The impact of disruptive behavior disorder on substance use treatment outcome in adolescents

被引:11
|
作者
Ryan, Stacy R. [1 ]
Stanger, Catherine [1 ]
Thostenson, Jeff [2 ]
Whitmore, Jennifer J. [1 ]
Budney, Alan J. [1 ]
机构
[1] Univ Arkansas Med Sci, Addict Res Ctr, Little Rock, AR 72205 USA
[2] Univ Arkansas Med Sci, Little Rock, AR 72205 USA
关键词
MULTIDIMENSIONAL FAMILY-THERAPY; MULTISYSTEMIC THERAPY; PSYCHOSOCIAL TREATMENTS; CONTINGENCY MANAGEMENT; CONDUCT DISORDER; RANDOMIZED-TRIAL; CLINICAL-TRIAL; MAIN FINDINGS; ABUSE; INTERVENTION;
D O I
10.1016/j.jsat.2012.11.003
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
The current study examined the impact of disruptive behavior disorder (DBD) on substance use outcomes in an adolescent sample. Sixty-eight adolescents and their caregivers were randomized to one of two fourteen-week, outpatient treatments: Motivational Enhancement Therapy/Cognitive Behavior Therapy (MET/CBT) + Parent Management Training + Contingency Management (CM; experimental) and MET/CBT + Parent Drug Education (attention control). This study assessed abstinence, substance use, externalizing behavior, and parenting outcomes over five assessment periods for youth with DBD (DBD-) and without DBD (DBD-). Results showed DBD+-Vexperimental adolescents reported fewer days of marijuana use than DBD+/control adolescents. Results also showed that parents of DBD- adolescents in the experimental condition reported significantly better parenting outcomes compared to DBD-/control. Substance abuse treatment for adolescents with DBD which includes a component such as contingency management and parent training has the potential to contribute to substance use outcomes. Such treatment strategies, however, should include additional support for parents. (C) 2013 Elsevier Inc. All rights reserved.
引用
收藏
页码:506 / 514
页数:9
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