Evidence map›Paper›PMID 27226947›Full record

ArticleCurrent addiction reports2014

Pharmacotherapy of Co-Occurring Schizophrenia and Substance Use Disorders.

Sarah C Akerman, Mary F Brunette, Douglas L Noordsy, Alan I Green

Open access · bronzeAbstract read
In one paragraph

Article in Current addiction reports, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 25% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Unique Effects of Clozapine: A Pharmacological Perspective.Advances in pharmacology (San Diego, Calif.) · 2018
    Review
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

4 authors at 1 institution in 1 country.

Sarah C AkermanDepartment of Psychiatry, Geisel School of Medicine at Dartmouth, Lebanon, NH 03756, USA.
Mary F BrunetteDepartment of Psychiatry, Geisel School of Medicine at Dartmouth, Lebanon, NH 03756, USA.
Douglas L NoordsyDepartment of Psychiatry, Geisel School of Medicine at Dartmouth, Lebanon, NH 03756, USA.
Alan I GreenDepartment of Psychiatry, Geisel School of Medicine at Dartmouth, Lebanon, NH 03756, USA.
Dartmouth College · US

Funding

SYNERGY: The Dartmouth Center for clinical and Translational ScienceUL1TR001086 · NCATS · DARTMOUTH COLLEGE · PI GREEN, ALAN I · 2013 to 2017
$18.3M
Cannabis, Schizophrenia and Reward: Self-Medication and Agonist Treatment?R01DA034699 · NIDA · DARTMOUTH-HITCHCOCK CLINIC · PI BRUNETTE, MARY FRANCES · 2013 to 2019
$4.3M
Clozapine for Cannabis Use Disorder in SchizophreniaR01DA032533 · NIDA · DARTMOUTH COLLEGE · PI GREEN, ALAN I · 2012 to 2017
$3.2M
RCT of a Motivational Decision Support System for Smokers with SMIR01CA168778 · NCI · DARTMOUTH COLLEGE · PI BRUNETTE, MARY FRANCES · 2013 to 2015
$1.8M
NCATS NIH HHS UL1 TR001086NCI NIH HHS R01 CA168778NIDA NIH HHS R01 DA032533NIDA NIH HHS R01 DA034699
6 · The paper itself

Abstract

Substance use disorders, common in patients with schizophrenia, can lead to poor outcomes. Here we review the literature on the use of antipsychotics in patients with co-occurring schizophrenia and substance use disorder as well as evidence for the use of adjunctive pharmacological treatments targeting substance use in these patients. We also discuss a neurobiological formulation suggesting that the cooccurrence of these disorders may be related to a dysfunction in the dopamine mediated brain reward circuitry. Typical antipsychotics do not appear to decrease substance use in this population. Randomized, controlled trials provide some support for use of the atypical antipsychotic clozapine for co-occurring cannabis use disorder, naltrexone and disulfiram for alcohol use disorder, and also nicotine replacement therapy, sustained-release bupropion and varenicline for tobacco use disorder. Nonetheless, data regarding treatment in patients with these co-occurring disorders are still limited, and many studies reported to date have been either underpowered or did not include a control condition. Further research is needed to evaluate optimal pharmacotherapeutic strategies for this population.

Indexed as

AntipsychoticBrain rewardClozapineSchizophreniaSubstance use disorder

Identifiers

PMID27226947
PMCPMC4877030
OpenAlexW2032111038

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.