Evidence map›Paper›PMID 29617709›Full record

ArticleAlcohol and alcoholism (Oxford, Oxfordshire)2018

What Happens After Treatment? Long-Term Effects of Continued Substance Use, Psychiatric Problems and Help-Seeking on Social Status of Alcohol-Dependent Individuals.

Katherine J Karriker-Jaffe, Jane Witbrodt, Meenakshi S Subbaraman, Lee Ann Kaskutas

Open access · bronzeAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Alcohol and alcoholism (Oxford, Oxfordshire), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
3.7field-weighted citation impact, top 6% 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

4 citing papers in PubMed, 23 citations in OpenAlex.

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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.

Katherine J Karriker-JaffeAlcohol Research Group, Public Health Institute, 6001 Shellmound Street, Suite 450 Emeryville, CA, USA.
Jane WitbrodtAlcohol Research Group, Public Health Institute, 6001 Shellmound Street, Suite 450 Emeryville, CA, USA.
Meenakshi S SubbaramanAlcohol Research Group, Public Health Institute, 6001 Shellmound Street, Suite 450 Emeryville, CA, USA.
Lee Ann KaskutasAlcohol Research Group, Public Health Institute, 6001 Shellmound Street, Suite 450 Emeryville, CA, USA.
Public Health Institute · US

Funding

TREND &STRUCTURE OF ALCOHOL DEPENDENCE--GENERAL POPULATION 1990 SURVEY DATAP50AA005595 · NIAAA · WESTERN CONSORTIUM FOR PUBLIC HEALTH · PI LUI, CAMILLIA K. · 1985 to 2025
$34.1M
IMPACT OF SERVICES ON PROBLEM DRINKING TRAJECTORIESR01AA009750 · NIAAA · WESTERN CONSORTIUM FOR PUBLIC HEALTH · PI DELUCCHI, KEVIN L. · 1994 to 2009
$4.6M
Identifying Modifiable Influences on Alcohol Problems in High-Risk NeighborhoodsR01AA020328 · NIAAA · PUBLIC HEALTH INSTITUTE · PI KARRIKER-JAFFE, KATHERINE J. · 2012 to 2015
$1.4M
Gender differences in problem drinking trajectoriesR01AA015927 · NIAAA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI WEISNER, CONSTANCE M. · 2006 to 2007
$558k
NIAAA NIH HHS P50 AA005595NIAAA NIH HHS R01 AA009750NIAAA NIH HHS R01 AA015927NIAAA NIH HHS R01 AA020328
6 · The paper itself

Abstract

purposeWe examined whether alcohol-dependent individuals with sustained substance use or psychiatric problems after completing treatment were more likely to experience low social status and whether continued help-seeking would improve outcomes. SHORT SUMMARY: Ongoing alcohol, drug and psychiatric problems after completing treatment were associated with increased odds of low social status (unemployment, unstable housing and/or living in high-poverty neighborhood) over 7 years. The impact of drug problems declined over time, and there were small, delayed benefits of AA attendance on social status.

methodAlcohol-dependent individuals sampled from public and private treatment programs (N = 491; 62% male) in Northern California were interviewed at treatment entry and 1, 3, 5 and 7 years later. Random effects models tested relationships between problem severity (alcohol, drug and psychiatric problems) and help-seeking (attending specialty alcohol/drug treatment and Alcoholics Anonymous, AA) with low social status (unemployment, unstable housing and/or living in a high-poverty neighborhood) over time.

resultsThe proportion of participants experiencing none of the indicators of low social status increased between baseline and the 1-year follow-up and remained stable thereafter. Higher alcohol problem scores and having any drug and/or psychiatric problems in the years after treatment were associated with increased odds of low social status over time. An interaction of drug problems with time indicated the impact of drug problems on social status declined over the 7-year period. Both treatment-seeking and AA attendance were associated with increased odds of low social status, although lagged models suggested there were small, delayed benefits of AA attendance on improved social status over time.

conclusionSpecialty addiction treatment alone was not sufficient to have positive long-term impacts on social status and social integration of most alcohol-dependent people.

Indexed as

Patient Acceptance of Health CareSocial ClassAlcoholics AnonymousAlcoholismFemaleHumansLongitudinal StudiesMaleMental DisordersSubstance-Related Disorders

Identifiers

PMID29617709
PMCPMC6016698
OpenAlexW2794588015

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.