The impact of disruptive behavior disorder on substance use treatment outcome in adolescents

ABSTRACTObjective: To assess the impact of childhood conduct disorder (CD) and intelligence quotient (IQ) on later substance use in adolescence.Methods: Neuropsychological and structured diagnostic evaluations were initially administered to 32 children with disruptive behavior disorder when they were 7–11 years of age. They were then re-evaluated on average 6.7 years later using an array of interviews and rating scales with a focus on substance use.Results: Early CD and IQ scores together accounted for a significant proportion of the variance in later substance use (R2=.248). In addition, there was a significant CD and Verbal IQ interaction (R2=.164) such that high Verbal IQ was linked to increased substance use in adolescents who had childhood CD.Conclusion: These data indicate that the presence of conduct disorder may interact with high Verbal IQ during childhood in such a way as to predict later adolescent substance use in disruptive behavior disorder populations.

Download Full-text

Maternal Depression and Parenting Practices Predict Treatment Outcome in Italian Children with Disruptive Behavior Disorder

Journal of Child and Family Studies ◽

10.1007/s10826-014-0085-3 ◽

2014 ◽

Vol 24 (9) ◽

pp. 2805-2816 ◽

Cited By ~ 10

Author(s):

Pietro Muratori ◽

Annarita Milone ◽

Annalaura Nocentini ◽

Azzurra Manfredi ◽

Lisa Polidori ◽

...

Keyword(s):

Treatment Outcome ◽

Maternal Depression ◽

Disruptive Behavior ◽

Parenting Practices ◽

Behavior Disorder ◽

Disruptive Behavior Disorder ◽

Italian Children

Download Full-text

Diagnosis, risk factors, evolutionary trajectories and treatment of disruptive behavior disorders: Coping Power Program’s diffusion in Italy

Rivista di Psicopatologia Forense Medicina Legale Criminologia ◽

10.4081/psyco.2018.23 ◽

2018 ◽

Vol 23 (1) ◽

pp. 16-28

Author(s):

Gennarina Pirri

Keyword(s):

Risk Factors ◽

Disruptive Behavior ◽

Behavior Disorder ◽

Disruptive Behavior Disorder ◽

Dsm V ◽

Intervention Protocol ◽

Evolutionary Trajectories ◽

Coping Power ◽

Aggressive Children ◽

The Impact

Knowing and diagnosing carefully a Disruptive Behavior Disorder, analyzing the clinic consistency of the subtypes DC and CU as well as the etiological, neurocognitive and neurobiological specificities, will allow the clinician to perform a much more precocious diagnosis. The comprension of the factors that are associated with aggressiveness and disruptive behaviors contributed to the development of interventions in order to prevent and reduce the impact of these disorders, which can evolve into juvenile delinquency or antisocial personality disorders, if not treated. This article, after an exposition of the new DBD criteria in the DSM V and an analysis of the risk factors for aggressive children, will outline the researches on this topic, and will describe the intervention protocol named Coping Power Program (CPP), as well as listing some researches, including the italian ones, that confirmed the effectiveness of this protocol.

Download Full-text

Preventive Effects of Treatment of Disruptive Behavior Disorder in Middle Childhood on Substance Use and Delinquent Behavior

Journal of the American Academy of Child & Adolescent Psychiatry ◽

10.1097/01.chi.0000246051.53297.57 ◽

2007 ◽

Vol 46 (1) ◽

pp. 33-39 ◽

Cited By ~ 48

Author(s):

MARJO J.S. ZONNEVYLLE-BENDER ◽

WALTER MATTHYS ◽

NICOLLE M.H. van de WIEL ◽

JOHN E. LOCHMAN

Keyword(s):

Substance Use ◽

Disruptive Behavior ◽

Middle Childhood ◽

Behavior Disorder ◽

Delinquent Behavior ◽

Disruptive Behavior Disorder ◽

Preventive Effects

Download Full-text

Improvement in psychological wellbeing among adolescents with a substance use disorder attending an outpatient treatment programme

Irish Journal of Psychological Medicine ◽

10.1017/ipm.2021.6 ◽

2021 ◽

pp. 1-8

Author(s):

N.M. Gamage ◽

C. Darker ◽

B.P. Smyth

Keyword(s):

Substance Use ◽

Psychological Symptoms ◽

Significant Proportion ◽

Cannabis Use ◽

Psychological Wellbeing ◽

Substance Use Treatment ◽

Disruptive Behaviour ◽

Treatment Programme ◽

The Impact

Objectives: Adolescents with substance use disorders (SUDs) exhibit high rates of comorbid psychological problems. This study aimed to examine the impact of an outpatient substance use treatment programme upon the psychological wellbeing of adolescents. Methods: A prospective study was carried out examining psychological symptoms in a group of adolescents attending the Youth Drug and Alcohol (YoDA) Addiction Service in Dublin. Participants were treated with evidenced based psychological models such as cognitive behavioural therapy, motivational interviewing and systemic family therapy. The Becks Youth Inventory was utilised to assess psychological symptoms at treatment entry and repeated three months later at follow up. Results: Among 36 adolescents who were included in this study, poly-substance misuse was the norm. Almost three-quarter had a cannabis use disorder (CUD). There were significant reductions in mean subscale scores of depression (56.0 to 50.8, p = 0.003), anger (55.2 to 49.5, p < 0.001) and disruptive behaviour (61.6 to 56.5, p = 0.002) at follow up. Although there wasn’t a statistically significant reduction in mean scores for anxiety, we observed a significant proportion of participants (p = 0.008) improving and moving out of a moderate to severe symptom range when examined by category. This was also the case for self-concept (p = 0.04). Furthermore this study revealed a positive correlation between the reduction in days of cannabis use and reduction in depressive scores (Pearson correlation 0.49, p = 0.01) among those with a CUD. Conclusion: The findings indicate that substance use treatment for adolescents is associated with important psychological and behavioural improvements.

Download Full-text

Substance use Treatment and Harm Reduction Services for Migrants and Refugees in the COVID-19 Pandemic: Findings from a Global Survey

10.21203/rs.3.rs-123740/v1 ◽

2020 ◽

Author(s):

Cornelis De Jong ◽

Ali Farhoudian ◽

Mehrnoosh Vahidi ◽

Mohsen Ebrahimi ◽

Hamed Ekhtiari ◽

...

Keyword(s):

Substance Use ◽

Harm Reduction ◽

Substance Use Disorders ◽

Mental Health Problems ◽

World Health ◽

Substance Use Treatment ◽

Second Phase ◽

Addiction Medicine ◽

Global Survey ◽

The Impact

Abstract Migrants and refugees are considered vulnerable to mental health problems and substance use disorders; and may be particularly affected by service disruptions associated with the COVID-19 pandemic The International Society of Addiction Medicine (ISAM) ran a multi-phased global survey among clinicians and health professional that are actively working in the field of addiction medicine to investigate the impact of the COVID-19 pandemic on substance use and related services. In March 2020, the first month after the announcement of the pandemic by the World Health Organization, 177 informants from 77 countries took part in the global survey, and only 12.9% of them reported their countries’ substance use treatment and harm reduction services for the migrants and refugees with substance use disorders continued as usual. In May 2020, 11.7% of respondents of the second phase reported that the services for refugees and migrants improved in comparison to March 2020; 11.7% reported that these services in their country discontinued. Results suggest that refugee and migrants access to treatment and harm reduction services has been reduced as a result of COVID-19. It can be concluded that it is crucial to improve the visibility of migrants’ needs and exploit appropriate interventions for those with substance use disorders.

Download Full-text