CONDUCT DISORDER AND ADOLESCENT SUBSTANCE ABUSER RELAPSE

近年来，人们越来越多地意识到 滥用药物的人群。共病的精神病理是一个因素 促成了这种异质性，这种异质性对 治疗结果。关于这个问题的大量研究都考察了成年人 然而，人们对共病的影响知之甚少。 青少年药物滥用者。现有的研究表明， 同时患有品行障碍的青少年物质滥用者更差 治疗后的结果。为了解决这一问题，拟议的项目 对青少年药物滥用者的临床样本进行了调查 旨在评估治疗结果和应对技能的差异 在那些有和没有同时被诊断为品行障碍的人之间。 这项研究的信息将有助于更好地理解 导致行为治疗结果较差的因素 精神错乱青少年药物滥用者，并将提供知识 与设计更有效的干预措施相关。这款车的设计 基于复吸的认知-行为模型(Marlatt&Gordon， 1985年)。 这项纵向研究旨在复制和扩展之前的 品行障碍、治疗结果、 以及应对技能在其中的作用。186 接受药物滥用治疗的青少年将被招募参加 参与这项研究。建议的协议将与 没有行为障碍的1)药物和酒精使用状况为6个月 治疗后，以及2)应对复发风险情况的技能。 以往的研究由于缺乏诊断信息而受到限制。 关于品行障碍以外的精神障碍。鉴于艾滋病的高流行率 青春期物质临床标本的共病精神病理学研究 施虐者，本次调查将包括诊断性面谈 为了做出更准确的诊断区分：滥用药物 有其他诊断的行为障碍青少年将被排除在 品行障碍组。这项研究的纵向设计将 提出两个主要假设： 1)有品行障碍的物质滥用青少年会有更差的 6个月的治疗结果比没有品行障碍的青少年要好。 2)有品行障碍的物质滥用青少年会更差 与没有行为的青少年相比，应对复发风险情况的技能 无序。这些应对技能上的缺陷将是 品行障碍与治疗效果差的关系。

Recent years have seen an increased awareness of the heterogeneity among substance abusing populations. Comorbid psychopathology is one factor contributing to this heterogeneity which differentially influences treatment outcome. The bulk of research on this issue has examined adult populations, yet little is known about the influence of comorbidity in adolescent substance abusers. Available research suggests that adolescent substance abusers wit concurrent conduct disorder have poorer outcome following treatment. To address this issue, the proposed project investigates a clinical sample of adolescent substance abusers and is designed to assess differences in treatment outcome and coping skills between those with and without a comorbid diagnosis of conduct disorder. Information from this study will contribute to a better understanding of factors contributing to the poorer treatment outcome of conduct disordered adolescent substance abusers, and will provide knowledge relevant to designing more efficacious interventions. The design of this between-based cognitive-behavioral model of relapse (Marlatt & Gordon, 1985). This longitudinal study is designed to replicate and extend previous findings of the relationship between conduct disorder, treatment outcome, and the role of coping skills therein. One hundred and eighty six adolescents in treatment for substance abuse will be recruited for participation in this study. The proposed protocol compares those with and without conduct disorder on 1) drug and alcohol use status six-months posttreatment, and 2) skills for coping with relapse risk situations. Previous investigations are limited by a lack of diagnostic information on disorders other than conduct disorder. Given the high prevalence of comorbid psychopathology among clinical samples of adolescent substance abusers, the present investigation will include a diagnostic interview in order to make more precise diagnostic distinctions: substance abusing conduct disordered teens with additional diagnoses will be excluded from the conduct disorder group. The longitudinal design of this study will address two primary hypotheses: 1) Substance abusing adolescents with conduct disorder will have poorer six-month treatment outcome than teens without conduct disorder. 2) Substance abusing adolescents with conduct disorder will have poorer skills for coping with relapse risk situations than teens without conduct disorder. These deficits in coping skills will account for part of the relationship between conduct disorder and poorer treatment outcome.