Concurrent change in alcohol and drug problems among treated adolescents over three years.
- Authors
- Chung, Tammy; Martin, Christopher S; Clark, Duncan B
- Year
- 2008
- Journal
- Journal of studies on alcohol and drugs
- PMID
- 18432385
- DOI
- 10.15288/jsad.2008.69.420
- PMCID
- PMC4441016
OBJECTIVE: Many adolescents engage in polydrug use; however, little is known about whether alcohol and other drug problems show similar posttreatment trajectories of change. We examined concurrent patterns of change for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, symptoms related to the use of alcohol, marijuana, and other drugs and identified predictors of the most common cross-drug patterns of change. METHOD: Adolescents (N=542) recruited from addictions treatment were assessed at baseline and at 1-and 3-year follow-up. Latent class mixture modeling identified trajectories for alcohol, marijuana, and other-drug symptoms. Latent class analysis identified cross-drug patterns of change and was used to examine conduct disorder and depression as predictors of cross-drug patterns of change. RESULTS: For alcohol users, three improving groups (72%), stable-low (19%) and stable-high (6%) groups, and groups with increasing trajectories (3%) were identified. For marijuana users, an asymptomatic class (23%), two improving classes (46%), stable-low (13%) and stable-high (13%) classes, and a class with an increasing trajectory (4%) were found. For users of other drugs, groups with asymptomatic (57%), improving (20%), increasing (12%), and stable-high (11%) trajectories were identified. Latent class analysis of cross-drug patterns of change identified three subtypes representing generally concordant cross-drug patterns of change and one subtype that involved stable-high marijuana problems, decreasing alcohol problems, and increasing other-drug problems. Conduct disorder was associated with greater persistence of substance problems. CONCLUSIONS: The majority of treated adolescents had similar cross-drug patterns of change for alcohol, marijuana, and other drugs; however, exceptions exist. Furthermore, adolescents with co-occurring psychopathology may benefit from continuing intervention, because they tend to report more persistent posttreatment substance-related problems.
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In this knowledge base
| Title | Year | PMID |
|---|---|---|
| Measurement invariance of DSM-IV alcohol, marijuana and cocaine dependence between community-sampled and clinically overselected studies. | 2013 | 23651171 |
External
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|---|---|---|---|---|
| Youth in transition: Study protocol of a prospective cohort study into the long-term course of addiction, mental health problems and social functioning in youth entering addiction treatment. | Moska C et al. | — | 2021 | → |
| Behavioral, mental, and physical health characteristics and opioid medication misuse among community pharmacy patients: A latent class analysis. | Cochran G et al. | — | 2017 | → |
| Socioeconomic differences in adolescent substance abuse treatment participation and long-term outcomes. | Lui CK et al. | — | 2017 | → |
| Marijuana use and service utilization among adolescents 7 years post substance use treatment. | Campbell CI et al. | — | 2016 | → |
| Gender and racial/ethnic differences in patterns of adolescent alcohol use and associations with adolescent and adult illicit drug use. | Khan MR et al. | — | 2014 | → |
| Mechanisms of change in adolescent substance use treatment: how does treatment work? | Black JJ et al. | — | 2014 | → |
| Measurement invariance of DSM-IV alcohol, marijuana and cocaine dependence between community-sampled and clinically overselected studies. | Derringer J et al. | — | 2013 | → |
| Future expectations among adolescents: a latent class analysis. | Sipsma HL et al. | — | 2012 | → |
| Alcohol and drug involvement after adolescent treatment and functioning during emerging adulthood. | Anderson KG et al. | — | 2010 | → |
| Effectiveness of multidimensional family therapy with higher severity substance-abusing adolescents: report from two randomized controlled trials. | Henderson CE et al. | — | 2010 | → |
| Trajectories of resilience over 25 years of individuals who as adolescents consulted for substance misuse and a matched comparison group. | Larm P et al. | — | 2010 | → |