Disorders - Substance Use Disorders
Pandey, A., Hale, D., Das, S., Goddings, A. L., Blakemore, S. J., Viner, R. M.
IMPORTANCE Childhood and adolescence
self-regulation (SR) is gaining importance as a target of intervention because of mounting evidence of its positive associations with health, social
and educational outcomes. OBJECTIVE To conduct a systematic review and meta-analysis of rigorously evaluated interventions to improve self-regulation
in children and adolescents. DATA SOURCES Keyword searches of the PsycINFO, PubMed, EMBASE, CINAHL Plus, ERIC, British Education Index, Child
Development and Adolescent Studies, and CENTRAL were used to identify all studies published through July 2016. STUDY SELECTION To be eligible for
this review, studies had to report cluster randomized trials or randomized clinical trials, evaluate universal interventions designed to improve
self-regulation in children and adolescents aged 0 to 19 years, include outcomes associated with self-regulation skills, and be published in a peer-
reviewed journal with the full text available in English. DATA EXTRACTION AND SYNTHESIS A total of 14 369 published recordswere screened, of which
147 were identified for full-text review and 49 studies reporting 50 interventions were included in the final review. Results were summarized by
narrative review and meta-analysis. MAIN OUTCOMES AND MEASURES Self-regulation outcomes in children and adolescents. RESULTS This review identified
17 cluster randomized trials and 32 randomized clinical trials evaluating self-regulation interventions, which included a total of 23 098
participants ranging in age from 2 to 17 years (median age, 6.0 years). Consistent improvement in self-regulation was reported in 16 of 21
curriculum-based interventions (76%), 4 of the 8 mindfulness and yoga interventions (50%), 5 of 9 family-based programs (56%), 4 of 6 exercise-based
programs (67%), and 4 of 6 social and personal skills interventions (67%), or a total of 33 of 50 interventions (66%). Ameta-analysis evaluating
associations of interventions with self-regulation task performance scores showed a positive effect of such interventions with pooled effect size of
0.42 (95%CI, 0.32-0.53). Only 24 studies reported data on distal outcomes (29 outcomes). Positive associations were reported in 11 of 13 studies
(85%) on academic achievement, 4 of 5 studies on substance abuse (80%), and in all studies reporting on conduct disorders (n = 3), studies on social
skills (n = 2), studies on depression (n = 2), studies on behavioral problems (n = 2), and study on school suspensions (n = 1). No effect was seen on
2 studies reporting on academic achievement, 1 study reporting on substance abuse, and 1 additional study reporting on psychological well-being.
CONCLUSIONS AND RELEVANCE A wide range of interventions were successful in improving self-regulation in children and adolescents. There was
improvement in distal academic, health, and behavioral outcomes in most intervention groups compared with controls. Copyright © 2018 American Medical
Association. All rights reserved.
JAMA Pediatrics, 172(6) : 566-
575
- Year: 2018
- Problem: Depressive Disorders, Substance Use Disorders (any)
- Type: Systematic reviews
-
Stage: Universal prevention
-
Treatment and intervention: Complementary & Alternative
Interventions (CAM), Psychological Interventions
(any), Skills training, Other Psychological Interventions, Mindfulness based
therapy, Mind-body exercises (e.g. yoga, tai chi, qigong), Physical activity, exercise
Richardson, L. P., McCarty, C. A., Radovic, A., Suleiman, A. B.
Despite the recognition that behavioral and medical health conditions are
frequently intertwined, the existing health care system divides management for these issues into separate settings. This separation results in
increased barriers to receipt of care and contributes to problems of underdetection, inappropriate diagnosis, and lack of treatment engagement.
Adolescents and young adults with mental health conditions have some of the lowest rates of treatment for their conditions of all age groups.
Integration of behavioral health into primary care settings has the potential to address these barriers and improve outcomes for adolescents and
young adults. In this paper, we review the current research literature for behavioral health integration in the adolescent and young adult population
and make recommendations for needed research to move the field forward. Copyright © 2016 Society for Adolescent Health and Medicine
Journal of Adolescent Health, 60(3) : 261-
269
- Year: 2017
- Problem: Depressive Disorders, Substance Use Disorders (any)
- Type: Systematic reviews
-
Stage: At risk (indicated or selected prevention), Disorder established (diagnosed disorder)
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions
(any), Other service delivery and improvement
interventions
Schleider, J. L., Weisz, J.
