Substance use treatment outcomes for youth: integrating personal and environmental predictors
- PMID: 17092659
- PMCID: PMC3408389
- DOI: 10.1016/j.drugalcdep.2006.09.014
Substance use treatment outcomes for youth: integrating personal and environmental predictors
Abstract
This investigation examined personal and environmental predictors of substance treatment outcomes in youth. A 424 adolescents (M=15.9 years, S.D.=1.3) completed comprehensive assessments, including substance use, environmental factors (e.g., family history, social supports), and person-centered variables (e.g., Axis I diagnosis, motivation, self-esteem), at study intake and throughout the year following inpatient treatment. Youth treatment outcomes were assessed by relapse status (abstaining, minor relapse, major relapse) and DSM-IV dependence symptoms at 1 year. Relapse status was predicted by demographic (age), environmental (social supports), and person-centered factors (diagnosis) while dependence symptoms were best predicted by substance use variables alone. Consideration of the general and specific nature of risk and protection within the adolescent developmental context were explored.
References
-
- Aarons GA, Brown SA, Coe MT, Myers MG, Garland AF, Ezzet-Lofstram R, Hazen AL, Hough RL. Adolescent alcohol and drug abuse and health. J Adolesc Health. 1999;24:412–421. - PubMed
-
- American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 3. Washington, D.C: Author; 1987. Revised.
-
- American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 4. Washington, D.C: Author; 1994.
-
- Ashby Wills T, Resko JA, Ainette MG, Mendoza D. Role of parent support and peer support in adolescent substance use: A test of mediated effects. Psychol Addict Behav. 2004;18:122–134. - PubMed
-
- Breton JJ, Bergeron L, Valla JP, Berthiaume C, St George M. Diagnostic Interviewing Schedule for Children (DISC-2.25) in Quebec: Reliability findings in light of the MECA study. J Am Acad Child Adolesc Psychiatry. 1998;37:1167–1174. - PubMed