Disorders - Substance Use Disorders
Brown, R. A., Abrantes, A. M., Minami, H., Prince, M. A., Bloom, E. L., Apodaca, T. R., Strong, D. R., Picotte, D. M., Monti, P. M., MacPherson, L., Matsko, S. V., Hunt, J. I.
Substance use
among adolescents with one or more psychiatric disorders is a significant public health concern. In this study, 151 psychiatrically hospitalized
adolescents, ages 13-17 with comorbid psychiatric and substance use disorders, were randomized to a two-session Motivational Interviewing
intervention to reduce substance use plus treatment as usual (MI) vs. treatment as usual only (TAU). Results indicated that the MI group had a longer
latency to first use of any substance following hospital discharge relative to TAU (36 days versus 11 days). Adolescents who received MI also
reported less total use of substances and less use of marijuana during the first 6 months post-discharge, although this effect was not significant
across 12 months. Finally, MI was associated with a significant reduction in rule-breaking behaviors at 6-month follow-up. Future directions are
discussed, including means of extending effects beyond 6 months and dissemination of the intervention to community-based settings.
Journal of Substance Abuse Treatment, 59 : 20-
29
- Year: 2015
- Problem: Substance Use Disorders (any)
- Type: Randomised controlled trials
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Psychological Interventions
(any), Motivational interviewing, includes Motivational Enhancing Therapy
Hopson,
L., Wodarski, J., Tang, N.
Systematic reviews of computer- and Web-based treatment approaches indicate that
these interventions are effective in addressing abuse of alcohol, tobacco, and other substances. However, there are few studies evaluating the
effectiveness of electronic approaches to substance abuse prevention. This review of the literature synthesizes the current research on interventions
that use electronic media, including CD-ROM, video, and Internet modalities, for substance abuse prevention. Overall, the studies indicate that
electronic-based and enhanced interventions are effective in preventing or reducing risk for substance use. We discuss trends in the current
literature, research limitations, and implications for practice.
Journal of Evidence-Informed Social Work, 12(3) : 310-322
- Year: 2015
- Problem: Substance Use Disorders (any)
- Type: Systematic reviews
-
Stage: Universal prevention, At risk (indicated or selected prevention)
-
Treatment and intervention: Service Delivery & Improvement, Technology, interventions delivered using technology (e.g. online, SMS)
Espada, J. P., Gonzalvez, M. T., Orgiles, M., Lloret, D., Guillen-Riquelme, A.
BACKGROUND:
There has been an increase in adolescent substance use that has led to the development and implementation of prevention programs. New evidence is
needed in order to improve them and optimize the resources. The aim of this paper is to use a meta-analysis to analyze the effectiveness of school
drug prevention programs in Spain. METHOD: Twenty-one studies that evaluated drug abuse prevention programs in schools, were published between 2002
and 2013, and that met the selection criteria were identified. RESULTS: Preventive program effectiveness was low ( d = 0.16), although it was higher
at the follow-up ( d = 0.30). The programs were most effective in changing attitudes ( d = 0.44) towards drugs. The models of health education ( d =
0.48) and social learning ( d = 0.20) were also very effective, especially in combination with oral, written, and audiovisual support material ( d =
0.21) and the implementation of joint programs by health education professionals and faculty members ( d = 0.25). CONCLUSIONS: Is possible to
determine the need for more rigorous evaluations of interventions to establish useful programs.
Psicothema, 27(1) : 5-12
- Year: 2015
- 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
Assanangkornchai, S., Nima, P., McNeil, E. B., Edwards, J. G.
To help decrease the burden of substance-related problems, the World Health Organization developed the Alcohol, Smoking, Substance
Involvement Screening Test (ASSIST) - a sensitive screening questionnaire to help identify misuse of alcohol and other substances - linked to Brief
Intervention (BI). This paper compares the effectiveness of the ASSIST followed either by its linked BI or by simple advice (SA). The trial was
conducted in southern Thailand. The ASSIST was used to screen patients attending primary care units and categorise them into 'low-risk',
'moderate-risk' and 'high-risk' groups. Patients at 'moderate-risk' were randomised to receive ASSIST-linked BI (n=120) or SA (n=116). The
outcome measures were changes in the ASSIST-Specific Substance Involvement Scores (ASSIST-SSIS), ASSIST-Total Substance Involvement Scores (ASSIST-
TSIS) and proportions of patients whose scores at three and six months had decreased from the 'moderate-risk' to 'low-risk' category. 147
patients (72 BI; 75 SA) completed the six-month trial. There were significant reductions in both ASSIST-SSIS and ASSIST-TSIS, with no significant
difference between groups. The percentages of patients converted to the 'low-risk' category were 36.7% and 38.8% at month 3, and 53.3% and 53.4% at
month 6, for the BI and SA groups, respectively. In conclusion, in primary care administering the ASSIST and telling patients their score, followed
either by formal brief intervention or simple advice, are equally effective in decreasing substance use for up to six months.
