Reducing Adolescents' Marihuana Abuse

Smith, Thomas E.

doi:10.1300/j010v09n01_03

Cited by 12 publications

(3 citation statements)

References 10 publications

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“…Using a between‐groups design, Smith (1983) compared an eight‐session school‐based group treatment, focusing on skills training in the areas of problem‐solving, social skills and self‐monitoring, with a no‐treatment control condition for adolescent marijuana users. Self‐reported use was reduced, and academic and peer functioning were enhanced for the youths in the treatment.…”

Section: Efficacy/effectiveness Of Psychosocial Treatmentsmentioning

confidence: 99%

On the learning curve: the emerging evidence supporting cognitive–behavioral therapies for adolescent substance abuse

Waldron¹,

Kaminer²

2004

Addiction

152

132

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Aims-Cognitive-behavioral therapy (CBT) approaches to intervention for adolescent substance use disorders has been limited and formal controlled clinical efficacy trials have been rare. Moreover, the early literature on the efficacy of CBT for adolescent substance abuse has been characterized by significant methodological limitations. Recent innovations in the treatment of adolescent substance abuse and the recent completion of several randomized clinical trials has brightened the picture with respect to establishing the empirical support for CBT. The aim of this review is to integrate the findings from controlled trials of CBT for adolescent substance abuse. Findings and conclusions-Despite some prominent differences in design and methodology, the studies reviewed provide consistent empirical evidence that group and individual CBT are associated with significant and clinically meaningful reductions in adolescent substance use. The evidence for the efficacy of group therapy is particularly important, countering the assertion that aggregating problem youths into group treatment settings is associated with iatrogenic effects. The findings from the randomized trials reviewed represent significant developments in treatment outcome research and lay the foundation for validating CBT for adolescent substance use disorders. Future research directions include improving short-and long-term outcomes, enhancing treatment motivation and engagement, and identifying mechanisms and processes associated with positive change, especially for youths with comorbid conditions. Method-Studies

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Section: Efficacy/effectiveness Of Psychosocial Treatmentsmentioning

confidence: 99%

On the learning curve: the emerging evidence supporting cognitive–behavioral therapies for adolescent substance abuse

Waldron¹,

Kaminer²

2004

Addiction

152

132

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“…Non-controlled studies were included because so few controlled studies exist. Studies were excluded from the review only if the average age of the clients was <13 or >19 (i.e., Baer et al, 1992; Benson, 1985; Dejong & Henrich, 1980; Gorelick, Wilkins, & Wong, 1989; Holsten, 1980; Khuri et al, 1984; Langrod, Alksne, & Gomez, 1981; Nigam, Schottenfeld, & Kosten, 1992; Roffman et al, 1988; Wilkinson & LeBreton, 1986), or if the sample size was 20 or less (i.e., Bry & Krinsley, 1992; Duehn, 1978; Fredericksen, Jenkins, & Carr, 1976; Kaminer, 1992; Myers, Donahue, & Goldstein, 1994; Smith, 1983; Vik, Grizzle, & Brown, 1992).…”

Section: Inclusion Criteriamentioning

confidence: 99%

A comprehensive and comparative review of adolescent substance abuse treatment outcome.

Williams

Chang

2000

Clinical Psychology: Science and Practice

292

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There are relatively few studies on adolescent substance abuse treatment. The ones that exist tend to be methodologically weak. Methodologically stronger studies have usually found most adolescents receiving treatment to have significant reductions in substance use and problems in other life areas in the year following treatment. Average rate of sustained abstinence after treatment is 38% (range 30-55) at 6 months and 32% at 12 months (range 14-47). Variables most consistently related to successful outcome are treatment completion, low pre-treatment substance use, and peer/parent social support/nonuse of substances. There is evidence that treatment is superior to no treatment, but insufficient evidence to compare the effectiveness of treatment types. The exception to this is that outpatient family therapy appears superior to other forms of outpatient treatment. 3There have been several reviews and commentaries on the adolescent drug treatment literature (e.g., Brown, 1993; Brown, Mott and Myers 1990; Bukstein, 1994; Davidge and Forman, 1988; Dusenbury, Khuri and Millman, 1992;Kaminer, 1994;Spicer, 1991; U.S. Department of Health and Human Services, 1995a; Winters, Latimer and Stinchfield, in press). The most thorough review has been that of Catalano, Hawkins, Wells, Miller and Brewer (1990/1991). In this review Catalano and his colleagues identified 16 treatment outcome studies and an additional 13 studies that examined factors affecting treatment progress or treatment outcome. Four of these studies were multi-site, multi-program evaluations (Friedman, Glickman and Morrissey, 1986; Drug Abuse Reporting Program (DARP) reported in Sells and Simpson, 1979; Treatment Outcome Prospective Study (TOPS) reported in Hubbard, Cavanaugh, Craddock and Rachal, 1985; and the Uniform Data Collection System (UDCS) reported in Rush, 1979). In their review of all of these studies, they concluded that treatment was likely better than no treatment, but there was no evidence that one treatment type was superior to another. Pre-treatment factors associated with outcome were race, seriousness of substance use, criminality, and educational status. During-treatment factors predictive of outcome were time in treatment for residential programs, involvement of family in treatment, experienced staff who used practical problem solving, and programs that provided comprehensive services (school, recreation, vocation, contraceptive). Posttreatment factors were believed to be the most important determinants of outcome. These included involvement in work and school, association with nonusing friends, and involvement in leisure activities.Unfortunately, Catalano et al. 's (1990/1991) review has several limitations. Catalano et al. (1990Catalano et al. ( /1991, as well as several other reviewers of the adolescent literature (e.g. Newcomb and Bentler, 1989), have pointed out that the small number of treatment outcome studies makes conclusions very tentative. For comparison purposes, in the adult literature, there have been over 1000 stud...

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“…Host interventions have modified young people’s attitudes around alcohol abuse (Stainback & Rogers, 1983). With role-play techniques, other host interventions have lowered marijuana use among early adolescents (Smith, 1983). Still other such interventions, through social inoculation procedures, have helped children and adolescents offset substance use pressures (Flay, d’Avernas, Best, Kersell, & Ryan, 1983).…”

Section: Hostmentioning

confidence: 99%

Preventing substance abuse with children and adolescents.

Schinke¹,

Gilchrist²

1985

Journal of Consulting and Clinical Psychology

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This article reviews recent research on the prevention of tobacco, alcohol, and drug abuse with children and adolescents. The review is organized according to an intervention focus on the agent, environment, and host. An original study describes methods and results of host-oriented skills intervention to prevent cigarette smoking. Based on the reviewed recent past studies, the authors note conceptual and methodological progress in substance abuse prevention research. Suggestions for future research include technological improvements necessary to implement preventive interventions on a wide scale. The authors highlight the importance of careful designs; manipulation checks on independent variables; process data collection; multimodal measures of self-report, behavioral, and physiological variables; and multivariate statistical analyses in studies on interventions to prevent tobacco, alcohol, and drug abuse with children and adolescents.

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Reducing Adolescents' Marihuana Abuse

Cited by 12 publications

References 10 publications

On the learning curve: the emerging evidence supporting cognitive–behavioral therapies for adolescent substance abuse

On the learning curve: the emerging evidence supporting cognitive–behavioral therapies for adolescent substance abuse

A comprehensive and comparative review of adolescent substance abuse treatment outcome.

Preventing substance abuse with children and adolescents.

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