Evidence map›Paper›PMID 29980821›Full record

ArticlePsychopharmacology2018

Before and after: craving, mood, and background stress in the hours surrounding drug use and stressful events in patients with opioid-use disorder.

Kenzie L Preston, William J Kowalczyk, Karran A Phillips, Michelle L Jobes, Massoud Vahabzadeh, Jia-Ling Lin, Mustapha Mezghanni, David H Epstein

Abstract readComparative Study
In one paragraph

Article in Psychopharmacology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 1 pooled it
7.0field-weighted citation impact, top 3% 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

61 citing papers in PubMed, 1 synthesis or guideline pooled it, 76 citations in OpenAlex.

  1. Pooled it
  2. Stressor-elicited smoking and craving during a smoking cessation attempt.Journal of psychopathology and clinical science · 2022
    Trial
  3. Trial
  4. Trial
  5. Article
  6. An initial exploration of the daily associations between opioid use and acute suicide risk: The role of posttraumatic stress symptoms.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2026
    Article
  7. Review
  8. Article
  9. What Are You Craving? Using Wearables to Distinguish Food and Drug Cravings During Treatment with Extended-Release Buprenorphine.Proceedings of the ... Annual Hawaii International Conference on System Sciences. Annual Hawaii International Conference on System Sciences · 2026
    Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Observational
  19. Article
  20. Article

1 more citing papers are in PubMed but not listed here.

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

8 authors at 1 institution in 1 country.

Kenzie L PrestonIntramural Research Program, National Institute on Drug Abuse, Baltimore, MD, USA. kpreston@intra.nida.nih.gov.ORCID http://orcid.org/0000-0003-0603-2479
William J KowalczykIntramural Research Program, National Institute on Drug Abuse, Baltimore, MD, USA.
Karran A PhillipsIntramural Research Program, National Institute on Drug Abuse, Baltimore, MD, USA.
Michelle L JobesIntramural Research Program, National Institute on Drug Abuse, Baltimore, MD, USA.
Massoud VahabzadehIntramural Research Program, National Institute on Drug Abuse, Baltimore, MD, USA.
Jia-Ling LinIntramural Research Program, National Institute on Drug Abuse, Baltimore, MD, USA.
Mustapha MezghanniIntramural Research Program, National Institute on Drug Abuse, Baltimore, MD, USA.
David H EpsteinIntramural Research Program, National Institute on Drug Abuse, Baltimore, MD, USA.
National Institute on Drug Abuse · US

Funding

Scientific Computing & Informatics Core (SCIC)ZIHDA000534 · NIDA · NATIONAL INSTITUTE ON DRUG ABUSE · PI ERIKSON, RYEN · 2009 to 2025
$65.3M
Real-Time Assessment of Drug Use, Along with Mental States and EnvironmentsZIADA000499 · NIDA · NATIONAL INSTITUTE ON DRUG ABUSE · PI EPSTEIN, DAVID · 2009 to 2025
$19.9M
New approaches to addiction treatmentZIADA000624 · NIDA · NATIONAL INSTITUTE ON DRUG ABUSE · PI EPSTEIN, DAVID · 2018 to 2025
$9.6M
Quantifying Exposure to Illicit Drugs & Psychosocial Stress in Real TimeZ01DA000499 · NIDA · NATIONAL INSTITUTE ON DRUG ABUSE · PI PRESTON, KENZIE · 2007 to 2008
$555k
Intramural NIH HHS ZIA DA000499NIDA NIH HHS Z01 DA000499
6 · The paper itself

Abstract

rationaleEcological momentary assessment (EMA) of specific events usually focuses more on antecedents and concomitants than on aftermaths.

objectivesTo examine mental state both before and after discrete episodes of stress and drug use.

methodsFor up to 16 weeks, outpatients on opioid-agonist treatment carried smartphones on which they initiated entries for stressful events (SEs) or lapses to drug use (DUs), and thrice daily when randomly prompted (RPs). Participants rated their stress, opioid craving, cocaine craving, and moods. RP entries within 5 h of an event were analyzed and compared to other RPs.

resultsStress, negative mood, and craving were generally higher before and after DUs and SEs compared to background levels in participants with at least one DU (n = 149) or SE (n = 158). Before DUs, there were increases in negative mood, opioid craving, and cocaine craving, but not background stress. Before SEs, there were increases in background stress, opioid craving, and cocaine craving, but not negative mood. These changes were more variable after events than before. Neither DUs nor SEs were significantly related to positive mood.

conclusionsStress increased before stressful-event entries, but was less evident before drug use. Craving increased in the hours before drug use and stressful events-and remained elevated in the hours after either event. These results suggest a stronger link between drug use and craving than between drug use and stress. Lapses to drug use did not improve mood or reduce stress, at least not at our 1-h-bin time resolution, suggesting that if such benefits exist, they are brief.

Indexed as

AdultAffectAnalgesics, OpioidCocaineCravingFemaleHumansMaleMethadoneMiddle AgedOpiate Substitution TreatmentOpioid-Related DisordersRandom AllocationSmartphoneStress, PsychologicalAnalgesics, OpioidCocaineMethadoneCocaineCravingEcological momentary assessmentOpioidStress

Identifiers

PMID29980821
PMCPMC6119104
OpenAlexW2866869592

What OpenQuestion holds

Textmetadata
LicenceTDM
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.