Evidence map›Paper›PMID 25124259›Full record

ArticleJournal of substance abuse treatment

Do improvements in substance use and mental health symptoms during treatment translate to long-term outcomes in the opposite domain?

Rajeev Ramchand, Beth Ann Griffin, Mary Ellen Slaughter, Daniel Almirall, Daniel F McCaffrey

Abstract read
In one paragraph

Article in Journal of substance abuse treatment. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 3 pooled it
1.1field-weighted citation impact, top 19% 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

13 citing papers in PubMed, 3 syntheses or guidelines pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Evidence Base on Outpatient Behavioral Treatments for Adolescent Substance Use, 2014-2017: Outcomes, Treatment Delivery, and Promising Horizons.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
    Pooled it
  3. Evidence Base on Outpatient Behavioral Treatments for Adolescent Substance Use, Update 2018-2023: Current Status, Best Practices, and Opportunities for Advancing the Science.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
    Pooled it
  4. Article
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  10. Observational
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  12. Review
  13. Characteristics of Youth Presenting to a Canadian Youth Concurrent Disorders Program: Clinical Complexity, Trauma, Adaptive Functioning and Treatment Priorities.Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent · 2016
    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

5 authors at 2 institutions in 1 country.

Rajeev RamchandRAND, 1200 South Hayes Street, Arlington, VA 22202. Electronic address: Ramchand@rand.org.
Beth Ann GriffinRAND, 1200 South Hayes Street, Arlington, VA 22202.
Mary Ellen SlaughterRAND, 4570 Fifth Avenue, Suite 600, Pittsburgh, Pennsylvania 15213.
Daniel AlmirallInstitute for Social Research, Suite 214NU, 426 Thompson Street, University of Michigan, Ann Arbor, MI 48104.
Daniel F McCaffreyRAND, 4570 Fifth Avenue, Suite 600, Pittsburgh, Pennsylvania 15213.
RAND Corporation · USUniversity of Michigan–Ann Arbor · US

Funding

THE REFINEMENT &APPLICATION OF MEDICAL DECISION MAKING IN PREVENTION SCIENCESP50DA010075 · NIDA · PENNSYLVANIA STATE UNIVERSITY-UNIV PARK · PI LANZA, STEPHANIE T · 1996 to 2014
$24.5M
The Causal Effect of Community-Based Treatment for YouthsR01DA015697 · NIDA · RAND CORPORATION · PI GRIFFIN, BETH ANN · 2003 to 2018
$2.8M
Case-Mix Adjustment for Adolescent Treatment EvaluationsR01DA017507 · NIDA · RAND CORPORATION · PI MORRAL, ANDREW R · 2003 to 2011
$2.3M
CSAT SAMHSA HHS TI-15413CSAT SAMHSA HHS TI-15415CSAT SAMHSA HHS TI-15421CSAT SAMHSA HHS TI-15433CSAT SAMHSA HHS TI-15438CSAT SAMHSA HHS TI-15446CSAT SAMHSA HHS TI-15447CSAT SAMHSA HHS TI-15458CSAT SAMHSA HHS TI-15461CSAT SAMHSA HHS TI-15466CSAT SAMHSA HHS TI-15467CSAT SAMHSA HHS TI-15469CSAT SAMHSA HHS TI-15475CSAT SAMHSA HHS TI-15478CSAT SAMHSA HHS TI-15479CSAT SAMHSA HHS TI-15481CSAT SAMHSA HHS TI-15483CSAT SAMHSA HHS TI-15485CSAT SAMHSA HHS TI-15486CSAT SAMHSA HHS TI-15489CSAT SAMHSA HHS TI-15511CSAT SAMHSA HHS TI-15514CSAT SAMHSA HHS TI-15524CSAT SAMHSA HHS TI-15527CSAT SAMHSA HHS TI-15545CSAT SAMHSA HHS TI-15562CSAT SAMHSA HHS TI-15577CSAT SAMHSA HHS TI-15584CSAT SAMHSA HHS TI-15586CSAT SAMHSA HHS TI-15670CSAT SAMHSA HHS TI-15671CSAT SAMHSA HHS TI-15672CSAT SAMHSA HHS TI-15674CSAT SAMHSA HHS TI-15677CSAT SAMHSA HHS TI-15678CSAT SAMHSA HHS TI-15682CSAT SAMHSA HHS TI-15686NIDA NIH HHS 1R01DA015697NIDA NIH HHS 5R01DA017507NIDA NIH HHS P50 DA010075NIDA NIH HHS R01 DA015697NIDA NIH HHS R01 DA017507PHS HHS 27007-0191PHS HHS 2702003-00006
6 · The paper itself

Abstract

Providers who treat adolescents with co-occurring substance use and mental health issues may prioritize treatment of one set of symptoms believing that improvements in one domain will result in improvements of the other. However, limited empirical data for adolescents provide evidence of such "spillover effects." Using data from 2900 youth in an outpatient treatment, we examined whether during-treatment changes in substance use or mental health symptoms predicted 12-month outcomes in the analogous and opposite domains. There was very little evidence of spillover effects, only that youth with no internal distress at 0 and 3 months reported lower levels of substance use problems at 12-months relative to youth with internal distress that stayed the same from 0 to 3 months. These findings suggest that providers treat both sets of substance use and mental health symptoms in an integrated manner given that these symptoms commonly co-occur among youth with either set.

Indexed as

Mental HealthAdolescentChildCommunity Mental Health ServicesDiagnosis, Dual (Psychiatry)FemaleHumansMaleMental DisordersPsychotherapySubstance-Related DisordersTreatment OutcomeYoung AdultAdolescent treatmentCausal effectsMental healthResponse to treatment

Identifiers

PMID25124259
PMCPMC4175419
OpenAlexW1985874377

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.