Evidence map›Paper›PMID 25481453›Full record

Trial reportAddictive behaviors2015

Lifetime history of heroin use is associated with greater drug severity among prescription opioid abusers.

Andrew C Meyer, Mollie E Miller, Stacey C Sigmon

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Addictive behaviors, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. 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.

Andrew C MeyerDepartment of Psychiatry, University of Vermont, Burlington, VT 05401, USA.
Mollie E MillerDepartment of Psychology, University of Vermont, Burlington, VT 05401, USA.
Stacey C SigmonDepartment of Psychiatry, University of Vermont, Burlington, VT 05401, USA; Department of Psychology, University of Vermont, Burlington, VT 05401, USA. Electronic address: stacey.sigmon@uvm.edu.

Funding

Vermont Center on Behavior and HealthP20GM103644 · NIGMS · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI SIGMON, STACEY C · 2013 to 2022
$21.3M
TRAINING IN BEHAV. PHARMACOLOGY OF HUMAN DRUG DEPENDENCET32DA007242 · NIDA · UNIVERSITY OF VERMONT &ST AGRIC COLLEGE · PI HEIL, SARAH H, HIGGINS, STEPHEN T · 1990 to 2025
$8.2M
Effective Treatment for Prescription Opioid AbuseR01DA019989 · NIDA · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI SIGMON, STACEY C · 2006 to 2009
$2.4M
Interim Treatment: Leveraging buprenophine + technology to bridge waitlist delaysR34DA037385 · NIDA · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI SIGMON, STACEY C · 2014 to 2015
$652k
NIDA NIH HHS R01 DA019989NIDA NIH HHS R01-DA019989NIDA NIH HHS R34 DA037385NIDA NIH HHS R34- DA037385NIDA NIH HHS T32 DA007242NIDA NIH HHS T32-DA007242NIGMS NIH HHS P20 GM103644NIGMS NIH HHS P20-GM103644
6 · The paper itself

Abstract

backgroundWhile research suggests primary prescription opioid (PO) abusers may exhibit less severe demographic and drug use characteristics than primary heroin abusers, less is known about whether a lifetime history of heroin use confers greater severity among PO abusers.

objectiveIn this secondary analysis, we examined demographic and drug use characteristics as a function of lifetime heroin use among 89 PO-dependent adults screened for a trial evaluating the relative efficacy of buprenorphine taper durations. Exploratory analyses also examined contribution of lifetime heroin use to treatment response among a subset of participants who received a uniform set of study procedures.

methodsBaseline characteristics were compared between participants reporting lifetime heroin use ≥5 (H(+); n=41) vs. <5 (H(-); n=48) times. Treatment response (i.e., illicit opioid abstinence and treatment retention at end of study) was examined in the subset of H(+) and H(-) participants randomized to receive the 4-week taper condition (N=22).

resultsH(+) participants were significantly older and more likely to be male. They reported longer durations of illicit opioid use, greater alcohol-related problems, more past-month cocaine use, greater lifetime IV drug use, and greater lifetime use of cigarettes, amphetamines and hallucinogens. H(+) participants also had lower scores on the Positive Symptom Distress and Depression subscales of the Brief Symptom Inventory. Finally, there was a trend toward poorer treatment outcomes among H(+) participants.

conclusionA lifetime history of heroin use may be associated with elevated drug severity and unique treatment needs among treatment-seeking PO abusers.

Indexed as

AdultBehavior TherapyBuprenorphineChronic DiseaseDouble-Blind MethodDrug Therapy, CombinationFemaleHeroin DependenceHumansMaleNaltrexoneNarcoticsOpiate Substitution TreatmentOpioid-Related DisordersPrescription Drug MisuseBuprenorphineNaltrexoneNarcoticsAbuseDependenceHeroinOpioidPrescription opioid

Identifiers

PMID25481453
PMCPMC4272898

What OpenQuestion holds

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Registered trials

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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.