Journal of the American Academy of Child & Adolescent Psychiatry
ARTICLESPsychiatric Comorbidity and the 16‐Month Trajectory of Substance‐Abusing and Substance‐Dependent Juvenile Offenders
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Helping concerned family members of individuals with substance use and concurrent disorders: An evaluation of a family member-oriented treatment program
2017, Journal of Substance Abuse TreatmentCitation Excerpt :In addition, women married to individuals with an alcohol use disorder reported impaired social adjustment with poor work performance and work relations, decreased participation in social and leisure activities, increased intra-family dysfunction (Hudson, Kirby, Clements, Benishek, & Nick, 2014). Substance use disorders are also highly comorbid with anxiety, mood, psychotic, conduct, personality and attentional disorders, and this comorbidity has been associated with greater substance abuse, increasing aversive consequences on the individual, and an increasingly negative prognosis in terms of treatment outcomes (Bukstein, Brent, & Kaminer, 1989; Drake, Mercer-McFadden, Mueser, McHugo, & Bond, 1998; Grella, Hser, Joshi, & Rounds-Bryant, 2001; Howland et al., 2009; Mulsow, 2007; Randall, Henggeler, Pickrel, & Brondino, 1999; Weinberg, Rahdert, Colliver, & Glantz, 1998). Thus, it should be of no surprise that SUCDs have been associated with a number psychopathological problems and substance use in the CFM (Chassin et al., 1999; Merikangas et al., 2009; Ohannsessian et al., 2004).
Trajectories of Substance Use Disorder in Youth After Detention: A 12-Year Longitudinal Study
2017, Journal of the American Academy of Child and Adolescent PsychiatryA comparison of treatment outcomes for adolescent community reinforcement approach participants with and without co-occurring problems
2014, Journal of Substance Abuse TreatmentCitation Excerpt :Several studies have proposed that youth with externalizing disorders tend to prematurely leave treatment, have smaller improvement in substance use, and have faster post-treatment relapses compared to other COP groups (Crowley, Mikulich, MacDonald, Young, & Zerbe, 1998; Kaminer et al., 1992; Randall et al., 1999; Tomlinson et al., 2004; Winters et al., 2008). Additionally, adolescents with internalizing disorders sometimes have been shown to be less likely to relapse (Tomlinson et al., 2004), and the presence of an internalizing disorder for adolescents who also have an externalizing disorder (mixed condition) has been hypothesized to have a protective effect against the worse outcomes often associated with externalizing disorders (Randall et al., 1999; Tomlinson et al., 2004). In the current study, however, the externalizing group achieved at least as favorable an outcome (or better) for all three areas (substance use, substance-related problems, emotional problems) when compared to the internalizing and mixed groups, and had larger improvements overall when compared to the internalizing group.
Influence of mental health and substance use problems and criminogenic risk on outcomes in serious juvenile offenders
2011, Journal of the American Academy of Child and Adolescent PsychiatryCo-occurring mental and substance abuse disorders: A review on the potential predictors and clinical outcomes
2011, Psychiatry ResearchCitation Excerpt :Fewer follow-up percent days of abstinence were observed in non-remitted PTSD compared to remitted SUD PTSD patients (Read et al., 2004). Supplementary information about associated specific diagnosis was provided by four adolescent studies (Thompson et al., 1996; Deykin and Buka, 1997; Riggs, 1998; Randall et al., 1999). A first study examined 297 adolescents (aged 15–19) with alcohol or drug dependence concomitant PTSD and other axis I disorders (Deykin and Buka, 1997).
Contingency Management Approaches for Adolescent Substance Use Disorders
2010, Child and Adolescent Psychiatric Clinics of North AmericaCitation Excerpt :The FMC of the ATP is used to teach parents basic principles and skills designed to decrease problem behaviors and increase prosocial behaviors.40 This program, designed to target young people's conduct problems, seemed likely to yield broad benefits because conduct problems are comorbid with and strong predictors of poor outcomes among treated adolescent substance abusers.41,42 This curriculum is consistent with the CM model, as parents are taught to select and define problem (target) behaviors and track (monitor) those behaviors over time.
This study was supported by NIDA grant R01DA100079 (Scott W. Henggeler, Principal Investigator).