R.
Objective Despite progress in the development of evidence-based interventions for youth psychiatric problems, up to 75% of youths
with mental health needs never receive services, and early dropout is common among those who do. If effective, then single-session interventions
(SSIs) for youth psychiatric problems could increase the accessibility, scalability, completion rates, and cost-effectiveness of youth mental health
services. This study assessed the effects of SSIs for youth psychiatric problems. Method Using robust variance estimation to address effect size (ES)
dependency, findings from 50 randomized-controlled trials (10,508 youths) were synthesized. Results Mean postintervention ES showed a Hedges g value
equal to 0.32; the probability that a youth receiving SSI would fare better than a control-group youth was 58%. Effects varied by several moderators,
including target problem: ESs were largest for anxiety (0.56) and conduct problems (0.54) and weakest for substance abuse (0.08; targeted in >33% of
studies). Other problems yielded numerically promising but nonsignificant ESs (e.g., 0.21 for depression), potentially from low representation across
trials. ESs differed across control conditions, with larger ESs for studies with no treatment (0.41) versus active controls (0.14); developmental
periods, with greater ESs for children (0.42) than adolescents (0.19); intervention types, with largest ESs for youth-focused cognitive-behavioral
approaches (0.74); and follow-up lengths, with smaller ESs for follow-ups exceeding 13 weeks. ESs did not differ for self- versus therapist-
administered interventions or for youths with diagnosable versus subclinical problems. Conclusion Findings support the promise of SSIs for certain
youth psychiatric problems and the need to clarify how, to what degree, and for whom SSIs effect lasting change. Copyright © 2016 American Academy of
Child and Adolescent Psychiatry
Journal of the American Academy of Child & Adolescent Psychiatry, 56(2) : 107-
115
- Year: 2017
- Problem: Anxiety Disorders (any), Depressive Disorders, Substance Use Disorders (any)
- Type: Systematic reviews
-
Stage: Universal prevention, At risk (indicated or selected prevention), Disorder established (diagnosed disorder)
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions
(any)
Steinka-Fry, K. T., Tanner-Smith, E E., Dakof, G. A., Henderson, C.
This systematic review and meta-analysis synthesized findings from studies examining
culturally sensitive substance use treatment for racial/ethnic minority youth. An extensive literature search located eight eligible studies using
experimental or quasi-experimental designs. The meta-analysis quantitatively synthesized findings comparing seven culturally sensitive treatment
conditions to seven alternative conditions on samples composed of at least 90% racial/ethnic minority youth. The results from the meta-analysis
indicated that culturally sensitive treatments were associated with significantly larger reductions in post-treatment substance use levels relative
to their comparison conditions (g = 0.37, 95% CI [0.12, 0.62], k = 7, total number participants = 723). The average time between pretest and posttest
was 21 weeks (SD = 11.79). There was a statistically significant amount of heterogeneity across the seven studies (Q = 26.5, p = 0.00, tau2 = 0.08,
I2 = 77.4%). Differential effects were not statistically significant when contrasts were active generic counterparts of treatment conditions (direct
\"bona fide\" comparisons; g = -0.08, 95% CI [-0.51, 0.35]) and 'treatment as usual' conditions (g = 0.39, 95% CI [-0.14, 0.91]). Strong
conclusions from the review were hindered by the small number of available studies for synthesis, variability in comparison conditions across
studies, and lack of diversity in the adolescent clients served in the studies. Nonetheless, this review suggests that culturally sensitive
treatments offer promise as an effective way to address substance use among racial/ethnic minority youth. (PsycINFO Database Record (c) 2019 APA, all
rights reserved)
Journal of Substance Abuse Treatment, 75 : 22-
37
- Year: 2017
- Problem: Substance Use Disorders (any)
- Type: Systematic reviews
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions
(any), Cognitive & behavioural therapies (CBT), Family therapy
Newton, N. C., Champion, K. E., Slade, T., Chapman, C., Stapinski, L., Koning, I., Tonks, Z., Teesson, M.