Asian Journal of Psychiatry, 18 : 75-80
- Year: 2015
- Problem: Substance Use Disorders (any)
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions
(any), Other Psychological Interventions, Personalised feedback, normative feedback
Zhou, X., Qin, B., Del-Giovane, C., Pan, J., Gentile, S., Liu,
Y., Lan, X., Yu, J., Xie, P.
AIMS: To
measure the effectiveness of antidepressants for adolescents and young adults with co-occurring depression and substance use disorder. DESIGN,
SETTING AND PARTICIPANTS: Meta-analysis of randomized controlled clinical trials. A comprehensive literature search of PubMed, Cochrane, Embase, Web
of Science and PsychINFO was conducted (from 1970 to 2013). Prospective, parallel groups, double-blind, controlled trials with random assignment to
an antidepressant or placebo on young patients (age<=25 years) who met diagnostic criteria of both substance use and unipolar depressive disorder
were included. Five trials were selected for this analysis and included 290 patients. MEASUREMENTS: Our efficacy outcome measures were depression
outcomes (dichotomous and continuous measures) and substance-use outcomes (change of frequency or quantity of substance-use). Secondary analysis was
conducted to access the tolerability of antidepressant treatment. FINDINGS: For dichotomous depression outcome, antidepressants group was
significantly more effective than placebo group [risk ratio (RR)=1.21; 95% confidence interval (CI) 1.01-1.45], with low heterogeneity (I(2) =0%).
Although no statistically significant effects for continuous depression outcome [standardized mean differences (SMD)=-0.13; 95% CI, -0.55 to 0.30]
were found with moderate heterogeneity (I(2) =63%), subgroup analysis showed that the medicine group with a sample size of more than 50 showed
statistically significant efficacy compared with the placebo group (SMD -0.53, 95% CI -0.82 to -0.25). Moreover, there was no significant difference
for substance-use outcomes and tolerability outcomes between the medication and placebo groups. CONCLUSIONS: Antidepressant medication has a small
overall effect in reducing depression in young patients with combined depressive and substance-use disorders, but does not appear to improve
substance use outcomes. Copyright © 2014 Society for the Study of Addiction.
Addiction (Abingdon, England), 110(1) : 38-48
- Year: 2015
- Problem: Depressive Disorders, Substance Use Disorders (any)
- Type: Systematic reviews
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Biological Interventions
(any), Antidepressants
(any)
Chandler, G. E., Roberts, S. J., Chiodo, L.
CONCLUSIONS: An increase in health behavior is
theoretically consistent with this strengths-based intervention. Evaluating this intervention with a larger sample is important. Interrupting the ACE
to illness trajectory is complex. This short-term empower resilience intervention, however, holds promise as an opportunity to reconsider the
negative effects of the trauma of the past and build on strengths to develop a preferred future. BACKGROUND: Adverse childhood experiences (ACEs) are
correlated with risk behaviors of smoking, disordered eating, and alcohol and substance abuse. Such behaviors can lead to significant public health
problems of chronic obstructive pulmonary disease, obesity, liver disease, and hypertension, yet some individuals do not appear to suffer negative
consequences but rather bounce back. OBJECTIVE: To pilot the feasibility and potential efficacy of the Empower Resilience Intervention to build
capacity by increasing resilience and health behaviors and decreasing symptoms and negative health behaviors with young adults in an educational
setting who have had ACEs. DESIGN: A two-group pre-post repeated measures design to compare symptoms, health behaviors, and resilience and written
participant responses. RESULTS: There was a statistically significant cohort by time interaction for physical activity in the intervention group.
There was no significant change in risk behaviors or resilience score by cohort. Young adults in the intervention group reported building strengths,
reframing resilience, and creating support connections. Copyright © The Author(s) 2015.
Journal of the American Psychiatric Nurses Association, 21(6) : 406-
416
- Year: 2015
- Problem: Anxiety Disorders (any), Substance Use Disorders (any)
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions
(any), Psychoeducation, Other Psychological Interventions
Burrow-Sanchez, J.
J., Minami, T., Hops, H.
