Evidence map›Paper›PMID 40041964›Full record

SynthesisAddiction (Abingdon, England)2025

Positive psychological interventions for substance use, addiction and recovery: An updated systematic review and meta-analysis.

Hannah A Carlon, Margo C Hurlocker, Bettina B Hoeppner, Katie Witkiewitz

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Addiction (Abingdon, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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

6 citing papers in PubMed.

  1. Positive Psychotherapy for Smoking Cessation Enhanced with Text Messaging: A Randomized Controlled Trial.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2026
    Article
  2. Article
  3. Article
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  5. Review
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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

4 authors.

Hannah A CarlonCenter on Alcohol, Substance use and Addictions (CASAA), Albuquerque, NM, USA.ORCID https://orcid.org/0000-0003-2624-9392
Margo C HurlockerCenter on Alcohol, Substance use and Addictions (CASAA), Albuquerque, NM, USA.ORCID https://orcid.org/0000-0002-9744-8551
Bettina B HoeppnerDepartment of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.ORCID https://orcid.org/0000-0002-5577-659X
Katie WitkiewitzCenter on Alcohol, Substance use and Addictions (CASAA), Albuquerque, NM, USA.ORCID https://orcid.org/0000-0002-1086-3067

Funding

Alcohol Research Training: Methods & MechanismsT32AA018108 · NIAAA · UNIVERSITY OF NEW MEXICO · PI Katie A Witkiewitz · 2010 to 2026
$5.6M
Being "in sync" with others during early alcohol and opioid recovery: The role of positive social interactions in generating recovery capital and buffering health disparitiesF31DA062425 · NIDA · UNIVERSITY OF NEW MEXICO · PI CARLON, HANNAH AVERY · 2025 to 2025
$22k
NIAAA NIH HHS T32 AA018108NIAAA NIH HHS T32AA018108NIDA NIH HHS F31 DA062425NIDA NIH HHS F31DA062425
6 · The paper itself

Abstract

aimsThe present systematic review and meta-analysis synthesized the literature of positive psychological interventions (PPIs) for substance use and addiction recovery from 2010 to 2023, specifically examining intervention characteristics, outcome measurement, study rigor, feasibility/acceptability and efficacy (Prospero ID CRD42023392299).

methodsWe searched PubMed, PsycInfo and Web of Science for peer-reviewed papers in English, published between 2010 and 2023, that applied a PPI to people who used substances or were in addiction recovery. We also manually searched Google Scholar, ResearchGate and reference lists of publications. The Mixed Methods Appraisal Tool was used to assess study quality and risk of bias. We conducted meta-analyses of the effects of PPIs from eight full-scale randomized clinical trials (RCTs) (i.e. RCTs with treatment groups larger than 50 participants) that measured positive psychological outcomes (n = 5 RCTs; 12 interventions) and substance use outcomes (n = 6 RCTs; 9 interventions); all other outcomes were presented descriptively.

resultsThe systematic search yielded 30 eligible publications across 6 countries (14/30 from United States), that evaluated 36 individual PPIs. Nineteen articles reported randomized studies comparing a PPI with one or more control condition (eight full-scale RCTs, or trials assigning 50 or more participants to the intervention condition) and the remaining 11 were single-arm studies. PPIs varied regarding duration, mode of delivery and content. Feasibility and acceptability ratings of PPIs were positive across studies. Meta-analyses revealed a small, nonsignificant effect of PPIs on positive psychological outcomes [d = 0.23, 95% confidence interval (CI) = -0.06 to 0.52, P = 0.12] and a very small, nonsignificant effect on substance use outcomes (d = 0.11; 95% CI = -0.05 to 0.27, P = 0.19). Ten out of 30 (30%) studies received a strong quality rating.

conclusionsPositive psychological interventions appear to be feasible and engaging, with mixed efficacy, for people who use substances or are in recovery.

Indexed as

Behavior, AddictivePsychosocial InterventionSubstance-Related DisordersHumansRandomized Controlled Trials as Topicaddictionpositive psychological interventionpositive psychologyPPIrecoverysubstance usesystematic review

Identifiers

PMID40041964
PMCPMC13213817

What OpenQuestion holds

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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.