Issues: Alcohol and other drug use among adolescents is a serious concern,
and effective prevention is critical. Research indicates that expanding school-based prevention programs to include parenting components could
increase prevention outcomes. This paper aims to identify and describe existing combined student- and parent-based programs for the prevention of
alcohol and other drug use to evaluate the efficacy of existing programs. Approach: The PsycINFO, Medline, Central Register of Controlled trials and
Cochrane databases were searched in April 2015 and additional articles were obtained from reference lists. Studies were included if they evaluated a
combined universal intervention for students (aged 11-18 years old) and their parents designed to prevent alcohol and/or other drug use, and were
delivered in a school-based setting. Risk of bias was assessed by two independent reviewers. Because of the heterogeneity of the included studies, it
was not possible to conduct a meta-analysis and a qualitative description of the studies was provided. Key Findings: From a total of 1654 screened
papers, 22 research papers met inclusion criteria, which included 13 trials of 10 programs. Of these, nine programs demonstrated significant
intervention effects in terms of delaying or reducing adolescent alcohol and/or other drug use in at least one trial. Conclusion: This is the first
review of combined student- and parent-based interventions to prevent and reduce alcohol and other drug use. Whilst existing combined student- and
parent-based programs have shown promising results, key gaps in the literature have been identified and are discussed in the context of the
development of future prevention programs. (PsycINFO Database Record (c) 2017 APA, all rights reserved)
Drug & Alcohol Review, 36(3) : 337-
351
- Year: 2017
- Problem: Substance Use Disorders (any)
- Type: Systematic reviews
-
Stage: Universal prevention
-
Treatment and intervention: Psychological Interventions
(any), Other Psychological Interventions
Liddell, J., Burnette,
C. E.
Purpose: Given the disproportionately high levels of alcohol and other drug abuse among
Indigenous youth in the United States, the purpose of this systematic review was to explicate the current state of empirically-based and culturally-
informed substance abuse prevention and intervention programs for Indigenous youth (ages 9-18). Method: The 14 articles that met inclusion criteria
for this review were analyzed both in terms of the cultural intervention itself (primary population, intervention, core tenants, focus of
intervention, intervention goals, location, intervention location, and program length) and their evaluation approach. Results: Results indicate
variable integration of cultural components with the majority of interventions taking place in schools and treatment facilities, targeting primarily
individuals. Discussion: There is a current gap in research on culturally-informed substance abuse interventions for Indigenous youth, which this
review begins to address. Promising areas of future research and interventions include bringing communities and families into treatment and
prevention. (PsycINFO Database Record (c) 2018 APA, all rights reserved)
Journal of Evidence-Informed Social Work, 14(5) : 329-
359
- Year: 2017
- Problem: Substance Use Disorders (any)
- Type: Systematic reviews
-
Stage: Universal prevention, At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions
(any), Other Psychological Interventions
Kazemi, D. M., Borsari, B., Levine, M. J., Li, S., Lamberson, K. A., Matta, L. A.
Substance abuse in young adults is a public health issue with costs to the individual and society.
There is mounting evidence that the increased uses of mHealth approaches have promise as a way to facilitate reductions in substance use. This
systematic review evaluated the recent body of research on mHealth-based interventions for substance use, with aims of (a) examining the
functionality and effectiveness of these interventions, (b) evaluating the available research on the effectiveness of these interventions for
substance use, and (c) evaluating the design, methodology, results, theoretical grounding, limitations, and implications of each study. We identified
eligible studies by searching electronic databases using Boolean methods. The reviewed studies (N = 12) indicated that that a wide range of
Internet-based, text messaging, and smartphone application interventions have been developed to address substance use. Interventions had an
assortment of features; participants in each study highlighted the ease and convenience of the interventions; and the majority of studies provided
support for the efficacy of mHealth in reducing substance use. Mobile technology is a promising tool for reducing substance use and warrants further
development. Future practice including the use of mHealth interventions can be an integral part of reducing substance use. (PsycINFO Database Record
(c) 2019 APA, all rights reserved)
Journal of Health Communication, 22(5) : 413-432
- Year: 2017
- Problem: Substance Use Disorders (any), Alcohol
Use
- Type: Systematic reviews
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions
(any), Technology, interventions delivered using technology (e.g. online, SMS)
Caputi, T. L., McLellan, A.
