TY  - JOUR
PY  - 2021//
TI  - Predictors and moderators of marijuana and heavy alcohol use outcomes in adolescents treated for co-occurring substance use and psychiatric disorders in a randomized controlled trial
JO  - Journal of substance abuse treatment
A1  - Spirito, Anthony
A1  - Nestor, Bridget
A1  - Massing-Schaffer, Maya
A1  - Esposito-Smythers, Christianne
A1  - Stout, Robert
A1  - Frazier, Elisabeth
A1  - Gomez, Judelysse
A1  - Graves, Hannah
A1  - Yen, Shirley
A1  - Hunt, Jeffrey
A1  - Wolff, Jennifer
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - BACKGROUND: The current study identifies predictors and moderators of substance use outcomes for 111 adolescents with co-occurring substance use and psychiatric disorders who participated in a randomized controlled trial that compared the effectiveness of two home-based treatments: an integrated cognitive behavioral therapy (I-CBT) protocol, in which masters-level clinic staff received intensive training and ongoing supervision in the use of this protocol versus a treatment-as-usual (TAU) comparison condition in which therapists received a continuing education-style CBT workshop in the same protocol. <br><br>METHOD: The study conducted exploratory predictor and moderator analyses of marijuana and heavy alcohol use outcomes using candidate variables across four domains of psychological characteristics: adolescent substance use, adolescent psychiatric symptoms, parent, and family. <br><br>RESULTS: Regardless of treatment condition, low parental monitoring at baseline, as assessed by a videotaped interaction task, but not self-report, predicted greater percentage of marijuana use and heavy alcohol use days over the 6-month follow-up period. If parents entered treatment with low levels of parental monitoring, adolescents in the I-CBT condition reduced their percentage of heavy alcohol use days significantly more than adolescents in TAU over the 6-month follow-up period. Greater adolescent aggression and parental emotion dysregulation at baseline also predicted greater percentage of marijuana use days over the 6-month follow-up period for the sample as a whole. Adolescents in the I-CBT condition who reported low positive urgency at baseline reduced their percentage of heavy alcohol use days significantly more than adolescents in TAU care over the 6-month follow-up period. <br><br>CONCLUSION: The article discusses implications for clinical decision-making, improving treatment effectiveness, and tailoring interventions for adolescents with co-occurring substance use and psychiatric disorders.<p />  <p>Language: en</p>
LA  - en
SN  - 0740-5472
UR  - http://dx.doi.org/10.1016/j.jsat.2021.108536
ID  - ref1
ER  -