title: Rapid relapse generally follows treatment for substance use disorders among adolescents.
abstract: This prospective study involved 59 adolescents with drug and alcohol disorders who had just completed outpatient treatment. They participated in a comprehensive baseline assessment, and then participated in monthly telephone assessments of substance use and reasons for use. Despite their recent treatment, two-thirds (66%) of the participants in this study had relapsed to drug use within 6 months. The median time to drug relapse was only 54 days (+/-14 days), or slightly less than 2 months. The three most commonly given reasons for relapse were social pressure, withdrawal, and negative affect. These findings provide a first confirmation of the results of S.A. Brown [Recovery patterns in adolescent substance abuse. (1993). In J. S. Baer, G. A. Marlatt, & R. J. McMahon (Eds.), Addictive behaviors across the life span (pp. 160-183). London: SAGE.] in showing that most adolescents relapse quickly following treatment for substance use disorders.
authors.affiliation: Western Psychiatric Institute and Clinic, University of Pittsburgh School of Medicine, 3811 O'Hara Street, Pittsburgh, PA 15213, USA. jcornel@pitt.edu
authors.forename: Jack R
authors.initials: JR
authors.lastname: Cornelius
authors.forename: Stephen A
authors.initials: SA
authors.lastname: Maisto
authors.forename: Nancy K
authors.initials: NK
authors.lastname: Pollock
authors.forename: Christopher S
authors.initials: CS
authors.lastname: Martin
authors.forename: Ihsan M
authors.initials: IM
authors.lastname: Salloum
authors.forename: Kevin G
authors.initials: KG
authors.lastname: Lynch
authors.forename: Duncan B
authors.initials: DB
authors.lastname: Clark
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior; D005260:Female; D006801:Humans; D008297:Male; D011446:Prospective Studies; D012008:Recurrence; D012044:Regression Analysis; D019966:Substance-Related Disorders / Q000517:prevention & control / Q000534:rehabilitation*