The study investigates the effectiveness and appropriateness of
the Drug Abuse Resistance Education (D.A.R.E.) Keepin' it REAL (KiR) curriculum-America's most prevalent in-school prevention programme-using a
modified systematic review procedure as adapted from the Cochrane Handbook. No published studies research the D.A.R.E. version of KiR, and so we
consider the Keepin' it REAL intervention as a whole. After reviewing the abstracts of 677 studies matching relevant keyword searches, 11 studies
matched inclusion criteria (e.g. testing effectiveness on substance use). The systematic review yields mixed results for the effectiveness of the
Keepin' it REAL intervention. Concerns remain regarding the appropriateness of the KiR D.A.R.E. programme: (1) KiR has only been tested on a narrow
audience and may not be appropriate for D.A.R.E.'s larger audience, (2) KiR may not be effective in reducing substance use among elementary school
students and (3) the specific versions of KiR implemented by D.A.R.E. (KiR D.A.R.E. and KiR D.A.R.E. Elementary) have yet to be tested for efficacy.
The authors recommend independent, randomised trials for the KiR D.A.R.E. curriculum and the development of a standardised measure and evaluation
system for in-school substance use prevention programmes. (PsycINFO Database Record (c) 2017 APA, all rights reserved)
Drugs: Education, Prevention & Policy, 24(1) : 49-
57
- Year: 2017
- Problem: Substance Use Disorders (any)
- Type: Systematic reviews
-
Stage: Universal prevention
-
Treatment and intervention: Psychological Interventions
(any), Other Psychological Interventions
Davis, J. P., Smith, D. C. Briley, D. A.
Emerging adults have the highest prevalence rate of alcohol and drug use and represent a large proportion of treatment
admissions in the United States. Those who do not attend college experience higher rates of use and may not have similar advantages as those
attending college. A systematic review included studies investigating prevention and treatment outcomes among emerging adults in non-college
settings. We included studies reporting an average age between 18 and 25 conducted outside of college settings. We extracted data for experimental
effects (experimental group compared to control), and contrasted treatments with active and no intervention controls. We also examined several
moderators. Fifty studies were meta-analyzed, including 32 prevention and 18 treatment studies. Overall, our experimental weighted mean effect size
was d = .17 for both prevention and treatment studies. Comparisons across treatment types typically yielded nonsignificant results. Across prevention
and treatment studies, smaller effects existed for studies delivering personalized feedback interventions. For treatment studies only, the percent of
students included in the sample was a significant moderator. Overall effects were similar to current meta-analyses on college drinking. However,
personalized feedback may be a less effective prevention strategy in non-college settings, and the field should prioritize increasing the
effectiveness of treatments targeting non-college students. (PsycINFO Database Record (c) 2017 APA, all rights reserved)
Psychology of Addictive Behaviors, 31(3) : 242-
254
- Year: 2017
- Problem: Substance Use Disorders (any)
- Type: Systematic reviews
-
Stage: Universal prevention, At risk (indicated or selected prevention), Disorder established (diagnosed disorder)
-
Treatment and intervention: Psychological Interventions
(any), Cognitive & behavioural therapies (CBT), Motivational interviewing, includes Motivational Enhancing Therapy, Other Psychological Interventions
DiClemente, C. C., Corno, C. M., Graydon, M. M.l, Wiprovnick, A. E., Knoblach, D. J.
Motivation is a well-established predictor of recovery for addictive behaviors.
Treatments aimed at changing substance use and gambling frequently employ motivational enhancing strategies, based in the principles of Motivational
Interviewing (MI). Evidence for these approaches across addictive behaviors does not always paint a clear picture. The purpose of this review was to
examine existing reviews of motivational-based interventions for various substances of abuse and gambling in the last decade to gain a deeper
understanding of the current evidence and implications for future research and clinical practice. Literature searches were conducted to identify
review articles from January 1, 2007 to January 30, 2017 for motivational enhancing interventions for alcohol, tobacco, drugs, marijuana, cocaine,
opioids, methamphetamines, and gambling. Of the 144 articles assessed we included a total of 34 review articles in our review, including 6 Cochrane
reviews. This review supports use of motivationally enhancing interventions across addictive behaviors with strongest evidence supporting use in
alcohol and tobacco, with brief interventions showing strong efficacy. There is strong support for MI with marijuana and some support for gambling.
