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Randomized Controlled Trial
. May-Jun 2013;44(5):506-14.
doi: 10.1016/j.jsat.2012.11.003. Epub 2012 Dec 8.

The Impact of Disruptive Behavior Disorder on Substance Use Treatment Outcome in Adolescents

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Free PMC article
Randomized Controlled Trial

The Impact of Disruptive Behavior Disorder on Substance Use Treatment Outcome in Adolescents

Stacy R Ryan et al. J Subst Abuse Treat. .
Free PMC article

Abstract

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.

Figures

Figure 1
Figure 1
Mixed-model repeated measures of ineffective discipline from intake to 9-months post-treatment. Geometric shapes represent observed means for the DBD status/treatment condition combinations. The estimated cubic (maternal report) and linear (paternal report) curves for each DBD status/treatment condition combination is displayed. DBD = Disruptive behavior disorder; EXP = Experimental condition; CONTROL = Control condition.

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