The impact of disruptive behavior disorder on substance use treatment outcome in adolescents

J Subst Abuse Treat. May-Jun 2013;44(5):506-14. doi: 10.1016/j.jsat.2012.11.003. Epub 2012 Dec 8.


The current study examined the impact of disruptive behavior disorder (DBD) on substance use outcomes in an adolescent sample. Sixty-eight adolescents and their caregivers were randomized to one of two fourteen-week, outpatient treatments: Motivational Enhancement Therapy/Cognitive Behavior Therapy (MET/CBT)+Parent Management Training+Contingency Management (CM; experimental) and MET/CBT+Parent Drug Education (attention control). This study assessed abstinence, substance use, externalizing behavior, and parenting outcomes over five assessment periods for youth with DBD (DBD(+)) and without DBD (DBD(-)). Results showed DBD(+)/experimental adolescents reported fewer days of marijuana use than DBD(+)/control adolescents. Results also showed that parents of DBD(-) adolescents in the experimental condition reported significantly better parenting outcomes compared to DBD(-)/control. Substance abuse treatment for adolescents with DBD which includes a component such as contingency management and parent training has the potential to contribute to substance use outcomes. Such treatment strategies, however, should include additional support for parents.

Publication types

  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Ambulatory Care / methods
  • Attention Deficit and Disruptive Behavior Disorders / complications*
  • Attention Deficit and Disruptive Behavior Disorders / psychology
  • Caregivers / education
  • Cognitive Behavioral Therapy / methods*
  • Female
  • Humans
  • Male
  • Marijuana Abuse / rehabilitation
  • Motivation
  • Parents / education*
  • Substance-Related Disorders / rehabilitation*
  • Treatment Outcome