Evidence map›Paper›PMID 35444925›Full record

ArticleCurrent treatment options in psychiatry2020

PTSD / substance use disorder comorbidity: Treatment options and public health needs.

Lisa M Najavits, H Westley Clark, Carlo C DiClemente, Marc N Potenza, Howard J Shaffer, James L Sorensen, Matthew T Tull, Allen Zweben, Joan E Zweben

Abstract read
In one paragraph

Article in Current treatment options in psychiatry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

19 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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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

9 authors.

Lisa M NajavitsUniversity of Massachusetts Medical School.
H Westley ClarkSanta Clara University.
Carlo C DiClementeUniversity of Maryland, Baltimore County.
Marc N PotenzaDepartments of Psychiatry, Child Study and Neuroscience, Yale University School of Medicine.
Howard J ShafferDivision on Addiction, Harvard Medical School.
James L SorensenDepartment of Psychiatry and Behavioral Sciences, University of California at San Francisco, Zuckerberg San Francisco General Hospital and Trauma Center.
Matthew T TullUniversity of Toledo.
Allen ZwebenColumbia University School of Social Work.
Joan E ZwebenUniversity of California, San Francisco, Veterans Affairs Medical Center, San Francisco.

Funding

A technology solution for peer-led Seeking SafetyR44DA041949 · NIDA · TREATMENT INNOVATIONS, LLC · PI NAJAVITS, LISA M · 2018 to 2019
$1.5M
Automated assessment using facial codingR44DA042640 · NIDA · TREATMENT INNOVATIONS, LLC · PI NAJAVITS, LISA M · 2018 to 2019
$1.5M
Phone app for grounding (de-escalation) of substance-abusing transition-age youthR44AA026746 · NIAAA · TREATMENT INNOVATIONS, LLC · PI NAJAVITS, LISA M · 2017 to 2018
$1.4M
NIAAA NIH HHS R44 AA026746NIDA NIH HHS R44 DA041949NIDA NIH HHS R44 DA042640
6 · The paper itself

Abstract

Purpose of Review: Posttraumatic stress disorder (PTSD) commonly co-occurs with substance use disorder (SUD) and is challenging to treat. We review all behavioral therapy models with at least one randomized controlled trial in a current PTSD/SUD population. We identify factors in selecting a model for clinical use, emphasizing a public health framework that balances the need for evidence with the need for feasibility in frontline settings. Recent Findings: Seven published models and 6 unpublished models are reviewed. Public health considerations for choosing a model include: whether it's been studied across a broad range of SUDs and in complex SUD patients; whether it can be conducted in group modality; its appeal to patients and providers; its cost; workforce requirements; and its ability to reduce substance use in addition to PTSD. Summary: There are two broad types of models: those that originated in the PTSD field versus the SUD field. Overall, the latter are stronger on public health factors and more feasible in SUD settings. Published models in this category include Relapse Prevention, BRENDA, and Seeking Safety. PTSD/SUD research is at an early stage and there is a need for methodology that quantifies "level of burden" (patients' socioeconomic disadvantages) across trials.

Indexed as

addictionPTSDreviewsubstance abusetherapytrauma

Identifiers

PMID35444925
PMCPMC9017717

What OpenQuestion holds

Textmetadata
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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.