of the population.

conclusionRecommendations for consumption are based on the available evidence and must be continuously reviewed and adapted, as can be seen from the example of alcohol consumption. Behavioral recommendations must be communicated in a suitable form so that they are understood without bias and are accepted by the general population.

Indexed as

Alcohol DrinkingGamblingPractice Guidelines as TopicVideo GamesBehavior, AddictiveEvidence-Based MedicineGermanyHumansAcceptanceEvidence-based consumption recommendationsParticipation limitsPublic healthSafer use

Identifiers

What OpenQuestion holds

Textmetadata
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.