Comparative
studies examining the difference between empirically supported substance abuse treatments versus their culturally accommodated counterparts with
participants from a single ethnic minority group are frequently called for in the literature but infrequently conducted in practice. This randomized
clinical trial was conducted to compare the efficacy of an empirically supported standard version of a groupbased cognitive- behavioral treatment
(S-CBT) to a culturally accommodated version (A-CBT) with a sample of Latino adolescents primarily recruited from the juvenile justice system.
Development of the culturally accommodated treatment and testing was guided by the Cultural Accommodation Model for Substance Abuse Treatment (CAM-
SAT). Seventy Latino adolescents (mean age =15.2; 90% male) were randomly assigned to 1 of 2 group-based treatment conditions (S-CBT =36; A-CBT =34)
with assessments conducted at pretreatment, posttreatment, and 3-month follow-up. Longitudinal Poisson mixed models for count data were used to
conduct the major analyses. The primary outcome variable in the analytic models was the number of days any substance was used (including alcohol,
except tobacco) in the past 90 days. In addition, the variables ethnic identity, familism, and acculturation were included as cultural moderators in
the analysis. Although both conditions produced significant decreases in substance use, the results did not support a time by treatment condition
interaction; however, outcomes were moderated by ethnic identity and familism. The findings are discussed with implications for research and practice
within the context of providing culturally relevant treatment for Latino adolescents with substance use disorders. Copyright © 2014 American
Psychological Association.
Cultural Diversity & Ethnic Minority Psychology, 21(4) : 571-
583
- Year: 2015
- Problem: Substance Use Disorders (any)
- Type: Randomised controlled trials
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Psychological Interventions
(any), Cognitive & behavioural therapies (CBT)
Tanner-Smith, E. E., Steinka-Fry, K. T., Hennessy, E. A., Lipsey, M. W., Winters, K.C.
Brief interventions aimed at reducing alcohol use among youth may interrupt a possible
developmental progression to more serious substance use if they can also affect the use of other illicit drugs. This meta-analysis examined the
findings of recent research on the effects of brief alcohol interventions for adolescents and young adults on both alcohol and illicit drug use.
Eligible studies were those using randomized or controlled quasi-experimental designs to examine the effects of brief alcohol interventions on
illicit drug use outcomes among youth. A comprehensive literature search identified 30 eligible study samples that, on average, included participants
age 17, with 57 % male participants and 56 % White youth. Three-level random-effects meta-analyses were used to estimate mean effect sizes and
explore variability in effects. Overall, brief interventions targeting both alcohol and other drugs were effective in reducing both of these
substances. However, the brief interventions that targeted only alcohol had no significant secondary effects on untargeted illicit drug use. The
evidence from current research, therefore, shows modest beneficial effects on outcomes that are targeted by brief interventions for youth, but does
not show that those effects generalize to untargeted illicit drug use outcomes.;
Journal of Youth &
Adolescence, 44(5) : 1011-1023
- Year: 2015
- Problem: Substance Use Disorders (any)
- Type: Systematic reviews
-
Stage: Universal prevention, At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions
(any)
Santisteban, D. A., Mena, M.
P., Muir, J., McCabe, B. E., Abalo, C., Cummings, A. M.
OBJECTIVE: The purpose of this randomized trial was to investigate the efficacy of 2
behavioral treatments focusing on different change mechanisms in ameliorating a borderline personality disorder constellation of behaviors and
substance use in adolescents referred by juvenile diversion programs.\rMETHODS: Forty adolescents 14-17 years of age and meeting Diagnostic and
Statistical Manual of Mental Disorders (4th ed.) criteria for borderline personality disorder and substance use disorders were randomized to
integrative borderline personality disorder-oriented adolescent family therapy (I-BAFT) or individual drug counseling. This design allowed a
comparison of 2 manualized interventions, 1 family based and 1 individually oriented. Profiles of clinical change were used to detect impact and
estimate treatment effect sizes.\rRESULTS: Primary analyses showed that both interventions had a clinically significant impact on borderline
personality disorder behaviors 12 months after baseline but with no differential treatment effects. The impact on substance use was more complex.
Subgroup analyses revealed that adolescents with depression had significantly more severe profiles of borderline personality disorder and substance
use. These youths were the only group to show reductions in substance use, but they only did so if they received the I-BAFT intervention. Study data
also documented the high dosage of intensive residential treatment needed by this population.\rCONCLUSIONS AND IMPLICATIONS FOR PRACTICE: Results
highlight the intensive treatment needs of juvenile justice-involved youths with co-occurring substance use and borderline personality disorder
including depression, the hybrid outpatient and residential treatment often required by this population, and the promise of a family-oriented
approach, particularly for youths with severe symptoms and co-occurring depression. (PsycINFO Database Record
Psychiatric Rehabilitation
Journal, 38(1) : 55-64
- Year: 2015
- Problem: Substance Use Disorders (any)
- Type: Randomised controlled trials
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Psychological Interventions
(any), Dialectical behavioural therapy
(DBT), Family therapy, Other Psychological Interventions
Schwinn, T. M., Thom,
B., Schinke, S. P., Hopkins, J.
