Evidence map›Paper›PMID 17337748›Full record

ArticleSchizophrenia bulletin2007

Substance use and abuse in first-episode psychosis: prevalence before and after early intervention.

Suzanne Archie, Brian R Rush, Noori Akhtar-Danesh, Ross Norman, Ashok Malla, Paul Roy, Robert B Zipursky

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in Schizophrenia bulletin, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 9% 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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 100 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Psychotomimetic compensation versus sensitization.Pharmacology research & perspectives · 2024
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  13. First-episode psychosis and substance use in Nelson Mandela Bay: Findings from an acute mental health unit.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2019
    Article
  14. Article
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  18. Psychotic disorders comorbid with attention-deficit hyperactivity disorder: an important knowledge gap.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2015
    Review
  19. Article
  20. 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

7 authors at 6 institutions in 1 country.

Suzanne ArchieDepartment of Psychiatry and Behavioural Neurosciences, Michael G. DeGroote School of Medicine, McMaster University, Hamilton, Ontario, Canada. archies@mcmaster.ca
Brian R Rush
Noori Akhtar-Danesh
Ross Norman
Ashok Malla
Paul Roy
Robert B Zipursky
St. Joseph’s Healthcare Hamilton · CACentre for Addiction and Mental Health · CADouglas College · CAMcMaster University · CAUniversity of Ottawa · CAWestern University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

unlabelledDespite the high prevalence of substance abuse among first-episode psychosis (FEP) populations, few studies examine whether early intervention (EI) improves substance abuse.

objectiveTo examine the prevalence and pattern of substance use and abuse among an FEP sample over 12 months.

methodsAll the participants were diagnosed with a first episode of a schizophrenia spectrum disorder. The participants were followed prospectively. The prevalence rates of substance use and abuse from this sample were compared before and after 12 months of EI services and were compared with rates observed in a sample from the general population.

resultsA total of 200 participants (80.0% males; mean age 24 years) entered the study: 183 participants completed all the assessments at baseline, 131 participants completed all the assessments at 12 months. At baseline, the findings showed similar prevalence rates between the FEP sample and the general sample for lifetime cannabis use (60% vs 55%, respectively) and hazardous alcohol use (26% vs 21%) but significantly different prevalence rates for lifetime hallucinogen (29% vs 15%; P < .001) and cocaine use (20% vs 14%; P < .001). At 12 months, the prevalence rates for drug abuse (P < .01), hazardous alcohol use (P < .01), and concurrent drug abuse and hazardous alcohol use (P < .05) were significantly lower than at baseline.

conclusionSubstance use and abuse decreased significantly after 12 months of EI services; EI services may be able to detect and to reduce substance use among FEP patients before it becomes a more serious disorder.

Indexed as

AdolescentAdultFemaleHumansMaleMiddle AgedPrevalenceProspective StudiesPsychotic DisordersSubstance-Related DisordersTime Factors

Identifiers

PMID17337748
PMCPMC2779870
OpenAlexW2160471925

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.