CONDUCT DISORDER AND ADOLESCENT SUBSTANCE ABUSER RELAPSE

行为障碍和青少年药物滥用者复吸

• 批准号: 2122248
• 负责人: MARK G MYERS
• 金额: $ 8.12万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN DIEGO
• 依托单位国家: 美国
• 财政年份: 1994
• 资助国家: 美国
• 起止时间: 1994-03-01 至 1999-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2122248
• 关键词: adolescence (12-20); alcoholism /alcohol abuse; behavior disorders; child behavior disorders; coping; drug abuse; drug abuse prevention; drug abuse therapy; human morbidity; human subject; human therapy evaluation; interview; longitudinal human study; mental disorder diagnosis; problem solving; prognosis; psychodrama; questionnaires; relapse /recurrence; social adjustment; substance abuse related disorder; urinalysis; adolescence (12-20); alcoholism /alcohol abuse; behavior disorders; child behavior disorders; coping; drug abuse; drug abuse prevention; drug abuse therapy; human morbidity; human subject; human therapy evaluation; interview; longitudinal human study; mental disorder diagnosis; problem solving; prognosis; psychodrama; questionnaires; relapse /recurrence; social adjustment; substance abuse related disorder; urinalysis

Recent years have seen an increased awareness of the heterogeneity among substance abusing populations. Comorbid psychopathology is one factor contributing to this heterogeneity which differentially influences treatment outcome. The bulk of research on this issue has examined adult populations, yet little is known about the influence of comorbidity in adolescent substance abusers. Available research suggests that adolescent substance abusers wit concurrent conduct disorder have poorer outcome following treatment. To address this issue, the proposed project investigates a clinical sample of adolescent substance abusers and is designed to assess differences in treatment outcome and coping skills between those with and without a comorbid diagnosis of conduct disorder. Information from this study will contribute to a better understanding of factors contributing to the poorer treatment outcome of conduct disordered adolescent substance abusers, and will provide knowledge relevant to designing more efficacious interventions. The design of this between-based cognitive-behavioral model of relapse (Marlatt & Gordon, 1985). This longitudinal study is designed to replicate and extend previous findings of the relationship between conduct disorder, treatment outcome, and the role of coping skills therein. One hundred and eighty six adolescents in treatment for substance abuse will be recruited for participation in this study. The proposed protocol compares those with and without conduct disorder on 1) drug and alcohol use status six-months posttreatment, and 2) skills for coping with relapse risk situations. Previous investigations are limited by a lack of diagnostic information on disorders other than conduct disorder. Given the high prevalence of comorbid psychopathology among clinical samples of adolescent substance abusers, the present investigation will include a diagnostic interview in order to make more precise diagnostic distinctions: substance abusing conduct disordered teens with additional diagnoses will be excluded from the conduct disorder group. The longitudinal design of this study will address two primary hypotheses: 1) Substance abusing adolescents with conduct disorder will have poorer six-month treatment outcome than teens without conduct disorder. 2) Substance abusing adolescents with conduct disorder will have poorer skills for coping with relapse risk situations than teens without conduct disorder. These deficits in coping skills will account for part of the relationship between conduct disorder and poorer treatment outcome.

近年来，人们对之间的异质性有所提高 滥用种群的物质。 合并心理病理学是一个因素 促成这种异质性，从而影响 治疗结果。 关于这个问题的大量研究已经检查了成人 人口，但对合并症在内的影响知之甚少 青少年滥用者。 可用的研究表明 青少年药物滥用者机智同时行为障碍较差 治疗后的结果。 为了解决这个问题，拟议的项目 研究青少年滥用药的临床样本，IS 旨在评估治疗结果和应对技巧的差异 在有和没有合并诊断行为障碍的人之间。 这项研究的信息将有助于更好地理解 导致行为治疗结果较差的因素 青少年滥用者的混乱，将提供知识 与设计更有效的干预措施有关。 这个设计 在基于基于的认知行为复发模型之间（Marlatt＆Gordon， 1985）。 这项纵向研究旨在复制和扩展以前 行为障碍，治疗结果之间关系的结果， 以及应对技巧的作用。 一百八十六 将招募接受药物滥用治疗的青少年 参与这项研究。 提出的协议将 1）六个月的药物和酒精使用状态 治疗后和2）应对复发风险情况的技能。 先前的调查受到缺乏诊断信息的限制 关于行为障碍以外的疾病。 考虑到很高的患病率 青少年物质临床样本之间的合并症心理病理学 虐待者，本调查将包括诊断面试 为了进行更精确的诊断区别：滥用物质 行为无序的青少年和其他诊断将排除在外 行为障碍组。 这项研究的纵向设计将 解决两个主要假设： 1）滥用行为障碍的青少年的物质会较差 六个月的治疗结果比没有行为障碍的青少年。 2）滥用行为障碍的青少年的物质会较差 与没有行为的青少年相比，应对复发风险情况的技能 紊乱。 这些应对技巧的缺陷将解释 行为障碍与较差的治疗结果之间的关系。