Evidence map›Paper›PMID 16098282›Full record

ReviewCurrent psychiatry reports2005

Treatment of substance use disorders in schizophrenia: a unifying neurobiological mechanism?

Robert M Roth, Mary F Brunette, Alan I Green

Abstract readReview
PubMed Publisher
In one paragraph

Review in Current psychiatry reports, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 30% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Article
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

3 authors at 1 institution in 1 country.

Robert M RothDepartment of Psychiatry, Dartmouth Medical School/DHMC, Lebanon, NH 03756, USA.
Mary F Brunette
Alan I Green
Dartmouth Psychiatric Research Center · US

Funding

CANNABIS AND SCHIZOPHRENIA: CLOZAPINE VS RISPERIDONER01DA013196 · NIDA · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI GREEN, ALAN I · 2000 to 2005
$1.7M
ALCOHOLISM AND SCHIZOPHRENIA--EFFECTS OF CLOZAPINER01AA011904 · NIAAA · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI GREEN, ALAN I · 1999 to 2001
$795k
Clozapine, cannabis and first episode schizophreniaR21MH062157 · NIMH · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI GREEN, ALAN I · 2001 to 2003
$671k
Antipsychotics and Alcohol Drinking in RodentsR03AA014644 · NIAAA · DARTMOUTH COLLEGE · PI GREEN, ALAN I · 2004 to 2005
$158k
NIAAA NIH HHS AA014644NIAAA NIH HHS AA11904NIDA NIH HHS DA13196NIMH NIH HHS MH-62157PHS HHS A01921501
6 · The paper itself

Abstract

Substance use disorders (SUDs) are highly prevalent and are associated with poor outcomes among individuals with schizophrenia. Integrating treatments for both disorders improves outcomes. Numerous individual pharmacologic and psychosocial treatments have shown effectiveness at reducing substance use in individuals with a primary diagnosis of schizophrenia and co-occurring substance use disorders. Of these treatments, medications such as certain atypical antipsychotics and naltrexone, and psychosocial treatments such as contingency management, seem to be particularly promising. The development and evaluation of psychopharmacologic and psychosocial treatments for SUDs in schizophrenia would benefit from a better understanding of the neurobiological mechanisms underlying the effectiveness of such treatments. Several theories have been put forth to explain the heightened risk for SUDs in schizophrenia. Of these, brain reward circuitry dysfunction, hypothesized to be etiologically important in SUDs, may be an especially salient target for treatments aimed at the reduction of substance use in patients with schizophrenia. We review current pharmacologic and psychosocial treatments for SUDs in schizophrenia, and theoretical mechanisms underlying the increased risk for SUDs in this population. We propose that effective treatments may in part work through the modulation of brain reward circuitry dysfunction.

Indexed as

Substance-Related DisordersBrainCerebrovascular CirculationCognitive Behavioral TherapyDrug TherapyHumansMotivationPsychotherapy, GroupSchizophrenia

Identifiers

PMID16098282
OpenAlexW2016494191

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.