Evidence map›Paper›PMID 41534843›Full record

ArticleAlcohol and alcoholism (Oxford, Oxfordshire)2026

Associations between childhood risk factors and alcohol treatment outcomes in adolescence.

Mica Komarnyckyj, Dylan Mangan, Karen P Hayhurst, Stephen J Kaar, Stefan Jahr, Andrew Jones

Abstract read
In one paragraph

Article in Alcohol and alcoholism (Oxford, Oxfordshire), 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. Review
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.

Mica KomarnyckyjManchester Biomedical Research Centre, Division of Psychology & Mental Health, University of Manchester, Oxford Rd, Manchester M13 9PL, United Kingdom.
Dylan ManganNational Drug Evidence Centre, Division of Population Health, Health Service Research and Primary Care, University of Manchester, Manchester M13 9PL, United Kingdom.
Karen P HayhurstNational Drug Evidence Centre, Division of Population Health, Health Service Research and Primary Care, University of Manchester, Manchester M13 9PL, United Kingdom.
Stephen J KaarDivision of Psychology & Mental Health, University of Manchester, Oxford Rd, Manchester M13 9PL, United Kingdom.
Stefan JahrDepartment of Health and Social Care, Office for Health Improvement and Disparities (OHID), London, United Kingdom.
Andrew JonesNational Drug Evidence Centre, Division of Population Health, Health Service Research and Primary Care, University of Manchester, Manchester M13 9PL, United Kingdom.

Funding

Department of Health and Social Care C33865NIHR Manchester Biomedical Research Centre NIHR203308NIHR Oxford Health Biomedical Research CentreOffice for Life Sciences and the NIHR Mental Health Translational Research Collaboration Mission
6 · The paper itself

Abstract

backgroundEarly onset alcohol use, mental health problems, familial alcohol use, and adverse childhood experiences (ACEs) increase the likelihood of persistent alcohol-use disorders later in life. This study aimed to determine the relative influence of such risk factors when predicting adolescent alcohol treatment outcomes, an area overlooked in prior research.

methodsRetrospective cross-sectional analysis using the National Drug Treatment Monitoring System, incorporating data from all publicly funded community alcohol services in England. The study included adolescents (aged 11-17) whose alcohol treatment took place between 1 April 2018 and 31 March 2023 (n = 2621). Logistic regression models tested for associations between predictors and key outcomes, including treatment non-completion and being non-abstinent at treatment completion. Predictors included demographics, treatment information, alcohol use, ACEs, care status, psychological, and socioeconomic factors.

resultsSignificant predictors of not completing treatment: increased age; increased monthly drinking days; year of exit 2020-2021; Not in Education, Employment or Training (NEET) status and being placed on a child protection plan. NEET adolescents had double the incomplete treatment rate compared to the general cohort. Significant predictors of non-abstinent completion: increased age, monthly drinking days, units per drinking day, mental health treatment need, early onset use, affected by others' substance use, and illicit substance use.

conclusionsAdolescents with higher alcohol or illicit substance use at treatment start, NEET status and/or child protection plan (care status indicating prior ACE exposure) have worse alcohol treatment outcomes. These groups are highlighted for tailored interventions which consider psychological and environmental challenges adolescents may be experiencing.

Indexed as

Adverse Childhood ExperiencesAlcoholismUnderage DrinkingAdolescentChildCross-Sectional StudiesEnglandFemaleHumansMaleRetrospective StudiesRisk FactorsTreatment Outcomeaddictionadolescenceadverse childhood experiences (ACEs)alcoholbinge drinkingpredictors

Identifiers

PMID41534843
PMCPMC12803731

What OpenQuestion holds

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LicenceCC BY
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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.