Historique
Périodique
Impact of psychiatric comorbidity on treatment of adolescent drug abusers
(Impact de la comorbidité psychiatrique sur le traitement des adolescents abusant de substances psychoactives)
Auteur(s) :
ROWE, C. L. ;
LIDDLE, H. A. ;
GREENBAUM P. E. ;
HENDERSON, C. E.
Année
2004
Page(s) :
129-140
Langue(s) :
Anglais
Refs biblio. :
100
Domaine :
Drogues illicites / Illicit drugs
Thésaurus mots-clés
COMORBIDITE
;
ADOLESCENT
;
TRAITEMENT
;
COMPARAISON
;
EFFICACITE
;
THERAPIE FAMILIALE
;
THERAPIE COMPORTEMENTALE
;
THERAPIE COGNITIVO-COMPORTEMENTALE
;
FAMILLE
;
SUIVI DU PATIENT
;
PSYCHIATRIE
;
TRAJECTOIRE
Note générale :
Journal of Substance Abuse Treatment, 2004, 26, (2), 129-140
Note de contenu :
tabl. ; graph.
Résumé :
ENGLISH :
Comorbidity of substance abuse disorders (SUD) and psychiatric disorders is one of the most important areas of investigation in contemporary drug abuse treatment research. This study examined the impact of psychiatric comorbidity on the treatment of 182 adolescent drug abusers in a randomized clinical trial comparing family and individual cognitive-behavioral therapy. Three distinct groups of adolescent substance abusers were compared: (1) Exclusive Substance Abusers (SUD only) ; (2) Externalizers (SUD + externalizing disorder) ; and (3) Mixed Substance Abusers (SUD + externalizing and internalizing disorder). The purpose of this study was to determine whether adolescents in these comorbid groups differed in clinical presentation and treatment response. More severe comorbidity was associated with greater family dysfunction and being female and younger at intake. An examination of substance use trajectories over time indicated that the Mixed group initially responded to treatment but returned to intake levels of substance use by 1 year post-discharge. (Review' s abstract)
Affiliation :
Center of Treatment Research on Adolescent Drug Abuse, Department of Epidemiology and Public Health, University of Miami School of Medicine, 1400 N.W. 10th Avenue, Miami, FL 33136. E-mail : crowemed.miami.edu
Etats-Unis. United States.
Etats-Unis. United States.