The efficacy of two adolescent substance abuse treatments and the impact of comorbid depression: results of a small randomized controlled trial.
The efficacy of two adolescent substance abuse treatments and the impact of comorbid depression: results of a small randomized controlled trial.
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DOI：
10.1037/prj0000106
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发表时间：
2015-03
影响因子：
1.9
通讯作者：
Cummings, Amanda M.
中科院分区：
文献类型：
--
作者：
Santisteban, Daniel A.;Mena, Maite P.;Muir, Joan;McCabe, Brian E.;Abalo, Clara;Cummings, Amanda M.
关键词：
The purpose of this randomized trial was to investigate the efficacy of two behavioral treatments focusing on different change mechanisms in ameliorating a borderline personality disorder constellation of behaviors and substance use in adolescents referred by juvenile diversion programs. Forty adolescents 14 to 17 years of age and meeting DSM IV criteria for borderline personality disorder and substance use disorders were randomized to Integrative Borderline Personality Disorder-Oriented Adolescent Family Therapy (I-BAFT) or Individual Drug Counseling (IDC). This design allowed a comparison of two manualized interventions, one family-based and one individually-oriented. Profiles of clinical change were used to detect impact and to estimate treatment effect sizes. Primary analyses showed that both interventions had a clinically significant impact on borderline personality disorder behaviors 12 months after baseline but with no differential treatment effects. The impact on substance use was more complex. Subgroup analyses revealed that adolescents with depression had significantly more severe profiles of borderline personality disorder and substance use. These youth were the only group to show reductions in substance use, but only if they received the I-BAFT intervention. Study data also documented the high dosage of intensive residential treatment needed by this population. Results highlight the intensive treatment needs of juvenile justice involved youth with co-occurring substance use and borderline personality disorder including depression, the hybrid outpatient and residential treatment often required by this population, and the promise of a family oriented approach particularly for youth with severe symptoms and co-occurring depression.
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影响因子：
3.9
作者：
HORVATH, AO;GREENBERG, LS
通讯作者：
GREENBERG, LS
影响因子：
7
作者：
Schafer, JL;Graham, JW
通讯作者：
Graham, JW
DOI：
10.1097/00004583-199807000-00016
发表时间：
1998-07-01
影响因子：
13.3
作者：
Brook, JS;Brook, DW;Whiteman, M
通讯作者：
Whiteman, M
影响因子：
2.2
作者：
Henggeler, Scott W.;Sheidow, Ashli J.
通讯作者：
Sheidow, Ashli J.
影响因子：
5.9
作者：
JACOBSON, NS;TRUAX, P
通讯作者：
TRUAX, P