Evidence map›Paper›PMID 40072533›Full record

ArticleEuropean archives of psychiatry and clinical neuroscience2026

Antidepressants, relapse-prevention medications and both combined to reduce alcohol-related hospitalizations in individuals with severe alcohol use disorder.

Patrick Bach, Johan Franck, Jonas Hällgren, Härje Widing, Mika Gissler, Jeanette Westman

Abstract read
In one paragraph

Article in European archives of psychiatry and clinical neuroscience, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Patrick BachDepartment of Clinical Neuroscience, Karolinska Institutet, Tomtebodavägen 18A, Stockholm, 17177, Sweden. patrick.bach@ki.se.ORCID http://orcid.org/0000-0001-5962-019X
Johan FranckDepartment of Clinical Neuroscience, Karolinska Institutet, Tomtebodavägen 18A, Stockholm, 17177, Sweden.ORCID http://orcid.org/0000-0002-4355-1967
Jonas HällgrenDepartment of Clinical Neuroscience, Karolinska Institutet, Tomtebodavägen 18A, Stockholm, 17177, Sweden.ORCID http://orcid.org/0000-0002-1658-9345
Härje WidingDepartment of Clinical Neuroscience, Karolinska Institutet, Tomtebodavägen 18A, Stockholm, 17177, Sweden.ORCID http://orcid.org/0000-0002-4209-5728
Mika GisslerDepartment of Data and Analytics, Finnish Institute for Health and Welfare, Helsinki, Finland.ORCID http://orcid.org/0000-0001-8254-7525
Jeanette WestmanAcademic Primary Care Centre, Region Stockholm, Sweden.ORCID http://orcid.org/0000-0001-8701-4226

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Data on the comparative usefulness of medications commonly prescribed to individuals with alcohol use disorder (AUD) are scarce. This study compared the association between antidepressants, relapse-preventive AUD medication, both, and neither on the risk of subsequent alcohol-related hospitalization in individuals with severe AUD. This retrospective analysis of Swedish nationwide register data used Cox (primary analysis) and logistic (sensitivity analysis) regression models to assess the associations between medication exposure (antidepressants, AUD medication, both, neither) and risk of subsequent alcohol-related hospitalization. The analysis included data on 14,026 individuals who were admitted to the hospital for severe AUD between 2009 and 2020. Antidepressants were not significantly associated with a lower risk of subsequent alcohol-related hospitalization (hazard ratio [HR] = 0.94, 95% confidence interval [CI] = 0.82-1.08), but AUD medication was (HR = 0.61, 95% CI = 0.54-0.69), as were antidepressants plus AUD medication (HR = 0.63, 95% CI = 0.45-0.87) (reference: exposure to neither). Pairwise comparisons showed that AUD medication was associated with a lower risk of hospitalization than antidepressants (HR = 0.65, 95% CI = 0.54-0.78). Antidepressants alone were associated with a higher risk than antidepressants plus AUD medication (HR = 1.50, 95% CI = 1.05-2.15). The sensitivity analysis confirmed the association between AUD medication and lower hospitalization risk. Antidepressant monotherapy was not associated with a lower risk of subsequent alcohol-related hospitalization, but relapse-preventive medication for AUD was, both alone and in combination with antidepressants. These findings support the use of relapse-preventive medication to reduce hospitalization risk in individuals with severe AUD and raise questions about the benefit of antidepressant monotherapy for this purpose.

Indexed as

Alcohol DeterrentsAlcoholismAntidepressive AgentsHospitalizationRegistriesSecondary PreventionAdultAgedDrug Therapy, CombinationFemaleHumansMaleMiddle AgedRetrospective StudiesSwedenAlcohol DeterrentsAntidepressive AgentsAlcohol use disorderAntidepressantsEpidemiologyHospitalizationRegister-based studyRelapse-preventive medication

Identifiers

PMID40072533
PMCPMC12953294

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Registered trials

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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.