Evidence map›Paper›PMID 27591560›Full record

ArticleAlcoholism, clinical and experimental research2016

Do Alcohol Relapse Episodes During Treatment Predict Long-Term Outcomes? Investigating the Validity of Existing Definitions of Alcohol Use Disorder Relapse.

Stephen A Maisto, Corey R Roos, Kevin A Hallgren, Dezarie Moskal, Adam D Wilson, Katie Witkiewitz

Abstract read
In one paragraph

Article in Alcoholism, clinical and experimental research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

15 citing papers in PubMed.

  1. Trial
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  9. Anterior Insular Cortex is Critical for the Propensity to Relapse Following Punishment-Imposed Abstinence of Alcohol Seeking.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2019
    Article
  10. Article
  11. Article
  12. Article
  13. Alcohol Relapse and Change Needs a Broader View than Counting Drinks.Alcoholism, clinical and experimental research · 2017
    Article
  14. Article
  15. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Stephen A MaistoDepartment of Psychology, Syracuse University, Syracuse, New York. samaisto@syr.edu.
Corey R RoosUniversity of New Mexico, Albuquerque, New Mexico.
Kevin A HallgrenUniversity of Washington, Seattle, Washington.
Dezarie MoskalDepartment of Psychology, Syracuse University, Syracuse, New York.
Adam D WilsonUniversity of New Mexico, Albuquerque, New Mexico.
Katie WitkiewitzUniversity of New Mexico, Albuquerque, New Mexico.

Funding

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
Developing a Brief Family-Involved Treatment for Alcohol Use DisordersR34AA023304 · NIAAA · UNIVERSITY OF NEW MEXICO · PI MCCRADY, BARBARA S · 2015 to 2017
$667k
Roadmap to Study Mechanisms of Behavior Change in AddictionsU13AA024013 · NIAAA · UNIVERSITY OF NEW MEXICO · PI KARNO, MITCHELL P, WITKIEWITZ, KATIE A · 2015 to 2019
$183k
NIAAA NIH HHS K05 AA016928NIAAA NIH HHS R01 AA022328NIAAA NIH HHS R34 AA023304NIAAA NIH HHS U13 AA024013
6 · The paper itself

Abstract

backgroundThe construct of relapse is used widely in clinical research and practice of alcohol use disorder (AUD) treatment. The purpose of this study was to test the predictive validity of commonly appearing definitions of AUD relapse in the empirical literature.

methodsSecondary analyses of data from Project MATCH and COMBINE were conducted using 7 definitions of "relapse" based on drinking quantity within a single drinking episode: any drinking; at least 4/5 drinks for women/men; at least 4.3/7.1 drinks for women/men; at least 6/7 drinks for women/men; at least 6 drinks; at least 7/9 drinks for women/men; and at least 8/10 drinks for women/men. Relapse was used to predict alcohol consumption, related consequences, and nonconsumption outcomes (quality of life, psychosocial functioning) at the end of treatment and up to 1 year posttreatment.

resultsRegression analyses indicated within-treatment relapse definitions significantly predicted end-of-treatment alcohol consumption and alcohol-related consequences. Heavy drinking definitions were generally more predictive than the any drinking definition, but no single heavy drinking definition was consistently a better predictor of outcomes. Relapse definitions were less predictive of longer-term alcohol-related outcomes and both shorter- and longer-term nonconsumption outcomes, including health and psychosocial functioning.

conclusionsOne particular definition of relapse did not consistently stand out as the best predictor. Advances in AUD research may require reconceptualization of relapse as a multifaceted dynamic process and may consider a wider range of relevant behaviors (e.g., health and psychosocial functioning) when examining the change process in individuals with AUD.

Indexed as

RecurrenceTerminology as TopicAdultAlcoholismFemaleHumansMalePredictive Value of TestsRandomized Controlled Trials as TopicTreatment OutcomeYoung AdultAlcohol Use DisorderCOMBINEPredictive ValidityProject MATCHRelapse

Identifiers

PMID27591560
PMCPMC5048537

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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.