The impact of disruptive behavior disorder on substance use treatment outcome in adolescents

Stacy R. Ryan; Catherine Stanger; Jeff Thostenson; Jennifer J. Whitmore; Alan J. Budney

doi:10.1016/j.jsat.2012.11.003

The impact of disruptive behavior disorder on substance use treatment outcome in adolescents

Stacy R. Ryan, Catherine Stanger, Jeff Thostenson, Jennifer J. Whitmore, Alan J. Budney

Department of Psychiatry & Behavioral Sciences

Research output: Contribution to journal › Article › peer-review

10 Scopus citations

Abstract

The current study examined the impact of disruptive behavior disorder (DBD) on substance use outcomes in an adolescent sample. Sixty-eight adolescents and their caregivers were randomized to one of two fourteen-week, outpatient treatments: Motivational Enhancement Therapy/Cognitive Behavior Therapy (MET/CBT)+Parent Management Training+Contingency Management (CM; experimental) and MET/CBT+Parent Drug Education (attention control). This study assessed abstinence, substance use, externalizing behavior, and parenting outcomes over five assessment periods for youth with DBD (DBD⁺) and without DBD (DBD^-). Results showed DBD⁺/experimental adolescents reported fewer days of marijuana use than DBD⁺/control adolescents. Results also showed that parents of DBD^- adolescents in the experimental condition reported significantly better parenting outcomes compared to DBD^-/control. Substance abuse treatment for adolescents with DBD which includes a component such as contingency management and parent training has the potential to contribute to substance use outcomes. Such treatment strategies, however, should include additional support for parents.

Original language	English (US)
Pages (from-to)	506-514
Number of pages	9
Journal	Journal of Substance Abuse Treatment
Volume	44
Issue number	5
DOIs	https://doi.org/10.1016/j.jsat.2012.11.003
State	Published - May 2013

Keywords

Adolescents
Contingency management
Disruptive behavior disorder
Marijuana
Substance abuse

ASJC Scopus subject areas

Phychiatric Mental Health
Medicine (miscellaneous)
Clinical Psychology
Psychiatry and Mental health

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10.1016/j.jsat.2012.11.003

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title = "The impact of disruptive behavior disorder on substance use treatment outcome in adolescents",

abstract = "The current study examined the impact of disruptive behavior disorder (DBD) on substance use outcomes in an adolescent sample. Sixty-eight adolescents and their caregivers were randomized to one of two fourteen-week, outpatient treatments: Motivational Enhancement Therapy/Cognitive Behavior Therapy (MET/CBT)+Parent Management Training+Contingency Management (CM; experimental) and MET/CBT+Parent Drug Education (attention control). This study assessed abstinence, substance use, externalizing behavior, and parenting outcomes over five assessment periods for youth with DBD (DBD+) and without DBD (DBD-). Results showed DBD+/experimental adolescents reported fewer days of marijuana use than DBD+/control adolescents. Results also showed that parents of DBD- adolescents in the experimental condition reported significantly better parenting outcomes compared to DBD-/control. Substance abuse treatment for adolescents with DBD which includes a component such as contingency management and parent training has the potential to contribute to substance use outcomes. Such treatment strategies, however, should include additional support for parents.",

keywords = "Adolescents, Contingency management, Disruptive behavior disorder, Marijuana, Substance abuse",

author = "Ryan, {Stacy R.} and Catherine Stanger and Jeff Thostenson and Whitmore, {Jennifer J.} and Budney, {Alan J.}",

note = "Funding Information: This work was supported by NIDA grants DA15186 and T32-DA022981 , NIAAA grant AA016917 , and by Award Number 1UL1RR029884 from the National Center for Research Resources awarded to the Translational Research Institute at the University of Arkansas for Medical Sciences. ",

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doi = "10.1016/j.jsat.2012.11.003",

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AU - Whitmore, Jennifer J.

AU - Budney, Alan J.

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The impact of disruptive behavior disorder on substance use treatment outcome in adolescents

Abstract

Keywords

ASJC Scopus subject areas

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