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Psychotherapies for adolescent substance abusers: a pilot study

Y Kaminer¹, J A Burleson, C Blitz

¹Alcohol Research Center, Department of Psychiatry, University of Connecticut, School of Medicine, Farmington 06030-1410, USA.

The Journal of Nervous and Mental Disease

|November 21, 1998

Summary

Cognitive-behavioral group treatment (CBT) showed better outcomes for adolescent substance abuse than interactional group treatment (IT). CBT reduced substance use severity and improved family function, offering a promising intervention for adolescents.

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Area of Science:

Psychiatry
Psychology
Addiction Medicine

Background:

Dual diagnosis in adolescents presents complex treatment challenges.
Matching psychopathology to specific psychotherapies is a key area of research.
Externalizing and internalizing disorders require tailored therapeutic approaches.

Purpose of the Study:

To test if comorbid psychopathology can guide treatment matching for dually diagnosed adolescents.
To compare outcomes of cognitive-behavioral group treatment (CBT) versus interactional group treatment (IT).

Main Methods:

Thirty-two dually diagnosed adolescents were randomized into 12-week outpatient CBT or IT.
Outcomes were assessed at 3-month follow-up.

Main Results:

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No patient-treatment matching effects based on psychopathology were identified.
Adolescents in CBT showed a significant reduction in substance use severity compared to IT.
CBT showed a trend toward improved family function and favorable non-significant trends in school function, peer relationships, legal issues, and psychiatric severity.

Conclusions:

Cognitive-behavioral group treatment (CBT) is a promising short-term intervention for adolescent substance abuse.
Current matching hypotheses based on externalizing/internalizing disorders were not supported in this study.
Further research may explore other matching variables for adolescent substance abuse treatment.