Psychiatric Comorbidity and Substance Use Treatment Outcomes of Adolescents.

Tomlinson, Kristin L.; Brown, Sandra A.; Abrantes, Ana M.

doi:10.1037/0893-164x.18.2.160

Cited by 124 publications

(103 citation statements)

References 51 publications

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“…As noted in the introduction, several studies have shown the prognostic significance of co-occurring conduct disorder for drug-abusing youth (Brown, Gleghorn, Schuckit, Myers, & Mott, 1996;Crowley et al, 1998;Myers et al, 1995;Tomlinson, Brown, & Abrantes, 2004). An additional contribution of this study to this comorbidity literature is that our follow-up period is longer than the more typical shorter term follow-up periods in the literature, and we included a community-based control group.…”

Section: Discussionmentioning

confidence: 99%

Internalizing and externalizing behaviors and their association with the treatment of adolescents with substance use disorder

Winters

Stinchfield

Latimer

et al. 2008

Journal of Substance Abuse Treatment

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Section: Discussionmentioning

confidence: 99%

Internalizing and externalizing behaviors and their association with the treatment of adolescents with substance use disorder

Winters

Stinchfield

Latimer

et al. 2008

Journal of Substance Abuse Treatment

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“…70 Strong evidence exists for adolescent alcohol involvement directly causing physical outcomes such as blackouts, unplanned sexual behavior, and motor vehicle crashes. Less clear is the casual contribution of alcohol involvement to the multiple behavioral, emotional, social, and academic problems that are correlated with teen drinking.…”

Section: Effects Of Alcohol Use On Adolescent Developmentmentioning

confidence: 99%

“…Reviews of research on neurocognitive effects of alcohol on adolescents and college students, as well as animal models of adolescence, 6,70 concluded that adolescent alcohol use is associated with damage to the brain and neurocognitive deficits, with implications for learning and other cognitive abilities that may continue to affect the individual into adulthood. For example, adolescents with an AUD have deficits in memory retrieval and in visuospatial functioning.…”

Section: Alcohol and The Developing Adolescent Brainmentioning

confidence: 99%

“…For example, multiple research groups have identified common patterns of success, fluctuations, and failure after treatment for alcohol problems; however, little is known about the impact of these outcomes on functioning as youths transition through late adolescence and into young adulthood. 70 …”

Section: Developmental Context and Traditional Treatment Effortsmentioning

confidence: 99%

“…68 Youths treated for AUDs who also have an axis I mental health disorder have been shown to experience relapse more quickly and after exacerbations in symptoms of the mental health disorder. 70 …”

Section: Emotional Changes and Mental Health Problemsmentioning

confidence: 99%

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A Developmental Perspective on Alcohol and Youths 16 to 20 Years of Age

Brown¹,

McGue²,

et al. 2008

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Late adolescence (ie, 16 -20 years of age) is a period characterized by escalation of drinking and alcohol use problems for many and by the onset of an alcohol use disorder for some. This heightened period of vulnerability is a joint consequence of the continuity of risk from earlier developmental stages and the unique neurologic, cognitive, and social changes that occur in late adolescence. We review the normative neurologic, cognitive, and social changes that typically occur in late adolescence, and we discuss the evidence for the impact of these transitions on individual drinking trajectories. We also describe evidence linking alcohol abuse in late adolescence with neurologic damage and social impairments, and we discuss whether these are the bases for the association of adolescent drinking with increased risks of mental health, substance abuse, and social problems in adulthood. Finally, we discuss both the challenges and successes in the treatment and prevention of adolescent drinking problems. I N THE UNITED States, alcohol involvement sometimes starts but more often escalates between 16 and 20 years of age, when youths are also experiencing dramatic physical, emotional, and social changes. Specifically, a variety of forms of hazardous drinking emerge during middle to late adolescence and, for many youths, these problematic patterns of drinking continue to escalate through 18 to 20 years of age, the period of greatest risk for the onset of an alcohol use disorder (AUD).In seeking to understand youth development and alcohol involvement, it is important to consider all dimensions of functioning, because the interrelated cognitive, biological, social, and affective changes that occur during adolescence not only affect each another but also influence an individual's risk of problem drinking. In particular, the timing, sequence, and synchrony of developmentally specific transitions can affect how well youths master new roles, as well as continuities and discontinuities in their behavior. Therefore, developmental models representing a range of theoretical orientations, including systems theory, behavioral genetics, and developmental psychopathology, hold great promise for advancing our understanding of the processes that underlie adolescent changes, including the emergence of alcohol use and abuse.The need for developmental approaches is underscored by the existence of a consistent body of research showing that the escalation in drinking and the emergence of AUDs in middle and late adolescence have behavioral, social, and biological roots from earlier developmental stages. Moreover, it is becoming increasingly clear that alcohol involvement in adolescence has both short-and long-term effects on health and well-being at later developmental stages. Importantly, the consequences of adolescent drinking seem to differ from those associated with adult drinking, because there is increasing evidence that adolescents are especially vulnerable to the adverse effects of heavy alcohol use on both biological and socia...

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