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Updated: Jul 24, 2026
08:05
A Prediction Error-driven Retrieval Procedure for Destabilizing and Rewriting Maladaptive Reward Memories in Hazardous Drinkers
Published on: January 5, 2018
A contingency management intervention for adolescent marijuana abuse and conduct problems
Jody Kamon1, Alan Budney, Catherine Stanger
1Department of Psychiatry, University of Vermont, Burlington, VT 05403, USA. Jody.Kamon@uvm.edu
Summary
This study shows a family-based treatment effectively reduced adolescent marijuana abuse and conduct problems, with significant abstinence rates post-treatment. The approach proved feasible and acceptable for teens and parents.
Area of Science:
- Addiction research
- Adolescent psychology
- Family therapy
Background:
- Adolescent marijuana abuse is a significant public health concern.
- Existing treatments often lack family involvement and long-term efficacy.
- Innovative approaches are needed to address co-occurring conduct problems.
Purpose of the Study:
- To introduce a novel family-based treatment for adolescent marijuana abuse.
- To assess the feasibility, acceptability, and preliminary efficacy of this intervention.
- To evaluate the impact on substance use, psychopathology, and parenting behaviors.
Main Methods:
- A 14-week intervention combining clinic-administered incentives, parent-directed contingency management, and cognitive-behavioral therapy.
- Involved 19 adolescents (ages 15-18) and their parents.
- Utilized twice-weekly urine/breath testing and pre/post-treatment assessments.
Main Results:
- High attendance rates for both adolescents and parents.
- Significant reductions in adolescent substance use, externalizing behaviors, and negative parenting.
- Abstinence increased from 37% to 74% by treatment end, with 53% abstinent at 30-day follow-up.
Conclusions:
- The family-based contingency management model is feasible and acceptable for treating adolescent substance use.
- Preliminary results suggest potential efficacy in reducing marijuana abuse and conduct issues.
- Further controlled studies with larger samples are recommended to confirm efficacy.
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