Evidence map›Paper›PMID 39478536›Full record

ReviewAnnals of general psychiatry2024

Management of schizophrenia and comorbid substance use disorders: expert review and guidance.

Adrián Neyra, Carlos Parro-Torres, Elena Ros-Cucurull, Indalecio Carrera, Eduardo Echarri, Marta Torrens

Abstract readReview
In one paragraph

Review in Annals of general psychiatry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. 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

6 authors.

Adrián NeyraPsychiatry Service, University Hospital of Gran Canaria Dr. Negrín, Las Palmas de Gran Canaria, Spain. aneyros@gobiernodecanarias.org.
Carlos Parro-TorresInstitute of Psychiatry and Mental Health, Gregorio Marañón University General Hospital, Madrid, Spain.
Elena Ros-CucurullDepartment of Psychiatry, Hospital Universitari Vall d'Hebron, Barcelona. Department of Psychiatry and Legal Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain.
Indalecio CarreraUnidad Asistencial de Drogodependencias de ACLAD-Coruña/CHUAC-SERGAS, A Coruña. Departamento de Psiquiatría de la Universidad de Santiago de Compostela, A Coruña, Spain.
Eduardo EcharriServicio de farmacia del Hospital de Conxo-SERGAS, Santiago de Compostela, A Coruña, Spain.
Marta TorrensInstitut Salut Mental Hospital del Mar, Hospital del Mar Research Institute. Universitat de Vic-UCC, Universitat Autònoma de Barcelona. Red de investigación en Atención Primaria de Adicciones (RIAPAd), Barcelona, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSchizophrenia and substance use disorders (SUDs) are often comorbid conditions that present clinical challenges due to their heterogeneity and the difficulties associated with poor physical health, low medication adherence, high relapse and hospitalization rates, and increased risk of mortality. This is often exacerbated by a fragmented health care system that treats addiction and mental illness separately, leading to delays in proper diagnosis and treatment. MAIN TEXT: The aim of this narrative review, based on an extensive literature search and experts' clinical experience, is to synthesize evidence on the psychopathological and clinical characteristics of patients, the burden and management at the level of healthcare system, and possible gaps in the treatment of schizophrenia with comorbid SUD in order to understand and address the needs of patients. Treatment options, differences between antipsychotic medications, and the benefits of long-acting formulations and partial dopaminergic agonists are described. Partial dopamine agonists (aripiprazole, cariprazine, and brexpiprazole) have demonstrated good control of psychotic symptoms and SUDs with a favorable safety profile.

conclusionPharmacological interventions should be accompanied by psychosocial support within an integrated and multidisciplinary approach that promotes shared decision-making and a good therapeutic alliance between the entire medical team and the patient.

Indexed as

AntipsychoticsCare managementComorbid disordersDual diagnosisSchizophreniaSubstance use disorder

Identifiers

PMID39478536
PMCPMC11526640

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.