Preadolescent conduct disorder behaviors predict relapse and progression of addiction for adolescent alcohol and drug abusers
Preadolescent conduct disorder behaviors predict relapse and progression of addiction for adolescent alcohol and drug abusers
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DOI：
10.1111/j.1530-0277.1995.tb01019.x
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发表时间：
1995-12-01
影响因子：
3.2
通讯作者：
Mott, MA
中科院分区：
文献类型：
--
作者：
Myers, MG;Brown, SA;Mott, MA
对酒精和药物滥用者之间异质性的认识增加，导致了对伴随精神病理学对成瘾和成瘾复发过程的影响的检查，在成人酒精和药物滥用者中的研究发现了共病精神病理学对治疗结果的不利影响，在青少年酒精和药物滥用者的临床样本中存在普遍的共病，特别是行为障碍（CD）的证据，然而，目前几乎没有关于精神病理学对青少年酒精和药物滥用治疗后结果的关系和影响的信息，目前的研究检查了CD之间的关系，通过在开始使用药物之前发生的青春期前CD行为的程度进行评估，以及131名青少年在住院治疗酒精和药物滥用2年后的结果，根据最近对成瘾行为复发和进展过程的概念化，CD被假设为通过改变应对努力和意图以及增加对潜在复发情况的暴露来影响复发过程。结果显示，青少年前CD行为的程度与治疗后2年的酒精参与呈正相关，这种关系主要是由治疗后的认知应对、戒酒动机、人际关系问题和饮酒暴露所引起的。与预期相反，青少年前CD行为不能预测治疗后的药物使用。这些研究结果提供了证据的精神病理学的影响的过程中复发和成瘾治疗后的青少年酒精和药物滥用的进展，并建议，青少年与早期生活CD行为可能会在更大的风险继续酗酒。
Increased awareness of the heterogeneity among alcohol and drug abusers has led to examination of the influence of concomitant psychopathology on the course of addiction and addictive relapse, Research among adult alcohol and drug abusers has found a detrimental influence of comorbid psychopathology on treatment outcome, Evidence exists for prevalent comorbidity, in particular conduct disorder (CD), among clinical samples of teen alcohol and drug abusers, However, little information is currently available on the relation and influence of psychopathology on outcome after treatment for adolescent alcohol and drug abuse, The current study examines the relation between CD, as assessed by the extent of preadolescent CD behaviors occurring before the initiation of drug use, and outcome for 131 adolescents over 2 years after inpatient treatment for alcohol and drug abuse, Drawing on recent conceptualizations of the process of relapse and progression of addictive behavior, CD is hypothesized to influence the process of relapse by altering coping efforts and intentions and increasing exposure to potential relapse situations, Results reveal that the extent of preadolescent CD behaviors is positively related to alcohol involvement in the 2 years after treatment, and that much of this relation is accounted for by posttreatment cognitive coping, motivation for alcohol abstinence, interpersonal problems, and exposure to alcohol use, Contrary to expectations, preadolescent CD behaviors did not predict posttreatment drug use. These findings provide evidence for the influence of psychopathology on the process of relapse and progression of addiction after treatment for adolescent alcohol and drug abuse, and suggest that teens with early life CD behaviors may be at greater risk for continued alcohol abuse.