In R. L. Hendren, J. M. Oldham, M. B. Riba (eds) 1999; Review of Psychiatry, Volume 18. pp. 155-198. Washington, DC: American Psychiatric Association Press.
Substance use disorders and disruptive behavior disorders.
Riggs, P. D., & Whitmore, E. A.
This chapter explores the recent emergence of new effective prevention programs and treatments for adolescent substance use disorders. Such treatments have been developed from an increasingly sophisticated understanding of adolescent substance use disorder as a multidimensional, developmental disorder influenced by many interrelated factors. Our increasing understanding of the relationship between adolescent substance use disorder and the disruptive behavior disorders – especially conduct disorder – has guided the development of new, effective treatment approaches for this very serious and common comorbidity. However, more advancement is needed in this area in evolving a unified, empirically supported treatment model that acknowledges a common conceptual framework and the interrelationships between addictive disorders and other psychiatric illnesses.
Whitmore, E. A., Mikulich, S. K., Ehlers, K. M., & Crowley, T. J. (2000). One-year outcome of adolescent females referred for conduct disorder and substance abuse/dependence. Drug and Alcohol Dependence, 59, 131-141.
This study investigated whether substance abuse/dependence (SUD), conduct disorder(CD), and other psychiatric disorders improved in adolescent females who were referred to outpatient treatment and what variables were related to 1-year outcome. 46 conduct-disordered females with substance abuse or dependence were re-evaluated approximately 1 year after discharge. Significant improvements were seen in 3 areas: 1) criminality and CD, 2) Attention Deficit/Hyperactivity Disorder (ADHD), and 3) educational and vocational status. However, neither substance involvement nor depression improved, and these females demonstrated significant risky sexual behaviors. Only 2 post treatment factors (peer problems and number of ADHD symptoms at follow-up) were found to be related to CD and SUD outcomes. The overall lack of pre- and post-treatment predictors presents interesting challenges for future research on adolescent females with these disorders.
Whitmore, E. A., Mikulich, S. K., Ehlers, K. M., & Crowley, T. J. (2000). One-year outcome of adolescent females referred for conduct disorder and substance abuse/dependence. Drug and Alcohol Dependence, 59, 131-141.
Adams, J. B., Heath, A. J., Stallings, M. C., Hewitt, J. K., Corley, R., Young, S. E., & Fulker, D. W. (in review). Relationships Between Personality and Preferred Substance and Motivations For Use Among Adolescent Substance Abusers and Their Family Members. Journal of Substance Abuse.
Crowley, T. J., Mikulich, S. K., Ehlers, K. M., Whitmore, E. A., Macdonald, M. J. (submitted). Validity of structured clinical evaluations in adolescents with conduct and substance problems. Journal of the American Academy of Child and Adolescent Psychiatry, 2000.
Hopfer, C. J., Mikulich, S. K., & Crowley, T. J. (in press). Heroin Use Among Adolescents in Treatment for Substance Use Disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 2000.
Hopfer, C. J., Mikulich, S. K., & Crowley, T. J. (submitted). A Pilot Study of Parent and Child Reports of Attention-Deficit/Hyperactivity disorder in Adolescents with Conduct and Substance Problems. Journal of Child and Adolescent Substance Abuse.
Mikulich, S. K., Hall, S. K., Whitmore, E. A., & Crowley, T. J. (in press). Concordance Between DSM-III-R AND DSM-IV Diagnosis of Substance Use Disorders in Adolescents. Drug and Alcohol Dependence, 2000.
Sham, P. C., Cherny, S. S., Purcell, S. & Hewitt, J. K. (in press). Power of Linkage versus Association Analysis of Quantitative Traits, by Use of Variance-Components Models, for Sibship Data.
American Journal of Human Genetics.
Sham, P. C., Zhao, J. H., Cherny S. S., & Hewitt, J. K. (in review). Variance components QTL linkage analysis of selected and non-normal samples: conditioning on trait values.
Stallings, M. C., Hewitt, J. K., Beresford, T., Heath, A. C., and Eaves, L. J. (in press) A Twin Study of Drinking and Smoking: Onset and Latencies From First Use To Regular Use. Behavior Genetics.
Whitmore, E. A. & Riggs, P. D. (in press). Addiction and how it works: The use ofbuproprion in patients with substance use disorders and related conditions. Professional Opinion Newsletter, Cambridge, UK: Bridgett Publications.
Young, S. E., Stallings, M. C., Corley, R. P., Krauter, K. S., & Hewitt, J. K (in press) Genetic and environmental influences on behavioral disinhibition. Neuropsychiatric Genetics.
Young, S. E., Stallings M. C., Hewitt, J. K., & Fulker, D. W. (submitted). The Familial Transmission of Conduct Disorder: Importance of Spousal and Sibling Effects. Journal of Abnormal Psychology.
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