Evidence map›Paper›PMID 34238628›Full record

Trial reportJournal of substance abuse treatment2021

Predictors and moderators of marijuana and heavy alcohol use outcomes in adolescents treated for co-occurring substance use and psychiatric disorders in a randomized controlled trial.

Anthony Spirito, Bridget Nestor, Maya Massing-Schaffer, Christianne Esposito-Smythers, Robert Stout, Elisabeth Frazier, Judelysse Gomez, Hannah Graves, Shirley Yen, Jeffrey Hunt and 1 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of substance abuse treatment, 2021. 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
0.4field-weighted citation impact, top 32% 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, 4 citations in OpenAlex.

  1. Intervention for marijuana using, court-involved non-incarcerated youth.Journal of substance use and addiction treatment · 2023
    Trial
  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

11 authors at 2 institutions in 1 country.

Anthony SpiritoBrown University Department of Psychiatry and Human Behavior, United States of America. Electronic address: Anthony_Spirito@brown.edu.
Bridget NestorBrown University Department of Psychiatry and Human Behavior, United States of America.
Maya Massing-SchafferBrown University Department of Psychiatry and Human Behavior, United States of America.
Christianne Esposito-SmythersGeorge Mason University, United States of America.
Robert StoutBrown University Department of Psychiatry and Human Behavior, United States of America; Pacific Institute for Research and Evaluation, Pawtucket, RI, United States of America.
Elisabeth FrazierBrown University Department of Psychiatry and Human Behavior, United States of America; Emma Pendleton Bradley Hospital, Riverside, RI, United States of America.
Judelysse GomezBrown University Department of Psychiatry and Human Behavior, United States of America; Connecticut College, Psychology Department, New London, CT, United States of America.
Hannah GravesBrown University Department of Psychiatry and Human Behavior, United States of America.
Shirley YenBrown University Department of Psychiatry and Human Behavior, United States of America.
Jeffrey HuntBrown University Department of Psychiatry and Human Behavior, United States of America; Emma Pendleton Bradley Hospital, Riverside, RI, United States of America.
Jennifer WolffBrown University Department of Psychiatry and Human Behavior, United States of America; Rhode Island Hospital, Providence, RI, United States of America.
John Brown University · USGeorge Mason University · US

Funding

Adolescents with Major Depression and AUD: Community-Based Integrated TreatmentR01AA020705 · NIAAA · BROWN UNIVERSITY · PI SPIRITO, ANTHONY · 2012 to 2016
$3.3M
NIAAA NIH HHS R01 AA020705
6 · The paper itself

Abstract

backgroundThe current study identifies predictors and moderators of substance use outcomes for 111 adolescents with co-occurring substance use and psychiatric disorders who participated in a randomized controlled trial that compared the effectiveness of two home-based treatments: an integrated cognitive behavioral therapy (I-CBT) protocol, in which masters-level clinic staff received intensive training and ongoing supervision in the use of this protocol versus a treatment-as-usual (TAU) comparison condition in which therapists received a continuing education-style CBT workshop in the same protocol.

methodThe study conducted exploratory predictor and moderator analyses of marijuana and heavy alcohol use outcomes using candidate variables across four domains of psychological characteristics: adolescent substance use, adolescent psychiatric symptoms, parent, and family.

resultsRegardless of treatment condition, low parental monitoring at baseline, as assessed by a videotaped interaction task, but not self-report, predicted greater percentage of marijuana use and heavy alcohol use days over the 6-month follow-up period. If parents entered treatment with low levels of parental monitoring, adolescents in the I-CBT condition reduced their percentage of heavy alcohol use days significantly more than adolescents in TAU over the 6-month follow-up period. Greater adolescent aggression and parental emotion dysregulation at baseline also predicted greater percentage of marijuana use days over the 6-month follow-up period for the sample as a whole. Adolescents in the I-CBT condition who reported low positive urgency at baseline reduced their percentage of heavy alcohol use days significantly more than adolescents in TAU care over the 6-month follow-up period.

conclusionThe article discusses implications for clinical decision-making, improving treatment effectiveness, and tailoring interventions for adolescents with co-occurring substance use and psychiatric disorders.

Indexed as

CannabisCognitive Behavioral TherapySubstance-Related DisordersAdolescentAggressionHumansTreatment OutcomeAdolescentsCo-occurring psychiatric disordersHeavy alcohol useMarijuana useModeratorsPredictors

Identifiers

PMID34238628
PMCPMC8664969
OpenAlexW3168224766

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.