Treating adolescent drug abuse: a randomized trial comparing multidimensional family therapy and cognitive behavior therapy.
AIM: To examine the efficacy of two adolescent drug abuse treatments: individual cognitive behavioral therapy (CBT) and multidimensional family therapy (MDFT). DESIGN: A 2 (treatment condition) x 4 (time) repeated-measures intent-to-treat randomized design. Data were gathered at baseline, terminatio...
| Publicado en: | Addiction Vol. 103; no. 10; pp. 1660 - 1671 |
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| Autores principales: | , , , , |
| Formato: | clinical trial research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Oct2008
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105696299&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105696299 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09652140 AIO jtl: Addiction issn: 09652140 maglogo: Y pubinfo: dt: Oct2008 vid: 103 iid: 10 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 105696299 105696299 2010037810 10.1111/j.1360-0443.2008.02274.x NLM18705691 105696299 ppf: 1660 ppct: 11 formats: fmt: @attributes: type: P tig: atl: Treating adolescent drug abuse: a randomized trial comparing multidimensional family therapy and cognitive behavior therapy. aug: au: Liddle HA Dakof GA Turner RM Henderson CE Greenbaum PE affil: University of Miami Miller School of Medicine, Miami, FL, USA sug: subj: Cognitive Therapy In Adolescence Family Therapy In Adolescence Substance Abuse Therapy Adolescence Adult Analysis of Variance Behavior Rating Scales Chi Square Test Child Clinical Trials Coding Descriptive Statistics Female Interview Guides Interviews Male Maximum Likelihood Middle Age New England Pretest-Posttest Design Prospective Studies Psychological Tests Repeated Measures Retrospective Design Self Report Substance Dependence Therapy Treatment Outcomes Videorecording Human Adolescent: 13-18 years Adult: 19-44 years Child: 6-12 years Middle Aged: 45-64 years Female Male ab: AIM: To examine the efficacy of two adolescent drug abuse treatments: individual cognitive behavioral therapy (CBT) and multidimensional family therapy (MDFT). DESIGN: A 2 (treatment condition) x 4 (time) repeated-measures intent-to-treat randomized design. Data were gathered at baseline, termination, 6 and 12 months post-termination. Analyses used latent growth curve modeling. SETTING: Community-based drug abuse clinic in the northeastern United States. PARTICIPANTS: A total of 224 youth, primarily male (81%), African American (72%), from low-income single-parent homes (58%) with an average age of 15 years were recruited into the study. All youth were drug users, with 75% meeting DSM-IV criteria for cannabis dependence and 13% meeting criteria for abuse. MEASUREMENTS: Five outcomes were measured: (i) substance use problem severity; (ii) 30-day frequency of cannabis use; (iii) 30-day frequency of alcohol use; (iv) 30-day frequency of other drug use; and (v) 30-day abstinence. FINDINGS: Both treatments produced significant decreases in cannabis consumption and slightly significant reductions in alcohol use, but there were no treatment differences in reducing frequency of cannabis and alcohol use. Significant treatment effects were found favoring MDFT on substance use problem severity, other drug use and minimal use (zero or one occasion of use) of all substances, and these effects continued to 12 months following treatment termination. CONCLUSION: Both interventions are promising treatments. Consistent with previous controlled trials, MDFT is distinguished by the sustainability of treatment effects. pubtype: Academic Journal doctype: clinical trial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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