A Controlled Evaluation and Description of Individual-Cognitive Problem Solving and Family-Behavior Therapies in Dually-Diagnosed Conduct-Disordered and Substance-Dependent Youth

There is a strong comorbid relationship between conduct and substance disorders in youth. However, there is an absence of controlled studies that have explicitly examined treatment efficacy in this dually-diagnosed population. In the present study, 56 such youth were randomly assigned to receive eit...

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Bibliographic Details
Published in:Journal of child & adolescent substance abuse 2001-01, Vol.11 (1), p.1-43
Main Authors: Azrin, Nathan H., Donohue, Brad, Teichner, Gordon A., Crum, Thomas, Howell, Jennifer, DeCato, Leah A.
Format: Article
Language:English
Subjects:
adolescent
Adolescents
Behavior Disorders
Behavior Modification
Behavior Problems
Cognitive Restructuring
Comorbidity
conduct disorder
Drug
Family Counseling
outcome
Outcomes of Treatment
Problem Solving
Program Effectiveness
Program Evaluation
Substance Abuse
treatment
Treatment Methods
Treatment Outcomes
Youth
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Summary:There is a strong comorbid relationship between conduct and substance disorders in youth. However, there is an absence of controlled studies that have explicitly examined treatment efficacy in this dually-diagnosed population. In the present study, 56 such youth were randomly assigned to receive either individual-cognitive therapy or family-behavioral therapy. Subjects in both intervention groups demonstrated significant improvements in their conduct and reductions in their use of illicit drugs from pretreatment to post-treatment, and these results were maintained at follow-up. Measures of youth satisfaction with parents, parent satisfaction with youth, and overall mood of these youth demonstrated similar improvements and closely corresponded with improvements in standardized measures of conduct and drug use. No significant differences were found in conduct or reductions of illicit drug use between subjects in the two intervention conditions at post-treatment, or at 6-month follow-up. Study implications are discussed in light of these results.
ISSN:1067-828X
1547-0652
DOI:10.1300/J029v11n01_01