Sage Journals: Discover world-class research

Abstract

The present study assessed possible predictors of relapse while in treatment and treatment completion among marijuana-dependent adolescents (N = 59) in an intensive outpatient substance abuse treatment program. Comorbid depression was associated with an increased likelihood of relapse and a higher total number of relapses. As expected, relapse while in treatment was associated with a reduced likelihood of successfully completing the treatment program. Comorbid attention deficit hyperactivity disorder (ADHD) was also associated with a lower likelihood of successful program completion. These findings add to a slowly growing literature regarding adolescent substance abuse treatment, and may help clinicians identify marijuana-dependent adolescents at greater risk of relapse or noncompliance.

Keywords

Adolescent marijuana substance abuse relapse outpatient comorbid

Get full access to this article

View all access options for this article.

References

Johnston

L D

, O'Malley

P M

and Bachman

J G

. 2002. The Monitoring the Future National survey results on adolescent drug use: Overview of key findings, 2001, 1–61. Bethesda, MD: National Institute on Drug Abuse.

Substance Abuse and Mental Health Services Administration, Treatment episode data set (TEDS). 2000. Drug and Alcohol Abuse Service System Series: S-11, September 2000, Rockville, MD: Substance Abuse and Mental Health Services Administration. 1993–1998

Hubbard

, Gail

, Craddock

, Flynn

, Anderson

and Etheridge

. 1997. Overview of 1-year follow-up outcomes in the Drug Abuse Treatment Outcome Study (DATOS). Psychol Addict Behaviors, 11: 261–271.

Godley

M D

, Godley

S H

, Dennis

M L

, Funk

and Passetti

. 2001. Preliminary outcomes from the assertive continuing care experiment for adolescents discharged from residential treatment. J Subst Abuse, 23: 21–32.

Hser

Y I

, Grella

C E

, Hubbard

R L

, Hsieh

S C

, Fletcher

B W

, Brown

B S

and Anglin

M D

. 2001. An evaluation of drug treatments for adolescents in 4 US cities. Archives Gen Psychiatry, 58: 689–695.

Williams

R J

and Chang

S Y

. 2000. A comprehensive and comparative review of adolescent substance abuse treatment outcomes. Clin Psychol Sci Practice, 7: 138–166.

Clark

D B

and Bukstein

O G

. 1998. Psychopathology in adolescent alcohol abuse and dependence. Alc Health Res World, 22: 117–198.

Galaif

E R

, Hser

Y I

, Grella

C E

and Joshi

. 2001. Prospective risk factors and treatment outcomes among adolescents in DATOS-A. J Adol Res, 16: 661–678.

Grella

C E

, Hser

, Joshi

and Rounds-Bryant

. 2001. Drug treatment outcomes for adolescents with comorbid mental and substance use disorders. J Nerv Ment Dis, 189: 384–392.

10.

Harrison

P A

and Asche

S E

. 2002. Outcomes monitoring in Minnesota: treatment implications, practical limitations. J Subst Abuse Treat, 21: 173–183.

11.

Khantzian

E J

. 1997. The self-medication hypothesis of substance use disorders: A reconsideration and recent applications. Harvard Rev Psychiatry, 4: 231–244.

12.

Myers

M G

, Brown

S A

and Mott

M A

. 1993. Coping as a predictor of adolescent substance abuse treatment outcome. J Subst Abuse, 5: 15–29.

13.

Myers

M G

, Brown

S A

and Moff

M A

. 1995. Preadolescent conduct disorder behaviors predict relapse and progression of addiction for adolescent alcohol and drug abusers. Alc Clin Exp Res, 19: 1528–36.

14.

Cornelius

J R

, Maisto

S A

, Pollock

N K

, Martin

C S

, Salloum

I M

, Lynch

K G

and Clark

. 2003. Rapid relapse generally follows treatment for substance use disorders among adolescents. Addict Behav, 28: 381–386.

15.

Bukstein

O G

. 2000. Disruptive behavior disorders and substance use disorders in adolescents. J Psychoactive Drugs, 32: 67–79.

16.

Broome

K M

, Joe

G W

and Simpson

D D

. 2001. Engagement models for adolescents in DATOS-A. J Adol Res, 16: 608–623.

17.

Joe

G W

, Simpson

D D

and Broome

K M

. 1999. Retention and patient engagement models for different treatment modalities in DATOS. Drug Alc Dependence, 57: 113–125.

18.

Chassin

, Pitts

S C

, DeLucia

and Todd

. 1999. A longitudinal study of children of alcoholics: predicting young adult substance use disorders, anxiety, and depression. J Abnorm Psychol, 108: 106–19.

Predictors of Relapse during Treatment and Treatment Completion among Marijuana-Dependent Adolescents in an Intensive Outpatient Substance Abuse Program

Abstract

Keywords

Get full access to this article

References