Evidence map›Paper›PMID 29199899›Full record

ArticleJournal of psychoactive drugs

Alcohol and Drug Use, Pain and Psychiatric Symptoms among Adults Seeking Outpatient Psychiatric Treatment: Latent Class Patterns and Relationship to Health Status.

Danielle E Ramo, Amber L Bahorik, Kevin L Delucchi, Cynthia I Campbell, Derek D Satre

Abstract read
In one paragraph

Article in Journal of psychoactive drugs. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. 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

5 authors.

Danielle E Ramoa Assistant Professor of Psychiatry, Department of Psychiatry , Weill Institute for Neurosciences, and Helen Diller Family Comprehensive Cancer Center, University of California, San Francisco , San Francisco , CA , USA.ORCID 0000-0002-9875-5713
Amber L Bahorikb Postdoctoral Scholar, Department of Psychiatry and Weill Institute for Neurosciences , University of California, San Francisco , San Francisco , CA , USA.
Kevin L Delucchic Professor of Psychiatry, Department of Psychiatry, Weill Institute for Neurosciences, and Helen Diller Family Comprehensive Cancer Center , University of California, San Francisco , San Francisco , CA , USA.
Cynthia I Campbelld Research Scientist II, Division of Research , Kaiser Permanente Northern California , Oakland , CA , USA.
Derek D Satree Associate Professor of Psychiatry, Department of Psychiatry, Weill Institute for Neurosciences , University of California, San Francisco , San Francisco , CA , USA.

Funding

Substance Use Disorders Treatment/Services Research Training ProgramT32DA007250 · NIDA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Derek D Satre, Janice Y Tsoh · 1991 to 2026
$7.4M
Motivational Interviewing to Reduce Substance Use Among Depression PatientsR01AA020463 · NIAAA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SATRE, DEREK D · 2010 to 2012
$973k
Social Media Intervention for Young Adult SmokersK23DA032578 · NIDA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI RAMO, DANIELLE E · 2012 to 2016
$927k
NIAAA NIH HHS R01 AA020463NIDA NIH HHS K23 DA032578NIDA NIH HHS T32 DA007250
6 · The paper itself

Abstract

backgroundSubstance use, psychiatric problems, and pain frequently co-occur, yet clinical profiles of treatment-seeking patients are poorly understood. To inform service and treatment planning, substance use and symptom patterns were examined in an outpatient psychiatry clinic, along with the relationship of these patterns to demographic characteristics and physical health.

methodsPatients (N = 405; age M = 38; 69% White; 60% female) presenting for intake in a psychiatry outpatient clinic completed a computerized assessment of psychiatric problems, drinking, and drug use. Substance use and psychiatric symptom patterns among the sample were identified using latent class analysis.

resultsA 4-class model fit the data best: Class (1) Moderate symptoms/wide-range users (22.0%) had moderate depression and panic; tobacco, cocaine, hallucinogen, and ecstasy use; and high cannabis use. Class (2) Moderate depression/panic (37.8%) had moderate depression and panic. Class (3) Depression/anxiety, tobacco, and cannabis users (28.0%) had high depression, obsessions, and panic, and moderate pain severity, social phobia, compulsions, trauma, tobacco, and cannabis use. Class (4) Severe/wide range symptoms/users (12.0%) had high panic, depression, social phobia, obsessions, drug use, and moderate pain. Gender, ethnicity, and health status varied by class.

conclusionsFindings highlight the preponderance of substance use (particularly cannabis) and its relationship to psychiatric symptom severity, pain, and health status among those presenting for mental health treatment.

Indexed as

AdultAlcohol DrinkingAmbulatory CareDiagnosis, Dual (Psychiatry)FemaleHealth StatusHumansMaleMental DisordersMiddle AgedPainSeverity of Illness IndexSubstance-Related DisordersYoung AdultAnxietycannabiscomputerized screeningdepressionlatent class analysismarijuanapaintobacco

Identifiers

PMID29199899
PMCPMC5933843

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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.