Evidence map›Paper›PMID 29457671›Full record

Trial reportThe American journal on addictions2018

Abstinence and reduced frequency of use are associated with improvements in quality of life among treatment-seekers with cannabis use disorder.

Christina A Brezing, C Jean Choi, Martina Pavlicova, Daniel Brooks, Amy L Mahony, John J Mariani, Frances R Levin

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The American journal on addictions, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01020019 (A Randomized, Double-Blind, Placebo-Controlled Study of Lofexidine and Dronabinol for the Treatment of Marijuana Dependence), which is not on this map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
3.2field-weighted citation impact, top 8% 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.

NCT01020019 phase2 / phase3completednot on this map

A Randomized, Double-Blind, Placebo-Controlled Study of Lofexidine and Dronabinol for the Treatment of Marijuana Dependence

TypeinterventionalSponsorNew York State Psychiatric InstituteRan2010 to 2014Enrolled156ConditionsCannabis Dependence, Marijuana DependenceArmsDronabinol, Placebo, Lofexidine
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 47 citations in OpenAlex.

  1. Pharmacotherapies for cannabis use disorder.The Cochrane database of systematic reviews · 2025
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Evaluating cannabis use risk reduction as an alternative clinical outcome for cannabis use disorder.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2022
    Trial
  6. Trial
  7. Article
  8. Quality of life measures in treatment for active substance misuse: a scoping review.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
    Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Cannabis use and cannabis use disorder.Nature reviews. Disease primers · 2021
    Review
  18. Review
  19. Article
  20. 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

7 authors at 3 institutions in 1 country.

Christina A BrezingDivision on Substance Use Disorders, New York State Psychiatric Institute, New York, New York.ORCID 0000-0002-2426-3169
C Jean ChoiDivision of Biostatistics, New York State Psychiatric Institute, New York, New York.
Martina PavlicovaDepartment of Biostatistics, Columbia University, New York, New York.
Daniel BrooksDivision on Substance Use Disorders, New York State Psychiatric Institute, New York, New York.
Amy L MahonyDivision on Substance Use Disorders, New York State Psychiatric Institute, New York, New York.
John J MarianiDivision on Substance Use Disorders, New York State Psychiatric Institute, New York, New York.
Frances R LevinDivision on Substance Use Disorders, New York State Psychiatric Institute, New York, New York.
Columbia University Irving Medical Center · USNew York Psychoanalytic Society and Institute · USColumbia University · US

Funding

PHARMACOLOGICAL TREATMENT OF MARIJUANA DEPENDENCEP50DA009236 · NIDA · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI KLEBER, HERBERT DAVID · 1994 to 2013
$39.4M
Translational Clinical Research Fellowship on Substance Use DisordersT32DA007294 · NIDA · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI Frances Rudnick Levin, Diana M Martinez · 1993 to 2026
$9.3M
Substance Abuse Treatment Development and Clinical Research MentoringK24DA029647 · NIDA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI LEVIN, FRANCES RUDNICK · 2010 to 2019
$1.8M
NIDA NIH HHS K24 DA029647NIDA NIH HHS P50 DA009236NIDA NIH HHS T32 DA007294
6 · The paper itself

Abstract

BACKGROUND AND

objectiveMany patients with cannabis use disorder (CUD) do not achieve or do not have abstinence as a goal of treatment, rather they reduce their use. Assessing outcome measures as they relate to functioning and reductions in cannabis use is an important area of study. Quality of life (QoL) shows promise as one such measure. Past studies have demonstrated gender differences in QoL and CUD. We aim to assess (1) the relationship between cannabis use and QoL and (2) gender effects in an outpatient medication treatment study for CUD.

methodsData from an 11-weeks, double-blind, placebo-controlled trial of lofexidine and dronabinol for CUD (n = 62) was analyzed. Pearson's correlations between baseline QoL as measured with the Quality of Life, Enjoyment, and Satisfaction Questionnaire-Short Form (QLES-Q-SF) and cannabis use assessed with modified timeline follow-back (TLFB) were examined. Multiple linear regression models of cannabis use on end of study QLES-Q-SF were analyzed, while adjusting for baseline QLES-Q-SF, study arm, and gender. Moderation effects with gender were also tested.

resultsNo significant association between baseline cannabis use and QoL was found. End of study abstinence (F DISCUSSION AND

conclusionsAbstinence and lower frequency of use are associated with higher QoL, regardless of gender. SCIENTIFIC SIGNIFICANCE: This is the first time QoL has been demonstrated to change over the course of CUD medication treatment. QoL is an important outcome in CUD treatment.

trial registrationNCT01020019. (Am J Addict 2018;27:101-107).

Indexed as

Marijuana SmokingQuality of LifeSmoking ReductionAdultClonidineDouble-Blind MethodDronabinolFemaleHumansMaleMarijuana AbuseMiddle AgedMotivationNarcotic AntagonistsSex FactorsSurveys and QuestionnairesClonidineDronabinollofexidineNarcotic Antagonists

Identifiers

PMID29457671
PMCPMC5846101
OpenAlexW2792271234

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.