Trial reportDrug and alcohol review2015
Pathways to change: Use trajectories following trauma-informed treatment of women with co-occurring post-traumatic stress disorder and substance use disorders.
Trial report in Drug and alcohol review, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 46 citations in OpenAlex.
- Optimizing Outcomes: A Systematic Review of Psychosocial Risk Factors Affecting Perinatal Black/African-American Women with Substance Use Disorder in the United States.Maternal and child health journal · 2022Pooled it
- Psychological therapies for post-traumatic stress disorder and comorbid substance use disorder.The Cochrane database of systematic reviews · 2016Pooled it
- Skills Training in Affective Recovery Video and Text Programs for Recent Sexual Assault Survivors: A Pilot Randomized Clinical Trial.JAMA network open · 2026Trial
- Exploring the Role of Traumatic Event Exposure in Tobacco Dependence Treatment Outcomes Among African Americans.Journal of psychoactive drugsTrial
- Multi-level socioeconomic modifiers of the comorbidity of post-traumatic stress and tobacco, alcohol, and cannabis use: the importance of income.Social psychiatry and psychiatric epidemiology · 2025Article
- Parenting Among Women in Methadone Treatment: Contributions of Mental Health Problems and Violence Exposure.Child psychiatry and human development · 2024Article
- Subjective stress and any drinking during alcohol treatment: Disentangling within and between person autoregressive effects.Neurobiology of stress · 2024Article
- Trauma Experience Among Women Who Have Substance Use Disorders and are Homeless or Near Homeless.Community mental health journal · 2024Article
- A Social History of Opioids' Crimedical Cycle.Addiction research & theory · 2024Article
- "There's a big tag on my head": exploring barriers to treatment seeking with women who use methamphetamine in Sydney, Australia.BMC health services research · 2023Article
- Gender differences in disorders comorbid with posttraumatic stress disorder among U.S. Sailors and Marines.Journal of traumatic stress · 2022Article
- Trajectories and correlates of opioid prescription receipt among patients experiencing interpersonal violence.PloS one · 2022Article
- Surviving traumatic injury, only to die of acute drug poisoning: Should trauma centers be a path for intervention?Surgery · 2021Article
- Seeing the forest for the trees: Predicting attendance in trials for co-occurring PTSD and substance use disorders with a machine learning approach.Journal of consulting and clinical psychology · 2021Article
- A gender comparative analysis of post-traumatic stress disorder among a community-based cohort of people who use drugs in Vancouver, Canada.Addictive behaviors · 2021Article
- Organic cation transporter 3 and the dopamine transporter differentially regulate catecholamine uptake in the basolateral amygdala and nucleus accumbens.The European journal of neuroscience · 2020Article
- Response-to-Treatment for Comorbid Post-Traumatic Stress and Substance Use Disorders: The Value of Combining Person- and Variable-Centered Approaches.Journal of psychopathology and behavioral assessment · 2020Article
- Treatment receipt patterns among individuals with co-occurring posttraumatic stress disorder (PTSD) and substance use disorders.Journal of consulting and clinical psychology · 2020Article
- History of child maltreatment and excessive dietary and screen time behaviors in young adults: Results from a nationally representative study.Preventive medicine · 2020Article
- The "Women and Trauma" study and its national impact on advancing trauma specific approaches in community substance use treatment and research.Journal of substance abuse treatment · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 1 country.
Funding
Abstract
INTRODUCTION AND
aimsDespite advances towards integration of care for women with co-occurring substance use disorder (SUD) and post-traumatic stress disorder (PTSD), low abstinence rates following SUD/PTSD treatment remain the norm. The utility of investigating distinct substance use trajectories is a critical innovation in the detection and refining of effective interventions for this clinical population. DESIGN AND
methodsThe present study reanalysed data from the largest randomised clinical trial to date for co-occurring SUD and PTSD in women (National Drug Abuse Treatment Clinical Trials Network; Women and Trauma Study). Randomised participants (n = 353) received one of two interventions in addition to treatment as usual for SUD: (i) trauma-informed integrative treatment for PTSD/SUD; or (ii) an active control psychoeducation course on women's health. The present study utilised latent growth mixture models (LGMM) with multiple groups to estimate women's substance use patterns during the 12-month follow-up period.
resultsFindings provided support for three different trajectories of substance use in the post-treatment year: (i) consistently low likelihood and use frequency; (ii) consistently high likelihood and use frequency; and (iii) high likelihood and moderate use frequency. Covariate analyses revealed improvement in PTSD severity was associated with membership in a specific substance use trajectory, although receiving trauma-informed treatment was not. Additionally, SUD severity, age and after-care efforts were shown to be related to trajectory membership. DISCUSSION AND
conclusionsFindings highlight the necessity of accounting for heterogeneity in post-treatment substance use, relevance of trauma-informed care in SUD recovery and benefits of incorporating methodologies like LGMM when evaluating SUD treatment outcomes.
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What OpenQuestion holds
Registered trials
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.