CONDUCT DISORDER AND ADOLESCENT SUBSTANCE ABUSER RELAPSE

近年来，人们越来越意识到 滥用药物的人群。 共病精神病理学是一个因素 造成了这种异质性， 治疗结果 关于这个问题的大量研究已经检查了成年人 人口，但很少有人知道的影响， 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滥用药物者 治疗后的结果。 为解决这一问题，拟议项目 调查了青少年药物滥用者的临床样本， 旨在评估治疗结果和应对技能的差异 有和没有行为障碍共病诊断的人之间的差异。 本研究的信息将有助于更好地了解 导致行为治疗结果较差的因素 精神错乱的青少年药物滥用者，并将提供知识 与设计更有效的干预措施有关。 设计这 复发的基于之间的认知-行为模型（Marlatt & Gordon， 1985年）。 这项纵向研究旨在复制和扩展以前的研究， 行为障碍，治疗结果， 以及应对技巧在其中的作用。 一百八十六 将招募接受药物滥用治疗的青少年， 参与这项研究。 拟议的协议将这些与 无行为障碍1）药物和酒精使用状态6个月 治疗后，以及2）应对复发风险情况的技能。 以前的调查由于缺乏诊断信息而受到限制 除了品行障碍之外的其他疾病 鉴于高流行率， 青少年物质临床样本中的共病精神病理学 虐待者，目前的调查将包括一个诊断性访谈 为了做出更精确的诊断区分：药物滥用 有其他诊断的行为障碍青少年将被排除在 品行障碍组 本研究的纵向设计将 解决两个主要假设： 1)患有行为障碍的滥用药物青少年 六个月的治疗结果比没有行为障碍的青少年。 2)患有行为障碍的滥用药物青少年 应对复发风险情况的技能比没有行为的青少年 disorder. 这些应对技能的缺陷将部分解释 行为障碍与较差的治疗结果之间的关系。

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.