Evidence map›Paper›PMID 24847999›Full record

ArticleJournal of psychiatric practice2014

Treatment development and feasibility study of family-focused treatment for adolescents with bipolar disorder and comorbid substance use disorders.

Benjamin I Goldstein, Tina R Goldstein, Katelyn A Collinger, David A Axelson, Oscar G Bukstein, Boris Birmaher, David J Miklowitz

Open access · greenAbstract read
In one paragraph

Article in Journal of psychiatric practice, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
3.3field-weighted citation impact, top 8% 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

11 citing papers in PubMed, 33 citations in OpenAlex.

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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

7 authors at 2 institutions in 2 countries.

Benjamin I GoldsteinB. GOLDSTEIN: Sunnybrook Health Sciences Centre, University of Toronto, and Western Psychiatric Institute and Clinic, University of Pittsburgh; T. GOLDSTEIN, AXELSON, and BIRMAHER: Western Psychiatric Institute and Clinic, University of Pittsburgh; COLLINGER: Sunnybrook Health Sciences Centre, University of Toronto; BUKSTEIN: Department of Psychiatry and Behavioral Sciences, University of Texas-Houston; MIKLOWITZ: Semel Institute for Neuroscience and Human Behavior, UCLA.
Tina R Goldstein
Katelyn A Collinger
David A Axelson
Oscar G Bukstein
Boris Birmaher
David J Miklowitz
UCLA Health · USToronto Public Health · CA

Funding

University of Pittsburgh Clinical and Translational Science InstituteUL1TR000005 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2012 to 2015
$50.8M
1/2-Early Intervention for Youth at Risk for Bipolar DisorderR01MH093676 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI MIKLOWITZ, DAVID JAY · 2012 to 2016
$3.6M
Family-Focused Treatment for Bipolar AdolescentsR01MH073871 · NIMH · UNIVERSITY OF COLORADO · PI MIKLOWITZ, DAVID JAY · 2006 to 2010
$1.7M
Family-Focused Therapy for Youth with Early-Onset Bipolar or Psychotic Disorders R33MH097007 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI MIKLOWITZ, DAVID JAY · 2014 to 2016
$853k
Dialectical Behavior Therapy for Bipolar AdolescentsK23MH074581 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI GOLDSTEIN, TINA R · 2007 to 2011
$715k
NCATS NIH HHS UL1 TR000005NIMH NIH HHS K23 MH074581NIMH NIH HHS K23MH074581NIMH NIH HHS MH073871NIMH NIH HHS R01 MH073871NIMH NIH HHS R01 MH093676NIMH NIH HHS R33 MH097007
6 · The paper itself

Abstract

backgroundComorbid substance use disorders (SUD) are associated with increased illness severity and functional impairment among adolescents with bipolar disorder (BD). Previous psychosocial treatment studies have excluded adolescents with both BD and SUD. Studies suggest that integrated interventions are optimal for adults with BD and SUD.

methodsWe modified family-focused treatment for adolescents with BD (FFT-A) in order to explicitly target comorbid SUD (FFT-SUD). Ten adolescents with BD who had both SUD and an exacerbation of manic, depressed, or mixed symptoms within the last 3 months were enrolled. FFT-SUD was offered as an adjunct to pharmacotherapy, with a target of 21 sessions over 12 months of treatment. The FFT- SUD manual was iteratively modified to integrate a concurrent focus on SUD.

resultsSix subjects completed a mid-treatment 6-month assessment (after a mean of 16 sessions was completed). Of the 10 subjects, 3 dropped out early (after ≤1 session); in the case of each of these subjects, the participating parent had active SUD. No other subjects in the study had a parent with active SUD. Preliminary findings suggested significant reductions in manic symptoms and depressive symptoms and improved global functioning in the subjects who completed 6 months of treatment. Reduction in cannabis use was modest and did not reach significance. Limitations. Limitations included a small sample, open treatment, concurrent medications, and no control group.

conclusionsThese preliminary findings suggest that FFT-SUD is a feasible intervention, particularly for youth without parental SUD. FFT-SUD may be effective in treating mood symptoms, particularly depression, despite modest reductions in substance use. Integrating motivation enhancing strategies may augment the effect of this intervention on substance use. Additional strategies, such as targeting parental substance use, may prevent early attrition.

Indexed as

Bipolar DisorderSubstance-Related DisordersAdolescentAdolescent BehaviorBehavioral SymptomsCanadaComorbidityFamily TherapyFeasibility StudiesFemaleHumansMalePatient Education as TopicPsychiatric Status Rating ScalesPsychotropic DrugsTreatment OutcomePsychotropic Drugs

Identifiers

PMID24847999
PMCPMC4142596
OpenAlexW2054418253

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.