Evidence map›Paper›PMID 34448853›Full record

SynthesisFamily practice2022

Pharmacotherapy interventions for adolescent co-occurring substance use and mental health disorders: a systematic review.

Kelli Scott, Sara J Becker, Sarah A Helseth, Ian J Saldanha, Ethan M Balk, Gaelen P Adam, Kristin J Konnyu, Dale W Steele

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Family practice, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
0.5field-weighted citation impact, top 39% 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, 2 syntheses or guidelines pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. Evidence Base on Outpatient Behavioral Treatments for Adolescent Substance Use, Update 2018-2023: Current Status, Best Practices, and Opportunities for Advancing the Science.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
    Pooled it
  3. Initial insights from a quality improvement initiative to develop an evidence-informed young adult substance use program.Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent · 2023
    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

8 authors at 1 institution in 1 country.

Kelli ScottDepartment of Behavioral and Social Sciences, Brown University School of Public Health, Providence, RI, USA.ORCID 0000-0002-4511-8825
Sara J BeckerDepartment of Behavioral and Social Sciences, Brown University School of Public Health, Providence, RI, USA.
Sarah A HelsethDepartment of Behavioral and Social Sciences, Brown University School of Public Health, Providence, RI, USA.
Ian J SaldanhaDepartment of Health Services, Policy, and Practice, Brown University School of Public Health, Providence, RI, USA.
Ethan M BalkDepartment of Health Services, Policy, and Practice, Brown University School of Public Health, Providence, RI, USA.
Gaelen P AdamDepartment of Health Services, Policy, and Practice, Brown University School of Public Health, Providence, RI, USA.
Kristin J KonnyuDepartment of Health Services, Policy, and Practice, Brown University School of Public Health, Providence, RI, USA.
Dale W SteeleDepartment of Health Services, Policy, and Practice, Brown University School of Public Health, Providence, RI, USA.
Brown University · US

Funding

Development and Preliminary Testing of an Adjunct Smartphone App to Reduce Marijuana Use in Court-Involved, Non-Incarcerated AdolescentsK23DA048062 · NIDA · NORTHWESTERN UNIVERSITY AT CHICAGO · PI HELSETH, SARAH ASHLEY · 2020 to 2024
$958k
Pilot Implementation of Measurement-Based Care in Community Opioid Treatment ProgramsK23DA050729 · NIDA · NORTHWESTERN UNIVERSITY AT CHICAGO · PI SCOTT, KELLI · 2021 to 2025
$946k
NIDA NIH HHS K23 DA048062NIDA NIH HHS K23 DA050729
6 · The paper itself

Abstract

backgroundCo-occurring mental health and substance use (SU) disorders among adolescents are common, with two-thirds of adolescents who seek SU treatment also requiring support for mental health. Primary care physicians play a key role in the pharmacological treatment of mental health disorders among adolescents, however, little is known about the impact of these treatments on SU outcomes.

objectivesThis systematic review summarizes the evidence regarding commonly used pharmacotherapy interventions for mental health and their impact on adolescent SU.

methodsLiterature searches were conducted across five databases as part of a larger systematic review of adolescent SU interventions. Studies were screened for eligibility by two researchers, and study data were extracted regarding study design, patient and treatment characteristics and results. Risk of bias analyses and qualitative syntheses were completed to evaluate the strength of the evidence and the impact of pharmacotherapy on SU outcomes.

resultsTen randomized controlled trials exploring seven pharmacotherapies met criteria for inclusion. All studies had low to moderate risk of bias. Four studies evaluated pharmacotherapy for co-occurring depression and SU, three evaluated attention deficit hyperactivity disorder and SU, and three evaluated bipolar disorder and SU. Five of the 10 studies also included a behavioural intervention. We found no evidence that pharmacotherapy for co-occurring mental health diagnoses impacted SU.

conclusionFamily medicine clinicians prescribing pharmacotherapy for mental health should be aware that additional interventions will likely be needed to address co-occurring SU.

Indexed as

Attention Deficit Disorder with HyperactivityBipolar DisorderMental DisordersSubstance-Related DisordersAdolescentBehavior TherapyHumansMental Healthadolescent medicineco-occurring disordersmental healthpharmacotherapysubstance usesystematic review

Identifiers

PMID34448853
PMCPMC9126201
OpenAlexW3195841766

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.