Substance use treatment outcomes for youth: Integrating personal and environmental predictors

被引:37
作者
Anderson, Kristen G.
Ramo, Danielle E.
Schulte, Marya T.
Cummins, Kevin
Brown, Sandra A.
机构
[1] Univ Calif San Diego, Vet Affairs San Diego Healthcare Syst, San Diego, CA 92093 USA
[2] Univ Calif San Diego, Dept Psychiat & Psychol, San Diego, CA 92093 USA
[3] Univ Calif San Diego, SDSU, Joint Doctoral Program Clin Psychol, San Diego, CA 92093 USA
[4] Univ Calif San Diego, Dept Psychol, San Diego, CA 92093 USA
关键词
substance use; treatment; adolescents;
D O I
10.1016/j.drugalcdep.2006.09.014
中图分类号
R194 [卫生标准、卫生检查、医药管理];
学科分类号
摘要
This investigation examined personal and environmental predictors of substance treatment outcomes in youth. A 424 adolescents (M=15.9 years, S.D. = 1.3) completed comprehensive assessments, including substance use, environmental factors (e.g., family history, social supports), and person-centered variables (e.g., Axis I diagnosis, motivation, self-esteem), at study intake and throughout the year following inpatient treatment. Youth treatment outcomes were assessed by relapse status (abstaining, minor relapse, major relapse) and DSM-IV dependence symptoms at 1 year. Relapse status was predicted by demographic (age), environmental (social supports), and person-centered factors (diagnosis) while dependence symptoms were best predicted by substance use variables alone. Consideration of the general and specific nature of risk and protection within the adolescent developmental context were explored. (c) 2006 Published by Elsevier Ireland Ltd.
引用
收藏
页码:42 / 48
页数:7
相关论文
共 53 条
[1]   Adolescent alcohol and drug abuse and health [J].
Aarons, GA ;
Brown, SA ;
Coe, MT ;
Myers, MG ;
Garland, AF ;
Ezzet-Lofstram, R ;
Hazen, AL ;
Hough, RL .
JOURNAL OF ADOLESCENT HEALTH, 1999, 24 (06) :412-421
[2]   The efficacy of 2 different dosages of methylphenidate in treating adults with attention-deficit hyperactivity disorder [J].
Bouffard, R ;
Hechtman, L ;
Minde, K ;
Iaboni-Kassab, F .
CANADIAN JOURNAL OF PSYCHIATRY-REVUE CANADIENNE DE PSYCHIATRIE, 2003, 48 (08) :546-554
[3]   Diagnostic interview schedule for children (DISC-2.25) in Quebec: Reliability findings in light of the MECA study [J].
Breton, JJ ;
Bergeron, L ;
Valla, JP ;
Berthiaume, C ;
St-Georges, M .
JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY, 1998, 37 (11) :1167-1174
[4]  
Brown S. A., 1990, DRUG ALCOHOL ABUSE P, P373
[5]  
Brown S. A., 1994, APPLIED PREVENTIVE P, V3, P61, DOI [10.1016/S0962-1849(05)80139-8, DOI 10.1016/S0962-1849(05)80139-8]
[6]   CHARACTERISTICS OF RELAPSE FOLLOWING ADOLESCENT SUBSTANCE ABUSE TREATMENT [J].
BROWN, SA ;
VIK, PW ;
CREAMER, VA .
ADDICTIVE BEHAVIORS, 1989, 14 (03) :291-300
[7]   THE ALCOHOL EXPECTANCY QUESTIONNAIRE - AN INSTRUMENT FOR THE ASSESSMENT OF ADOLESCENT AND ADULT ALCOHOL EXPECTANCIES [J].
BROWN, SA ;
CHRISTIANSEN, BA ;
GOLDMAN, MS .
JOURNAL OF STUDIES ON ALCOHOL, 1987, 48 (05) :483-491
[8]   Measuring youth outcomes from alcohol and drug treatment [J].
Brown, SA .
ADDICTION, 2004, 99 :38-46
[9]   Psychometric evaluation of the customary drinking and drug use record (CDDR): A measure of adolescent alcohol and drug involvement [J].
Brown, SA ;
Myers, MG ;
Lippke, L ;
Tapert, SF ;
Stewart, DG ;
Vik, PW .
JOURNAL OF STUDIES ON ALCOHOL, 1998, 59 (04) :427-438
[10]   Conduct disorder among adolescent alcohol and drug abusers [J].
Brown, SA ;
Gleghorn, A ;
Schuckit, MA ;
Myers, MG ;
Mott, MA .
JOURNAL OF STUDIES ON ALCOHOL, 1996, 57 (03) :314-324