title: The impact of disruptive behavior disorder on substance use treatment outcome in adolescents.
abstract: The current study examined the impact of disruptive behavior disorder (DBD) on substance use outcomes in an adolescent sample. Sixty-eight adolescents and their caregivers were randomized to one of two fourteen-week, outpatient treatments: Motivational Enhancement Therapy/Cognitive Behavior Therapy (MET/CBT)+Parent Management Training+Contingency Management (CM; experimental) and MET/CBT+Parent Drug Education (attention control). This study assessed abstinence, substance use, externalizing behavior, and parenting outcomes over five assessment periods for youth with DBD (DBD(+)) and without DBD (DBD(-)). Results showed DBD(+)/experimental adolescents reported fewer days of marijuana use than DBD(+)/control adolescents. Results also showed that parents of DBD(-) adolescents in the experimental condition reported significantly better parenting outcomes compared to DBD(-)/control. Substance abuse treatment for adolescents with DBD which includes a component such as contingency management and parent training has the potential to contribute to substance use outcomes. Such treatment strategies, however, should include additional support for parents.
authors.affiliation: University of Arkansas for Medical Sciences, Center for Addiction Research., Little Rock, AR 72205, USA. ryansr@uthscsa.edu
authors.forename: Stacy R
authors.initials: SR
authors.lastname: Ryan
authors.forename: Catherine
authors.initials: C
authors.lastname: Stanger
authors.forename: Jeff
authors.initials: J
authors.lastname: Thostenson
authors.forename: Jennifer J
authors.initials: JJ
authors.lastname: Whitmore
authors.forename: Alan J
authors.initials: AJ
authors.lastname: Budney
mesh_terms: D000293:Adolescent; D000553:Ambulatory Care / Q000379:methods; D019958:Attention Deficit and Disruptive Behavior Disorders / Q000150:complications* / Q000523:psychology; D017028:Caregivers / Q000193:education; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D002189:Marijuana Abuse / Q000534:rehabilitation; D009042:Motivation; D010290:Parents / Q000193:education*; D019966:Substance-Related Disorders / Q000534:rehabilitation*; D016896:Treatment Outcome