Evidence map›Paper›PMID 40235615›Full record

ReviewFocus (American Psychiatric Publishing)2025

Co-Occurring Bipolar and Substance Use Disorders: A Review of Impacts, Biopsychosocial Mechanisms, Assessment, and Treatment.

Sarah H Sperry, Elizabeth T C Lippard

Abstract readReview
In one paragraph

Review in Focus (American Psychiatric Publishing), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

2 authors.

Sarah H SperryDepartment of Psychiatry, University of Michigan, Ann Arbor, Michigan (Sperry); Department of Psychiatry and Behavioral Sciences, Dell Medical School, The University of Texas at Austin, Austin, Texas (Lippard).ORCID https://orcid.org/0000-0002-1111-7357
Elizabeth T C LippardDepartment of Psychiatry, University of Michigan, Ann Arbor, Michigan (Sperry); Department of Psychiatry and Behavioral Sciences, Dell Medical School, The University of Texas at Austin, Austin, Texas (Lippard).ORCID https://orcid.org/0000-0002-0528-3308

Funding

Biological Risk Factors for the Prospective Development of Alcohol Use Disorders in Young Adults with Bipolar Disorder and Typically Developing Young AdultsR01AA030038 · NIAAA · UNIVERSITY OF TEXAS AT AUSTIN · PI Elizabeth Thomas Cox Lippard · 2023 to 2026
$2.5M
Subjective Response to Alcohol and Associated Neural Systems in Bipolar DisorderK01AA027573 · NIAAA · UNIVERSITY OF TEXAS AT AUSTIN · PI LIPPARD, ELIZABETH THOMAS COX · 2019 to 2022
$716k
Dissecting Responses to Alcohol in Individuals with Familial Risk for Bipolar DisorderR21AA027884 · NIAAA · UNIVERSITY OF TEXAS AT AUSTIN · PI LIPPARD, ELIZABETH THOMAS COX · 2020 to 2021
$416k
NIAAA NIH HHS K01 AA027573NIAAA NIH HHS R01 AA030038NIAAA NIH HHS R21 AA027884
6 · The paper itself

Abstract

Individuals with bipolar disorder are at significant risk for having a co-occurring substance use disorder-particularly, alcohol and cannabis use disorders. Having a co-occurring substance use disorder is associated with a more pernicious clinical course, lower quality of life, and poorer treatment outcomes. Despite its increased morbidity, there is little research and clinical evidence-based guidelines on the treatment of individuals with co-occurring bipolar and substance use disorders. This review details current knowledge on the prevalence, clinical correlates, and biopsychosocial mechanisms underlying co-occurring bipolar and substance use disorders. The authors present recent research that highlights underlying mechanisms of comorbidity, including aberrant reward processing, stress sensitization, early childhood maltreatment, and gene-environment interactions. Next, the authors review current evidence-based recommendations for the assessment and treatment of co-occurring bipolar and substance use disorder, highlighting areas of needed future clinical research.

Indexed as

alcoholBipolarcomorbiditymaniasubstance usetreatment

Identifiers

PMID40235615
PMCPMC11995909

What OpenQuestion holds

Textmetadata
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.