Baseline Depressive Symptoms Predict Poor Substance Use Outcome Following Adolescent Residential Treatment

The Impact of Motivational Interviewing on Delinquent Behaviors in Incarcerated Adolescents

“…No treatment effects were found for adolescents high in depressive symptoms. Results from other studies support an association between depressive symptoms and poor substance use outcomes (Cinciripini et al, 2003; Subramaniam, Stitzer, Clemmey, Kolodner, & Fishman, 2007; Walker, Cole, & Logan, 2008; Kranzler, Del Boca, & Rounsaville, 1996). Furthermore, Chambers and colleagues (2008) suggest that certain cognitive factors may impact offenders’ responsiveness to treatment.…”

Beck Depression Inventory for depression screening in substance-abusing adolescents

“…There was also a trend toward higher rates of being prescribed a psychotropic medication, which may suggest a more selective and severe mixed affective state requiring the use of psychotropic prescriptions, as reported in the literature (Marton et al, 1991). We were surprised to find that high scores on any of the cutoffs was not associated with most of the substance abuse variables examined including OUD, as reported before (Subramaniam et al, 2007). This may be because more than 50% of the sample had multiple (three or more) SUD diagnoses.…”

“…In these samples, the sensitivity ranged from 65% to 100% for cutoff scores of BDI ≥11-15, whereas for the same cutoff scores, the specificity was much lower ranging from 39% to 61%. The BDI also merits further evaluation because in one study, BDI scores ≥11 robustly predicted postresidential substance use outcomes across 3, 6, 9, and 12 months in an adolescent sample (Subramaniam, Stitzer, Clemmey, Kolodner, & Fishman, 2007), suggesting the role of affective distress negatively impacting outcomes.…”

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

“…Consistent with guidelines utilized in other adolescent substance use treatment outcome research, short-term outcomes are examined at 3 months post-DC. [26][27][28] Although relapse is the standard primary outcome variable for adolescent substance use treatment studies, examining other measures of recovery is important to gain an accurate measurement of overall functioning. 29 More recent studies place greater emphasis on other functional outcome measures such as sober support, attending school, and employment or criminal involvement.…”

“…14,16,17 Adolescents showing signs and symptoms of externalizing disorders (e.g., conduct disorder or oppositional defiant disorder) are particularly vulnerable to early relapse. [17][18][19][20] Adolescents with internalizing disorders (e.g., anxiety) respond better to substance use treatment compared with those exhibiting externalizing problems. 17 Those with more than one type of comorbid mental health disorder appear to have the worst outcomes.…”