Implications ofDSM-IV toDSM-5 Substance Use Disorder Diagnostic Changes in Adolescents Enrolled in a School-Based Intervention

Chapter 11 evaluates how emotion dysregulation enhances vulnerability to substance use disorders in adolescents. In late adolescence (15–18 years of age), recurrent substance users are prone to develop substance use disorder in adulthood. Substance use disorder may be broadly characterized as the inability to regulate substance consumption, deleteriously impacting social functioning, whilst accumulating a myriad of negative consequences and recurring risk to the self. Research suggests emotion dysregulation may be a predisposing factor that presents prior to onset of disorder. Moreover, dysregulation in cognitive, emotional and behavioral domains may be interconnected processes; substance abuse presenting as a product of overall dysregulation. Although theoretical efforts have outlined conceptual models delineating the relationship between emotion regulation and substance abuse, limited evidence has been garnered in adolescent samples. From a treatment perspective, school-based interventions centered on fostering adaptive emotion regulation skills have demonstrated efficacy, and maintained positive findings at long-term follow-up.

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Effects of a School-Based Intervention for Preventing Substance Use among Adolescents at Risk of Academic Failure: A Pilot Study of the Reasoning and Rehabilitation V2 Program

Healthcare ◽

10.3390/healthcare9111488 ◽

2021 ◽

Vol 9 (11) ◽

pp. 1488

Author(s):

Raquel Alarcó-Rosales ◽

Miriam Sánchez-SanSegundo ◽

Rosario Ferrer-Cascales ◽

Natalia Albaladejo-Blazquez ◽

Oriol Lordan ◽

...

Keyword(s):

At Risk ◽

Substance Use ◽

Academic Failure ◽

Cannabis Use ◽

Future Research ◽

Control Group ◽

School Based Intervention ◽

School Based ◽

Wide Range ◽

Reasoning And Rehabilitation

Tobacco, alcohol and cannabis use are important health problems that contribute greatly to causes of death in worldwide. Early onset of substance use increases rapidly during adolescence and it has been associated with a wide range of adverse events. Because substance use is associated with dramatic consequences, delaying the initiation of substance use among adolescents remains a major public priority. This study examined the effectiveness of a school-based intervention program based on the application of the Reasoning and Rehabilitation V2 (R&R2) program for preventing substance use among adolescents at risk of academic failure. A sample of 142 participants (aged 13–17 years old) who were studying alternative education provision in Spain were randomly allocated to two conditions (68 experimental group, 74 control group). A pre-test survey assessing past and current substance use was conducted prior the implementation of the program, while a post-test survey was conducted about 12 months after the pre-test. The results showed a significant effect of the R&R program in the reduction of cigarette smoking, episodes of drunkenness, alcohol consumption and cannabis use. However, for daily smoking and episodes of drunkenness such benefits showed a reduction over time. These findings offer additional evidence of the effectiveness of the Reasoning and Rehabilitation V2 program in Spanish adolescent students who are exposed to substance use and suggest areas of future research.

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