Evidence map›Paper›PMID 30126540›Full record

ArticleJournal of substance abuse treatment2018

Persistence/recurrence of and remission from DSM-5 substance use disorders in the United States: Substance-specific and substance-aggregated correlates.

Sean Esteban McCabe, Brady T West, Stephen Strobbe, Carol J Boyd

Open access · greenAbstract read
In one paragraph

Article in Journal of substance abuse treatment, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.6field-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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Examining sexual minority engagement in recovery community centers.Journal of substance use and addiction treatment · 2024
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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 2 institutions in 1 country.

Sean Esteban McCabeUniversity of Michigan, Center for the Study of Drugs, Alcohol, Smoking and Health, School of Nursing, and Institute for Research on Women and Gender, 426 N. Ingalls St., Ann Arbor, MI 48109, USA. Electronic address: plius@umich.edu.
Brady T WestUniversity of Michigan, Survey Research Center, Institute for Social Research, P.O. Box 1248, Ann Arbor, MI 48106, USA.
Stephen StrobbeUniversity of Michigan, Center for the Study of Drugs, Alcohol, Smoking and Health, School of Nursing, and Department of Psychiatry, 426 N. Ingalls St., Ann Arbor, MI 48109, USA.
Carol J BoydUniversity of Michigan, Center for the Study of Drugs, Alcohol, Smoking and Health, School of Nursing, Department of Psychiatry, and Institute for Research on Women and Gender, 426 N. Ingalls St., Ann Arbor, MI 48109, USA.
Institute for Women's Policy Research · USUniversity of Michigan–Ann Arbor · US

Funding

Trajectories of Prescription Nonmedical Drug MisuseR01DA031160 · NIDA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI SEAN ESTEBAN MCCABE · 2011 to 2026
$3.7M
Discrimination, Stress and Substance Use Disorder among Sexual Minority Adults: A Secondary Analysis of NESARC-IIIR01DA043696 · NIDA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI BOYD, CAROL J · 2017 to 2019
$1.1M
Sexual Orientation, Discrimination, and Health Disparities in DSM-5 Alcohol Use DisordersR01AA025684 · NIAAA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MCCABE, SEAN ESTEBAN · 2018 to 2020
$855k
Health, Stress, and Tobacco Use Disparities among Sexual Minority PopulationsR01CA212517 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MCCABE, SEAN ESTEBAN · 2017 to 2019
$721k
Longitudinal Changes in Recovery from Drug Use Disorders: A National StudyR01DA036541 · NIDA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MCCABE, SEAN ESTEBAN · 2015 to 2017
$647k
NCI NIH HHS R01 CA212517NIAAA NIH HHS R01 AA025684NIDA NIH HHS R01 DA031160NIDA NIH HHS R01 DA036541NIDA NIH HHS R01 DA043696
6 · The paper itself

Abstract

This study examined demographic and psychosocial correlates associated with persistence/recurrence of and remission from at least one of ten DSM-5 substance use disorders (SUDs) and three substance-specific SUDs (i.e., alcohol, cannabis, and prescription opioids). Data were collected from structured diagnostic interviews and national prevalence estimates were derived from the 2012-2013 National Epidemiologic Survey on Alcohol and Related Conditions. An estimated 25.4% of the U.S. population had at least one prior-to-past-year (prior) SUD. Among individuals with any prior SUDs, the prevalence of past-year substance use and DSM-5 symptomology was as follows: abstinence (14.2%), asymptomatic use (36.9%), symptomatic use (10.9%), and persistent/recurrent SUD (38.1%). Among individuals with prior SUDs, design-based multinomial logistic regression analysis revealed that young adulthood, higher educational attainment, higher personal income, never having been married, being divorced/separated/widowed, lack of lifetime substance use treatment, and stressful life events predicted significantly greater odds of past-year persistent/recurrent SUDs, relative to abstinence. In addition, remission from a prior tobacco use disorder decreased the probability of past-year persistent/recurrent SUD, relative to abstinence. Stressful life events were the only common correlates across the aggregation of all SUDs and each substance-specific SUD, but differences were found for specific stressful life events between drug classes. Nearly half (49%) of adults with prior DSM-5 SUDs continued to report past-year symptomatic substance use, while only one in seven individuals were abstinent. The findings suggest the value of examining remission associated with both substance-specific SUDs and aggregation of SUDs based on the shared and unique correlates of persistent/recurrent SUDs; this is especially true for stressful life events, which could be useful targets for enhancing clinical care and interventions.

Indexed as

AdolescentAdultAgedAlcoholismDiagnostic and Statistical Manual of Mental DisordersFemaleHumansInterviews as TopicLife Change EventsLogistic ModelsMaleMarijuana AbuseMiddle AgedOpioid-Related DisordersPrevalenceRecurrenceAbstinenceDSM-5RemissionStressSubstance use disorders

Identifiers

PMID30126540
PMCPMC6237097
OpenAlexW2883648901

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.