Purpose Rates of drug use among sexual-minority youths are disproportionately high. Yet, expressly designed prevention programs
targeting this population are absent. This study developed and tested a web-based drug abuse prevention program for sexual-minority youths. Methods A
sample (N = 236) of sexual-minority youths was recruited via Facebook. Online, all youths completed pretests; youths randomly assigned to the
intervention received a 3-session prevention program; and all youths completed posttest and 3-month follow-up measurements. Results At 3-month
follow-up and compared to youths in the control arm, intervention-arm youths reported less stress, reduced peer drug use, lower rates of past 30-day
other drug use, and higher coping, problem solving, and drug-use refusal skills. Conclusions Outcome data suggest the potential of tailored
intervention content to address sexual-minority youths' drug use rates and related risk factors. Moreover, study procedures lend support to the
feasibility of using the Internet to recruit sexual-minority youths, collect data, and deliver intervention.
Journal of
Adolescent Health, 56(5) : 571-573
- Year: 2015
- Problem: Substance Use Disorders (any)
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions
(any), Skills training, Technology, interventions delivered using technology (e.g. online, SMS)
Skorka-Brown, J., Andrade, J., Whalley, B., May, J.
Most research on cognitive processes in
craving has been carried out in the laboratory and focuses on food craving. This study extends laboratory findings to real world settings and
cravings for drugs or activities as well as food. Previous laboratory research has found that playing Tetris reduces craving strength. The present
study used an ecological momentary assessment protocol in which 31 undergraduate participants carried iPods for a week and were prompted 7 times each
day, by SMS message, to use their iPod to report craving. Participants reported craving target and strength (0-100), whether they indulged their
previous craving (yes/no), and whether they were under the influence of alcohol (yes/no). Those randomly assigned to the intervention condition
(n=15) then played Tetris for 3min and reported their craving again. Those in the monitoring-only control condition (n=16) provided baseline craving
data to test if Tetris reduced the incidence and strength of spontaneous cravings across the week. Playing Tetris decreased craving strength for
drugs (alcohol, nicotine, caffeine), food and drink, and activities (sex, exercise, gaming), with a mean reduction of 13.9 percentage points, effect
size f(2)=0.11. This effect was consistent across the week. This is the first demonstration that visual cognitive interference can be used in the
field to reduce cravings for substances and activities other than eating.; Copyright © 2015 Elsevier Ltd. All rights reserved.
Addictive
Behaviors, 51 : 165-170
- Year: 2015
- Problem: Substance Use Disorders (any)
- Type: Randomised controlled trials
-
Stage: Universal prevention
-
Treatment and intervention: Service Delivery & Improvement, Other complementary & alternative
interventions, Technology, interventions delivered using technology (e.g. online, SMS)
Slesnick, N., Guo, X., Brakenhoff, B., Bantchevska, D.
While research on homeless adolescents and young adults evidencing substance use disorder is increasing, there is a dearth of
information regarding effective interventions, and more research is needed to guide those who serve this population. The current study builds upon
prior research showing promising findings of the community reinforcement approach (CRA) (Slesnick, Prestopnik, Meyers, & Glassman, 2007). Homeless
adolescents and young adults between the ages of 14 to 20. years were randomized to one of three theoretically distinct interventions: (1) CRA (. n=.
93), (2) motivational enhancement therapy (MET, n=. 86), or (3) case management (CM, n=. 91). The relative effectiveness of these interventions was
evaluated at 3, 6, and 12. months post-baseline. Findings indicated that substance use and associated problems were significantly reduced in all
three interventions across time. Several moderating effects were found, especially for sex and history of childhood abuse. Findings show little
evidence of superiority or inferiority of the three interventions and suggest that drop-in centers have choices for addressing the range of problems
that these adolescents and young adults face.
Journal of Substance Abuse Treatment, 54 : 1-
13
- Year: 2015
- Problem: Substance Use Disorders (any)
- Type: Randomised controlled trials
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions
(any), Motivational interviewing, includes Motivational Enhancing Therapy, Skills training, Other Psychological Interventions, Other service delivery and improvement
interventions