Evidence map›Paper›PMID 20840176›Full record

Trial reportAddiction (Abingdon, England)2010

Reductions in alcohol and cocaine use following a group coping intervention for HIV-positive adults with childhood sexual abuse histories.

Christina S Meade, Anya S Drabkin, Nathan B Hansen, Patrick A Wilson, Arlene Kochman, Kathleen J Sikkema

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Addiction (Abingdon, England), 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 6 pooled it
2.1field-weighted citation impact, top 14% 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

40 citing papers in PubMed, 6 syntheses or guidelines pooled it, 57 citations in OpenAlex.

  1. Pooled it
  2. Complex solutions for a complex problem: A meta-analysis of the efficacy of multiple-behavior interventions on change in outcomes related to HIV.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2021
    Pooled it
  3. More behavioral recommendations produce more change: A meta-analysis of efficacy of multibehavior recommendations to reduce nonmedical substance use.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2020
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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

6 authors at 5 institutions in 1 country.

Christina S MeadeDepartment of Psychiatry and Behavioral Sciences, Division of Medical Psychology, Duke University School of Medicine, Durham, NC 27708, USA. christina.meade@duke.edu
Anya S Drabkin
Nathan B Hansen
Patrick A Wilson
Arlene Kochman
Kathleen J Sikkema
Duke University · USColumbia University · USDuke Institute for Health Innovation · USDuke Medical Center · USYale University · US

Funding

Social and Behavioral Sciences CoreP30AI064518 · NIAID · DUKE UNIVERSITY · PI Nwora Lance Okeke · 2005 to 2026
$50.5M
INTERVENTION FOR COPING WITH HIV AND TRAUMAR01MH062965 · NIMH · YALE UNIVERSITY · PI SIKKEMA, KATHLEEN J · 2000 to 2003
$1.8M
Intervention for HIV+ Adults With Childhood Sexual AbuseK23MH076671 · NIMH · YALE UNIVERSITY · PI HANSEN, NATHAN B · 2006 to 2010
$900k
Associating genetic variation to resistance to severe malaria in East AfricaR21AI064519 · NIAID · HARVARD MEDICAL SCHOOL · PI REICH, DAVID EMIL · 2006 to 2007
$460k
NIAID NIH HHS P30 AI064518NIAID NIH HHS P30-AI064519NIAID NIH HHS R21 AI064519NIMH NIH HHS K23 MH076671NIMH NIH HHS R01 MH062965NIMH NIH HHS R01MH62965
6 · The paper itself

Abstract

aimsFew interventions exist to reduce alcohol and non-injection drug use among people living with HIV/AIDS. This study tested the effects of a coping group intervention for HIV-positive adults with childhood sexual abuse histories on alcohol, cocaine and marijuana use.

designParticipants were assigned randomly to the experimental coping group or a time-matched comparison support group. Both interventions were delivered in a group format over 15 weekly 90-minute sessions. SETTING AND

participantsA diverse sample of 247 HIV-positive men and women with childhood sexual abuse were recruited from AIDS service organizations and community health centers in New York City. MEASUREMENTS: Substance use was assessed pre- and post-intervention and every 4 months during a 12-month follow-up period. Using an intent-to-treat analysis, longitudinal changes in substance use by condition were assessed using generalized estimating equations.

findingsAt baseline, 42% of participants drank alcohol, 26% used cocaine and 26% used marijuana. Relative to participants in the support group, those in the coping group had greater reductions in quantity of alcohol use (Wald χ²(₄)=10.77, P = 0.029) and any cocaine use (Wald χ²(₄) = 9.81, P = 0.044) overtime.

conclusionsMany HIV patients, particularly those with childhood sexual abuse histories, continue to abuse substances. This group intervention that addressed coping with HIV and sexual trauma was effective in reducing alcohol and cocaine use, with effects sustained at 12-month follow-up. Integrating mental health treatment into HIV prevention may improve outcomes.

Indexed as

Adaptation, PsychologicalPsychotherapy, GroupAdolescentAdultAlcohol DrinkingChildChild Abuse, SexualCocaine-Related DisordersFemaleHIV InfectionsHumansIntention to Treat AnalysisLinear ModelsLogistic ModelsMaleNew York City

Identifiers

PMID20840176
PMCPMC2970668
OpenAlexW1545252505

What OpenQuestion holds

Textmetadata
LicenceTDM
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.