title: A multivariate process model of adolescent 12-step attendance and substance use outcome following inpatient treatment.
abstract: A common recommendation for youth treated for substance abuse is to attend 12-step groups. However, little is known regarding the effects of this adult-derived prescription on substance use outcomes for teens. This study examined (a) the relation between 12-step attendance and substance use outcome in the 6 months postdischarge from inpatient care and (b) a process model of how 12-step attendance during the first 3 months postdischarge affects proximal outcomes of motivation, coping, and self-efficacy, measured at 3 months, and how these, in turn, affect ultimate substance use outcome in the following 3 months. Adolescent inpatients (N = 99) were assessed during treatment and 3 and 6 months postdischarge. Results revealed modest beneficial effects of 12-step attendance, which were mediated by motivation but not by coping or self-efficacy. Findings suggest that closer attention be paid to motivational factors in the treatment of adolescent substance abuse.
authors.affiliation: Joint Doctoral Program in Clinical Psychology, University of California, San Diego, and Joint Doctoral Program in Clinical Psychology, San Diego State University, USA.
authors.forename: J F
authors.initials: JF
authors.lastname: Kelly
authors.forename: M G
authors.initials: MG
authors.lastname: Myers
authors.forename: S A
authors.initials: SA
authors.lastname: Brown
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D000359:Aftercare; D000367:Age Factors; D002140:California; D005260:Female; D006801:Humans; D008297:Male; D008960:Models, Psychological; D009042:Motivation; D015999:Multivariate Analysis; D011446:Prospective Studies; D020377:Self Efficacy; D012657:Self-Help Groups; D019966:Substance-Related Disorders / Q000523:psychology / Q000534:rehabilitation*; D016896:Treatment Outcome