Insufficient evidence is available for methamphetamine or opiate use. There are important caveats. In most cases, MI is more effective than no
treatment and as effective (but not necessarily more effective) than other active treatments. Findings for effectiveness of more intensive
motivational interventions or combinations are mixed. Treatment fidelity assessments, limited subpopulation analyses, and differences in dose,
outcomes, and protocol specification continue to pose significant problems for reviews. (PsycINFO Database Record
Psychology of Addictive Behaviors, 31(8) : 862-
887
- Year: 2017
- Problem: Substance Use Disorders (any)
- Type: Systematic reviews
-
Stage: At risk (indicated or selected prevention), Disorder established (diagnosed disorder)
-
Treatment and intervention: Psychological Interventions
(any), Motivational interviewing, includes Motivational Enhancing Therapy
Vijverberg, R., Ferdinand, R., Beekman, A., van-Meijel, B.
Background: During the past
decades deinstitutionalisation policies have led to a transition from inpatient towards community mental health care. Many European countries
implement Assertive Community Treatment (ACT) as an alternative for inpatient care for \"difficult to reach\" children and adolescents with severe
mental illness. ACT is a well-organized low-threshold treatment modality; patients are actively approached in their own environment, and efforts are
undertaken to strengthen the patient's motivation for treatment. The assumption is that ACT may help to avoid psychiatric hospital admissions,
enhance cost-effectiveness, stimulate social participation and support, and reduce stigma. ACT has been extensively investigated in adults with
severe mental illness and various reviews support its effectiveness in this patient group. However, to date there is no review available regarding
the effectiveness of youth-ACT. It is unknown whether youth-ACT is as effective as it is in adults. This review aims to assess the effects of youth-
ACT on severity of psychiatric symptoms, general functioning, and psychiatric hospital admissions. Method: A systematic literature search was
conducted in PubMed, Cochrane Library, PsychINFO and CINAHL published up to March 2017. To assess methodological quality of the included studies, the
Oxford Centre of Evidence-Based Medicine grading system was used. Results: Thirteen studies were included in this review. There are indications that
youth-ACT is effective in reducing severity of psychiatric symptoms, improving general functioning, and reducing duration and frequency of
psychiatric hospital admissions. Conclusions: The current literature on youth-ACT is limited but promising. There are indications that youth-ACT is
effective in reducing severity of psychiatric symptoms, improving general functioning, and reducing duration and frequency of psychiatric hospital
admissions. The effect of youth-ACT may be comparable with the effect of ACT in adults. Similar as in adult ACT, the studies on youth-ACT found
effects that vary from small to large. Randomized experimental research designs are needed to further corroborate effectiveness. Copyright © 2017 The
Author(s).
BMC Psychiatry, 17 (1) (no
pagination)(284) :
- Year: 2017
- Problem: Psychosis Disorders, Substance Use Disorders (any)
- Type: Systematic reviews
-
Stage: At risk (indicated or selected prevention), Disorder established (diagnosed disorder), First episode (psychosis only)
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions
(any), Case management, Other service delivery and improvement
interventions
Valero-de-Vicente, M., Ballester-Brage, L., Orte-Socias, M. C., Amer-Fernandez, J. A.
BACKGROUND: Substance consumption (SC) begins in adolescence and
has been linked to protection factors such as family relationships (FR) and positive parenting (PP). There are few studies concerning the
effectiveness of prevention programs based on the family, even though assessing interventions is one of the objectives of preventive science. The aim
of this study was to analyze the evidence on family-based selective prevention programs in relation to drug consumption in adolescents.\rMETHODOLOGY:
A meta-analysis of 9 studies with 102 measures grouped in three dimensions, FR, PP and SC, ranging between 2001 and 2015, was conducted.\rRESULTS:
Effect sizes (ES) were found to be 0.82 for FR, 0.71 for PP, 0.77 for the combination of both and 0.21 for SC. The Q and I2 indexes expressed high
heterogeneity.\rCONCLUSIONS: Despite obtaining high ES consistent with previous studies, the great heterogeneity found did not allow us to draw clear
conclusions regarding the primary studies. It is recommended that methodological improvements in assessment and reporting processes be carried out
for future comparisons.
Psicothema, 29(3) : 299-
305
- Year: 2017
- Problem: Substance Use Disorders (any)
- Type: Systematic reviews
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions
(any), Family therapy, Other Psychological Interventions