Evidence map›Paper›PMID 25919978›Full record

Trial reportAddiction (Abingdon, England)2015

Pain as a predictor of heavy drinking and any drinking lapses in the COMBINE study and the UK Alcohol Treatment Trial.

Katie Witkiewitz, Kevin E Vowles, Elizabeth McCallion, Tessa Frohe, Megan Kirouac, Stephen A Maisto

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Addiction (Abingdon, England), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02423772 (Pilot Study of Combined Treatment for Veterans With Chronic Pain & Opiate Misuse), which is not on this map. Cited by 66 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed, 1 pooled it
5.5field-weighted citation impact, top 4% 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.

NCT02423772 nacompletednot on this map

Pilot Study of Combined Treatment for Veterans With Chronic Pain & Opiate Misuse

TypeinterventionalSponsorUniversity of New MexicoRan2014 to 2018Enrolled35ConditionsChronic Pain, Problematic Opioid UseArmsAcceptance and Commitment Therapy + Mindfulness-Based Relapse Prevention + Treatment as Usual (TAU)
3 · Its place in the literature

Who cites it

66 citing papers in PubMed, 1 synthesis or guideline pooled it, 103 citations in OpenAlex.

  1. Pooled it
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  10. Bidirectional relationships between pain and alcohol use among older adults: a scoping review.The journals of gerontology. Series A, Biological sciences and medical sciences · 2026
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6 more citing papers are in PubMed but not listed here.

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 4 institutions in 1 country.

Katie WitkiewitzDepartment of Psychology, University of New Mexico, Albuquerque, NM, USA.
Kevin E VowlesDepartment of Psychology, University of New Mexico, Albuquerque, NM, USA.
Elizabeth McCallionDepartment of Psychology, University of New Mexico, Albuquerque, NM, USA.
Tessa FroheDepartment of Psychology, University of New Mexico, Albuquerque, NM, USA.
Megan KirouacDepartment of Psychology, University of New Mexico, Albuquerque, NM, USA.
Stephen A MaistoDepartment of Psychology, Syracuse University, Syracuse, NY, USA.
New York State Office of Alcoholism and Substance Abuse Services · USUniversity of New Mexico · USCouncil on Alcoholism and Drug Abuse · USSyracuse University · US

Funding

Alcohol Research Training: Methods & MechanismsT32AA018108 · NIAAA · UNIVERSITY OF NEW MEXICO · PI Katie A Witkiewitz · 2010 to 2026
$5.6M
Precision Medicine and Recovery in a Telehealth Treatment Program for Alcohol Use DisorderR01AA022328 · NIAAA · UNIVERSITY OF NEW MEXICO · PI Katie A Witkiewitz · 2013 to 2026
$3.1M
Research and Mentoring on Alcohol Clinical and Human Laboratory ResearchK05AA016928 · NIAAA · SYRACUSE UNIVERSITY · PI MAISTO, STEPHEN A · 2008 to 2017
$2.1M
Pilot Study of Combined Treatment for Veterans with Chronic Pain & Opiate MisuseR34AT008398 · NCCIH · UNIVERSITY OF NEW MEXICO · PI VOWLES, KEVIN E · 2014 to 2016
$647k
NCCIH NIH HHS R34 AT008398NIAAA NIH HHS K05 AA016928NIAAA NIH HHS R01 AA022328NIAAA NIH HHS T32 AA018108
6 · The paper itself

Abstract

aimsTo test the association between pain and heavy drinking lapses during and following treatment for alcohol use disorders (AUD).

designSecondary data analysis of data from two clinical trials for AUD. SETTING AND

participantsParticipants included 1383 individuals from the Combined Pharmacotherapies and Behavioral Interventions (COMBINE) Study in the United States [69.0% male, 76.8% non-Hispanic White average age=44.4, standard deviation (SD) = 10.2] and 742 individuals from the UK Alcohol Treatment Trial (UKATT) in the United Kingdom [74.1% male, 95.6% White, average age=41.6 (SD=10.1)]. MEASUREMENTS: Form-90 (a structured assessment interview) was used to assess the primary outcome: time to first heavy drinking day. The Short Form Health Survey and Quality of Life measures were used to assess pain interference and pain intensity.

findingsPain was a significant predictor of heavy drinking lapses during treatment in UKATT [odds ratio (OR)=1.19, 95% confidence interval (CI)=1.08, 1.32, P=0.0003] and COMBINE (OR=1.12, 95% CI=1.03, 1.21, P=0.009), and was a significant predictor of heavy drinking lapses following treatment in COMBINE (OR=1.163, 95% CI=1.15, 1.17, P<0.00001). After controlling for other relapse risk factors (e.g. dependence severity, self-efficacy, temptation, psychiatric distress), pain remained a significant predictor of heavy drinking lapses during treatment in UKATT (OR=1.19, 95% CI=1.06, 1.34, P=0.004) and following treatment in COMBINE (OR=1.44, 95% CI=1.07, 1.92, P=0.01).

conclusionsAmong people treated for alcohol use disorder, being in physical pain appears to predict heavy drinking lapses during or after treatment.

Indexed as

AcamprosateAdultAlcohol DeterrentsAlcohol DrinkingAlcohol-Related DisordersBehavior TherapyChronic PainCombined Modality TherapyFemaleHumansMaleNaltrexonePain MeasurementRecurrenceTaurineTreatment OutcomeAcamprosateAlcohol DeterrentsNaltrexoneTaurineAlcohol relapsealcohol treatment outcomesCOMBINE studylatent transition analysespainUnited Kingdom Alcohol Treatment Trial

Identifiers

PMID25919978
PMCPMC4503502
OpenAlexW1535542142

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.