Evidence mapPaperPMID 36701905Full record

Trial reportAddictive behaviors2023

The role of baseline insomnia in moderating the hypnotic properties of quetiapine.

R A Krouse, K H Morales, K M Kampman, S Chakravorty

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Addictive behaviors, 2023. 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
1.0field-weighted citation impact, top 24% of its field
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, 4 citations in OpenAlex.

  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

4 authors at 3 institutions in 1 country.

R A KrouseCoatesville Veterans Affairs Medical Center, Coatesville, PA 19320, USA; School of Arts and Sciences, University of Pennsylvania, Philadelphia, PA, USA. Electronic address: ryan.krouse@va.gov.
K H MoralesDepartment of Biostatistics and Epidemiology, Perelman School of Medicine, Philadelphia, PA 19104, USA. Electronic address: knashawn@pennmedicine.upenn.edu.
K M KampmanDepartment of Psychiatry, Cpl. Michael J. Crescenz VA Medical Center, PA 19104, USA; Department of Psychiatry, Perelman School of Medicine, Philadelphia, PA 19104, USA. Electronic address: kampman@pennmedicine.upenn.edu.
S ChakravortyDepartment of Psychiatry, Cpl. Michael J. Crescenz VA Medical Center, PA 19104, USA; Department of Psychiatry, Perelman School of Medicine, Philadelphia, PA 19104, USA. Electronic address: Subhajit.Chakravorty@pennmedicine.upenn.edu.
Philadelphia VA Medical Center · USCoatesville Veterans Affairs Medical Center · USUniversity of Pennsylvania · US

Funding

Quetiapine for the treatment of Type A and Type B alcoholismR01AA016553 · NIAAA · UNIVERSITY OF PENNSYLVANIA · PI KAMPMAN, KYLE MATTHEW · 2007 to 2011
$2.6M
Cognitive Behavioral Therapy (CBT-I) Augmentation of Topiramate in promoting abstinence in alcohol use disorder (AUD).I01CX001957 · VA · PHILADELPHIA VA MEDICAL CENTER · PI CHAKRAVORTY, SUBHAJIT · 2021 to 2024
The Efficacy of CBT-I in Alcoholics & Its Effects on Remission & RelapseIK2CX000855 · VA · PHILADELPHIA VA MEDICAL CENTER · PI CHAKRAVORTY, SUBHAJIT · 2014 to 2019
CSRD VA I01 CX001957CSRD VA IK2 CX000855NIAAA NIH HHS R01 AA016553
6 · The paper itself

Abstract

introductionThe primary aim of this study was to investigate the effect of quetiapine on insomnia and alcohol craving (craving) in subjects with co-occurring insomnia and AUD.

methodsInsomnia was assessed with the Insomnia Severity Index (ISI) and craving with the Penn Alcohol Craving Scale (PACS, primary) and Obsessive-Compulsive Drinking Scale (OCDS, secondary). A multivariable model adjusted for covariates (N = 123) evaluated the relationship between craving (PACS and OCDS total scores) and insomnia (ISI total score). To simultaneously assess the effects of treatment arm allocation and insomnia status, subjects (N = 115) were stratified into 4 groups, quetiapine-insomnia(N = 38), quetiapine-No insomnia(N = 19), placebo-insomnia(N = 38), and placebo-No insomnia(N = 20). Linear mixed-effects regression models adjusted for covariates compared the trajectories of ISI, PACS, and OCDS total scores across 12 weeks of treatment and at post-treatment follow-up at week 24, between the four groups.

resultsThe ISI total score was positively associated with the PACS (p = 0.006) and OCDS (p = 0.001) total scores in the multivariable models. In the longitudinal analysis, when compared to the three other groups, subjects with insomnia treated with quetiapine showed a marked reduction in their insomnia scores with a return of insomnia after stopping treatment. There was no significant difference between the groups for the PACS and OCDS total score trajectories. DISCUSSION: Although craving is associated with insomnia, treatment with quetiapine may improve insomnia but not craving in patients with co-occurring AUD and insomnia.

Indexed as

AlcoholismSleep Initiation and Maintenance DisordersCravingHumansHypnotics and SedativesQuetiapine FumarateHypnotics and SedativesQuetiapine Fumarate

Identifiers

PMID36701905
PMCPMC10082592
OpenAlexW4317378090

What Socratic 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 Socratic graph.