title: 12-step participation and outcomes over 7 years among adolescent substance use patients with and without psychiatric comorbidity.
abstract: This study examines the associations between 12-step participation and outcomes over 7 years among 419 adolescent substance use patients with and without psychiatric comorbidities. Although level of participation decreased over time for both groups, comorbid adolescents participated in 12-step groups at comparable or higher levels across time points. Results from mixed-effects logistic regression models indicated that for both groups, 12-step participation was associated with both alcohol and drug abstinence at follow-ups, increasing the likelihood of either by at least 3 times. Findings highlight the potential benefits of 12-step participation in maintaining long-term recovery for adolescents with and without psychiatric disorders.
authors: Divisionof Research, Kaiser Permanente Northern California, 2000 Broadway,Oakland, CA 94612–2403, USA. Felicia.W.Chi@kp.org
authors: Felicia W
authors: FW
authors: Chi
authors: Stacy
authors: S
authors: Sterling
authors: Cynthia I
authors: CI
authors: Campbell
authors: Constance
authors: C
authors: Weisner
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D000437:Alcoholism; D016022:Case-Control Studies; D015897:Comorbidity; D017831:Diagnosis, Dual (Psychiatry); D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy; D010349:Patient Compliance / Q000706:statistics & numerical data*; D012657:Self-Help Groups; D019966:Substance-Related Disorders / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy; D013997:Time Factors; D016896:Treatment Outcome