Psychotherapies for adolescent substance abusers: 15-month follow-up of a pilot study

Author(s): Burleson, J. A.

Journal/Book: Amer J Addiction. 1999; 8: 1400 K St N W, Ste 1101, Washington, DC 20005, USA. Amer Psychiatric Press, Inc. 114-119.

Abstract: In order to test the hypothesis that adolescent substance abusers could be matched to effective treatment lts on the basis of their comorbid psychopathology; 32 dually diagnosed adolescents were randomized into two short-term outpatient groups psychotherapies. Cognitive-behavioural treatment (CBT) and international treatment (IT). Two follow-up assessments were conducted at 3 and 15 months after planned treatment completion. As reported recently at the three-month follow-up, no patient-treatment matching effects were identified. However, adolescents assigned to CBT demonstrated a significant reduction in severity, of substance abuse compared to those assigned to IT. Ar 15-month follow-up, there were no differential improvements ns a function of therapy type However, subjects in general maintained significant treatment gains on the substance abuse, family function, and psychiatric status domains of the Teen-Addiction Severity Index (T-ASI), and both CBT and IT were associated with similar long-term gains. Large scale, randomized, controlled treatment studies are further recommended to examine the findings of this small-scale pilot study.

Note: Article Kaminer Y, Univ Connecticut, Ctr Hlth, Alcohol Res Ctr, Farmington,CT 06030 USA

Keyword(s): INTERACTIONAL THERAPIES; MATCHING ALCOHOLICS; COPING SKILLS; DEPENDENCE

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