Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

199 questions · 208 findings · 27 reviews · Drugs and Alcohol

No studies found 5 · 2.4%GRADE not reported 6 · 2.9%Very low 45 · 21.6%Low 79 · 38%Moderate 59 · 28.4%High 14 · 6.7%

Interpersonal Psychotherapy for Depression (IPT‐D) vs Other Psychological Interventions

Substance use ‐ relapse · co‐occurring depression and substance use disorders

It is very uncertain whether interpersonal Psychotherapy for Depression (IPT‐D) changes substance use ‐ relapse compared with other Psychological Interventions (very low certainty).

1 finding from 1 review

Interpersonal Psychotherapy for Depression (IPT‐D) vs Other Psychological Interventions

Retention in treatment · co‐occurring depression and substance use disorders

It is very uncertain whether interpersonal Psychotherapy for Depression (IPT‐D) changes treatment retention compared with other Psychological Interventions (very low certainty).

1 finding from 1 review

Integrated CBT vs Twelve Step Facilitation

Depression score · co‐occurring depression and substance use disorders
2 findings from 1 review

Intervention not reported

Severity of depression dichotomous measures ‐ Tricyclics versus placebo: "very much" or "much" improvement on the Clinical Global Impression scale · patients with depression during opioid agonist treatment for opioid dependence

The intervention probably leads to higher severity of depression dichotomous measures ‐ Tricyclics versus… (moderate certainty).

1 finding from 1 review

Buprenorphine detox vs buprenorphine maintenance

Patients with positive urine at the end of treatment Number of participants with urine positive for opiates · patients with opiate dependent adolescents

Buprenorphine detox showed no clear difference in patients with positive urine at the end of treatment Number of… compared with buprenorphine maintenance (low certainty).

1 finding from 1 review

Buprenorphine vs methadone

Number completing withdrawal treatment · Adults with opioid dependence

Buprenorphine showed no clear difference in completion of withdrawal treatment compared with methadone (moderate certainty).

1 finding from 1 review

Buprenorphine vs alpha2‐adrenergic agonists

Mean overall withdrawal score (participant rated) · Adults or adolescents with opioid dependence

Buprenorphine showed no clear difference in mean overall withdrawal score, with various methods of assessment compared with alpha2‐adrenergic agonists (moderate certainty).

1 finding from 1 review

Buprenorphine vs alpha2‐adrenergic agonists

Mean days in treatment (with varying scheduled duration) · Adults or adolescents with opioid dependence

Buprenorphine probably leads to higher mean days in treatment (with varying scheduled duration) compared with alpha2‐adrenergic agonists (moderate certainty).

1 finding from 1 review