Table 2.
k | Cohen’s d | 95% CI | p | ||||
---|---|---|---|---|---|---|---|
Overall analyses | |||||||
Hippocampal volume | QW (df) | p | I2 | ||||
|
|||||||
Total | 23 | −0.53 | −0.74 to −0.31 | <0.001 | 124.83 (22) | <0.001 | 0.82 |
Left | 17 | −0.61 | −0.96 to −0.26 | <0.001 | 112.97 (16) | <0.001 | 0.86 |
Right | 17 | −0.73 | −1.15 to −0.32 | <0.001 | 152.65 (16) | <0.001 | 0.90 |
Moderator analyses: sample characteristics | |||||||
Alcohol use | QB (df) | p | |||||
|
|||||||
Clinical | 19 | −0.65 | −0.90 to −0.39 | <0.001 | |||
Subclinical | 4 | −0.07 | −0.47 to 0.34 | 0.752 | |||
5.64 (1) | 0.018 | ||||||
Age | |||||||
Adult | 17 | −0.68 | −0.92 to −0.44 | <0.001 | |||
Adolescent | 6 | −0.04 | −0.31 to 0.23 | 0.763 | |||
11.84 (1) | <0.001 | ||||||
Age (clinical alcohol use) | |||||||
Adult | 16 | −0.70 | −0.98 to −0.42 | <0.001 | |||
Adolescent | 3 | −0.35 | −1.00 to 0.30 | 0.295 | |||
0.93 (1) | 0.335 | ||||||
Sex | |||||||
Male | 11 | −0.69 | −1.05 to −0.32 | <0.001 | |||
Female | 4 | −0.83 | −2.07 to 0.42 | 0.193 | |||
0.05 (1) | 0.832 | ||||||
Moderator analyses: methodological variables | |||||||
Segmentation method | QB (df) | p | |||||
|
|||||||
Hand tracing | 14 | −0.62 | −0.92 to −0.32 | <0.001 | |||
Automated | 9 | −0.38 | −0.70 to −0.07 | 0.016 | |||
1.15 (1) | 0.283 | ||||||
Scanner strength | |||||||
1.0 T/1.5 T | 16 | −0.58 | −0.82 to −0.33 | <0.001 | |||
3 T | 7 | −0.42 | −0.86 to 0.02 | 0.062 | |||
0.37 (1) | 0.543 | ||||||
Covariate adjustment | |||||||
Unadjusted | 14 | −0.55 | −0.94 to −0.16 | 0.006 | |||
Adjusted | 9 | −0.49 | −0.70 to −0.28 | <0.001 | |||
0.07 (1) | 0.791 |
Notes: k = number of studies. Negative Cohen’s ds indicate reduced hippocampal volumes associated with alcohol use. By convention, ds > |0.20| are considered to be modest, >|0.50| moderate, and >|0.80| large (Cohen, 1988). CI, confidence interval. QW = heterogeneity within a set of studies. QB = heterogeneity between two sets of studies. df = degrees of freedom. I2 = percentage of total variance across studies due to heterogeneity.