ReviewClinical psychology review2022
Expanding the continuum of substance use disorder treatment: Nonabstinence approaches.
Review in Clinical psychology review, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 4 of them syntheses that pooled 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.
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.
Who cites it
60 citing papers in PubMed, 4 syntheses or guidelines pooled it, 104 citations in OpenAlex.
- Ketamine for substance use disorders: a systematic review and meta-analysis.Frontiers in psychiatry · 2026Pooled it
- Pooled it
- A systematic meta-epidemiologic review on nonabstinence-inclusive interventions for substance use: inclusion of race/ethnicity and sex assigned at birth/gender.The American journal of drug and alcohol abuse · 2024Pooled it
- Cognitive training and remediation interventions for substance use disorders: a Delphi consensus study.Addiction (Abingdon, England) · 2023Pooled it
- Quality-of-life improvements associated with reductions in cocaine-positive urine drug screens.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2026Trial
- Potential predictors affecting outcomes in a randomized controlled trial of support programs for parents of young adults with hazardous substance use.Addiction science & clinical practice · 2025Trial
- Harm reduction-focused behavioral activation for people who inject drugs: Mixed methods outcomes from a pilot open trial.Journal of substance use and addiction treatment · 2024Trial
- Examining cocaine use reductions and long-term outcomes in two clinical trials of continuing care for cocaine dependence.Journal of substance use and addiction treatment · 2024Trial
- Predictors of treatment outcome for individuals with alcohol use disorder with a goal of controlled drinking.Addiction science & clinical practice · 2024Trial
- Group behavioral activation with and without a smartphone app in intensive outpatient treatment for substance use disorder: A three-arm randomized controlled trial.Drug and alcohol dependence · 2023Trial
- Alcohol use in the year following approach bias modification during inpatient withdrawal: secondary outcomes from a double-blind, multi-site randomized controlled trial.Addiction (Abingdon, England) · 2022Trial
- Using Machine Learning to Predict Features Within Substance Use Disorder Treatment Service Settings That Increase the Likelihood of Positive Treatment Outcomes.Prevention science : the official journal of the Society for Prevention Research · 2026Article
- Substance use recovery among college students in the US: data from the Healthy Minds Study 2021-2024.Journal of American college health : J of ACH · 2026Article
- Individualized assignment to short-term alcohol abstinence: A proof-of-concept human laboratory study using psychopathology dimensions.Drug and alcohol dependence reports · 2026Article
- Are virtual reality (VR) interventions for substance use disorders designed for implementation? A rapid review of platform characteristics and clinical fit.Research square · 2026Article
- Perspectives on harm reduction kit implementation in heterogeneous outpatient clinics.Substance abuse treatment, prevention, and policy · 2026Article
- Cannabis use and beliefs among people in recovery from substance use disorders.Journal of cannabis research · 2026Article
- "People are going to do drugs:" harm reduction as a strategy for survivors of sex trafficking who use substances.Harm reduction journal · 2026Article
- Facilitators, barriers, and strategies for optimizing engagement in recovery community centers among sexual minority people in the U.S. Northeast.Drug and alcohol dependence reports · 2026Article
- Informing low-risk drinking guidelines: a secondary, cross-sectional data analysis of alcohol use and health utility.Addiction science & clinical practice · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
Only a small minority of people with substance use disorders (SUDs) receive treatment. A focus on abstinence is pervasive in SUD treatment, defining success in both research and practice, and punitive measures are often imposed on those who do not abstain. Most adults with SUD do not seek treatment because they do not wish to stop using substances, though many also recognize a need for help. This narrative review considers the need for increased research attention on nonabstinence psychosocial treatment of SUD - especially drug use disorders - as a potential way to engage and retain more people in treatment, to engage people in treatment earlier, and to improve treatment effectiveness. We describe the development of nonabstinence approaches within the historical context of SUD treatment in the United States, review theoretical and empirical rationales for nonabstinence SUD treatment, and review existing models of nonabstinence psychosocial treatment for SUD among adults to identify gaps in the literature and directions for future research. Despite significant empirical support for nonabstinence alcohol interventions, there is a clear gap in research examining nonabstinence psychosocial treatment for drug use disorders. Future research must test the effectiveness of nonabstinence treatments for drug use and address barriers to implementation.
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What OpenQuestion holds
Registered trials
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.