Evidence map›Paper›PMID 28025362›Full record

Trial reportPain medicine (Malden, Mass.)2016

Development and Preliminary Evaluation of an Integrated Cognitive-Behavior Treatment for Chronic Pain and Substance Use Disorder in Patients with the Hepatitis C Virus.

Benjamin J Morasco, David W Greaves, Travis I Lovejoy, Dennis C Turk, Steven K Dobscha, Peter Hauser

Open access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in Pain medicine (Malden, Mass.), 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
1.7field-weighted citation impact, top 16% 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

15 citing papers in PubMed, 27 citations in OpenAlex.

  1. Trial
  2. Article
  3. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2025
    Article
  4. Integrating chronic pain management into care for patients with opioid use disorder.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2025
    Article
  5. Review
  6. Article
  7. Alcohol Use Disorder and Chronic Pain: An Overlooked Epidemic.The American journal of psychiatry · 2024
    Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. 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

6 authors at 3 institutions in 1 country.

Benjamin J Morasco*Center to Improve Veteran Involvement in Care benjamin.morasco@va.gov.
David W GreavesMental Health and Clinical Neurosciences Division, VA Portland Health Care System, Oregon.
Travis I Lovejoy*Center to Improve Veteran Involvement in Care.
Dennis C TurkDepartment of Anesthesiology and Pain Medicine and Center for Pain Research on Impact, Measurement, & Effectiveness, University of Washington, Seattle, Washington.
Steven K Dobscha*Center to Improve Veteran Involvement in Care.
Peter HauserVISN 22 Network Office and Division of Mental Health, Long Beach VA Medical Center, California.
Oregon Health & Science University · USUniversity of Washington · USVA Desert Pacific Healthcare Network · US

Funding

Chronic Pain Management in Veterans with Co-occurring Substance Use DisordersIK2HX001516 · VA · PORTLAND VA MEDICAL CENTER · PI LOVEJOY, TRAVIS IAN · 2015 to 2019
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HSRD VA IK2 HX001516
6 · The paper itself

Abstract

objectiveIndividuals with the hepatitis C virus (HCV) have high rates of both chronic pain and substance use disorder (SUD). Despite high comorbidity, there are limited data available on effective methods of treatment for co-occurring chronic pain and SUD. In this study, we sought to develop and conduct preliminary testing of an integrated cognitive-behavior therapy (CBT) for chronic pain and SUD in patients with HCV.

designDescriptive, including pretreatment, posttreatment, and follow-up testing. SETTING AND PATIENTS: Outpatient clinic as part of one VA Medical Center.

participantsVeterans with chronic pain, SUD, and HCV.

interventionEight-session integrated group CBT for chronic pain and SUD in patients with HCV.

methodsParticipants completed standardized measures of pain, function, depression severity, and alcohol and substance use at baseline, post-treatment, and 3-month follow-up.

resultsGeneralized estimating equations identified improvements in pain interference, reducing cravings for alcohol and other substances, and decreasing past-month alcohol and substance use. The proportion of participants who met diagnostic criteria for current SUD demonstrated a four-fold decrease over the course of the study from 24% at baseline to 15% at post-treatment and 6% at 3-month follow-up. On response to a global impression of change, 94% of participants noted improvement from baseline.

conclusionsResults from this pilot study suggest that a customized CBT for patients with both chronic pain and SUD (CBT-cp.sud) may be beneficial in improving important pain and addiction-related outcomes in patients with HCV. Larger scale investigations of this intervention appear warranted.

Indexed as

AdultAgedChronic PainCognitive Behavioral TherapyFemaleHepacivirusHepatitis CHumansMaleMiddle AgedPilot ProjectsSubstance-Related DisordersVeteransChronic PainCognitive-Behavior TherapyHepatitis C VirusIntegrated TreatmentSubstance Use Disorder

Identifiers

PMID28025362
PMCPMC6280937
OpenAlexW2467167295

What OpenQuestion holds

Textmetadata
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.