Adolescent Substance Use Treatment: The Moderating Effects of Psychopathology on Treatment Outcomes

King, Sarah; McChargue, Dennis E.

doi:10.1080/10550887.2014.969599

Cited by 8 publications

(4 citation statements)

References 45 publications

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“…Second, it can address the poor, post-treatment relapse rates common among youth with substance use disorders. 14,63,80,81 To date, a handful of studies have evaluated treatment for youth with substance use disorders using EMA data, all with promising results.…”

Section: Technology-based Selective Preventionmentioning

confidence: 99%

Technology-based Interventions for Preventing and Treating Substance Use Among Youth

Marsch

Borodovsky

2016

Child and Adolescent Psychiatric Clinics of North America

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Summary Preventing or mitigating substance use among youth generally involves three different intervention frameworks: universal prevention, selective prevention, and treatment. Each of these levels of intervention poses unique therapeutic and implementation challenges. Technology-based interventions provide solutions to many of these problems by delivering evidence-based interventions in a consistent and cost-effective manner. This article summarizes the current state of the science of technology-based interventions for preventing substance use initiation and mitigating substance use and associated consequences among youth.

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Section: Technology-based Selective Preventionmentioning

confidence: 99%

Technology-based Interventions for Preventing and Treating Substance Use Among Youth

Marsch

Borodovsky

2016

Child and Adolescent Psychiatric Clinics of North America

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“…Researchers have denoted the need to refine adolescent addiction treatment to enhance engagement and treatment completion, as well as recovery-related outcomes (4,5). In 2018, approximately one in 26 adolescents in the United States needed treatment for a substance use disorder and related symptoms; however, the data showed that only approximately 16.8% received services (2).…”

Section: Introductionmentioning

confidence: 99%

“…For those adolescents that use treatment, programs are often building on singular treatment modalities. Despite these treatment modalities with moderate efficacy, adolescents with addiction continue to disengage early from treatment, and overall outcomes can still improve (4). To this end, previous literature has suggested Copyright © 2020, Author(s).…”

Section: Introductionmentioning

confidence: 99%

Innovative Equine Facilitated Psychotherapy Intervention for Adolescent Addiction Treatment: A Pilot Study

Atherton

Meola²,

Pritchard

2020

Int J High Risk Behav Addict

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Background: Adolescent substance use continues to rise in the United States, and innovative interventions are needed to increase treatment outcomes. The need for innovative, complementary approaches to adolescent addiction treatment is felt. Equine facilitated psychotherapy (EFP) has demonstrated to be an innovative intervention. Objectives: This study aimed to examine the impact of an innovative EFP intervention on psychosocial and behavioral outcomes of adolescents with addiction. Methods: Ten adolescents diagnosed with substance use disorder referred from local providers participated in a six-session EFP group intervention. The study utilized a quasi-experimental, pretest-posttest design. The study used the Adolescent Behavior survey, Patient Health questionnaire 9, and generalized anxiety disorder 7 scales that were completed by the participants at baseline and upon completion of the six sessions. Paired t-tests were conducted to compare the pretest and posttest scores. Results: The results demonstrated a significant increase in adolescent behaviors associated with Glasser’s connecting habits, including listening, trusting, supporting, encouraging, respecting and accepting, and negotiating differences. The results also demonstrated a significant reduction in depressive and anxiety symptoms. Conclusions: The present study demonstrated the potential efficacy of the innovative EFP intervention integrated into a choice theory-driven treatment strategy for improving psychosocial and behavioral concerns related to adolescent addiction. Future studies should consider research design alterations to increase the generalizability and interpretation of results. Further, future studies should include a qualitative or mixed-method design to elucidate the participants’ perception of the role of the equine as part of the intervention process.

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“…Psychopathologies include emotional and behavioral problems such as anxiety or deviant behavior [7,8], and can be divided into externalizing and internalizing pathologies. They represent distinct obstacles for SUD therapy [9][10][11] that might need clinical attention already during SUD treatment [12][13][14]. Externalizing problems such as aggressive behavior during social interactions might be shown in intervention settings, too, thereby complicating therapeutic relationships and increasing the risk for unsuccessful treatments [15].…”

Section: Introductionmentioning

confidence: 99%

Comparing self-report and parental report of psychopathologies in adolescents with substance use disorders

Kuitunen‐Paul

Eichler

Wiedmann

et al. 2021

Eur Child Adolesc Psychiatry

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Both internalizing and externalizing psychopathologies interfere with the treatment of substance use disorders (SUD) in adolescents. Self-reports of psychopathologies are likely biased and may be validated with parental reports. We compared N = 70 standardized self-reports of adolescents entering outpatient SUD treatment (13.2–18.6 years old, 43% female) to parental reports on the same psychopathologies, and explored biases due to gender, age, SUD diagnoses and SUD severity. Bivariate bootstrapped Pearson correlation coefficients revealed several small to moderate correlations between both reporting sources (r = 0.29–0.49, all pcorrected ≤ 0.039). A repeated measures MANOVA revealed moderately stronger parental reports of adolescent psychopathologies compared to adolescent self-reports for most externalizing problems (dissocial and aggressive behaviors, p ≤ 0.016, η2part = 0.09–0.12) and social/attention problems (p ≤ 0.012, η2part = 0.10), but no differences for most internalizing problems (p ≥ 0.073, η2part = 0.02–0.05). Differences were not associated with other patient or parental characteristics including age, gender, number of co-occurring diagnoses or presence/absence of a certain SUD (all puncorrected ≥ 0.088). We concluded that treatment-seeking German adolescents with SUD present with a multitude of extensive psychopathologies. The relevant deviation between self- and parental reports indicate that the combination of both reports might help to counteract dissimulation and other reporting biases. The generalizability of results to inpatients, psychiatry patients in general, or adolescents without SUD, as well as the validity of self- and parental reports in comparison to clinical judgements remain unknown.

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Adolescent Substance Use Treatment: The Moderating Effects of Psychopathology on Treatment Outcomes

Cited by 8 publications

References 45 publications

Technology-based Interventions for Preventing and Treating Substance Use Among Youth

Technology-based Interventions for Preventing and Treating Substance Use Among Youth

Innovative Equine Facilitated Psychotherapy Intervention for Adolescent Addiction Treatment: A Pilot Study

Comparing self-report and parental report of psychopathologies in adolescents with substance use disorders

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