TY - JOUR
T1 - Baseline depressive symptoms predict poor substance use outcome following adolescent residential treatment
AU - Subramaniam, Geetha A.
AU - Stitzer, Maxine A.
AU - Clemmey, Philip
AU - Kolodner, Ken
AU - Fishman, Marc J.
N1 - Copyright:
Copyright 2008 Elsevier B.V., All rights reserved.
PY - 2007/8
Y1 - 2007/8
N2 - OBJECTIVE: To characterize baseline depressive symptoms among substance-abusing adolescents and determine their association with post residential treatment substance use outcomes. METHOD: In total, 153 adolescents (mean age 6.6 years, ± 0.11) entering residential treatment were assessed at intake and at 3, 6, 9, and 12 months. Beck Depression Inventory (BDI) and Global Appraisal of Individual Needs were administered to assess depression, other risk factors, and substance use. A regression model was developed with 10 risk factors including BDI scores of ≥11 versus <11 to predict the outcome measure mean percentage of days in the past 90 days with any (nonnicotine) substance use. RESULTS: At intake, 55% had BDI scores of ≥11. A baseline BDI score of ≥11 was significantly associated with greater mean percentage of days of substance use (27.5 ± 3.8% versus 15.4 ± 4.0% days, p <.01) across 1-year follow-up. Two other factors were significant: length of drug career >2 years and having an opioid use disorder. CONCLUSIONS: Results from this prospective study, although preliminary, suggest the association of depressive symptoms with poorer substance outcomes and the utility of the BDI as a prognostic tool. They highlight the need for interventions targeting co-occurring depressive symptoms that may improve adolescent substance treatment outcomes. Copyright 2007
AB - OBJECTIVE: To characterize baseline depressive symptoms among substance-abusing adolescents and determine their association with post residential treatment substance use outcomes. METHOD: In total, 153 adolescents (mean age 6.6 years, ± 0.11) entering residential treatment were assessed at intake and at 3, 6, 9, and 12 months. Beck Depression Inventory (BDI) and Global Appraisal of Individual Needs were administered to assess depression, other risk factors, and substance use. A regression model was developed with 10 risk factors including BDI scores of ≥11 versus <11 to predict the outcome measure mean percentage of days in the past 90 days with any (nonnicotine) substance use. RESULTS: At intake, 55% had BDI scores of ≥11. A baseline BDI score of ≥11 was significantly associated with greater mean percentage of days of substance use (27.5 ± 3.8% versus 15.4 ± 4.0% days, p <.01) across 1-year follow-up. Two other factors were significant: length of drug career >2 years and having an opioid use disorder. CONCLUSIONS: Results from this prospective study, although preliminary, suggest the association of depressive symptoms with poorer substance outcomes and the utility of the BDI as a prognostic tool. They highlight the need for interventions targeting co-occurring depressive symptoms that may improve adolescent substance treatment outcomes. Copyright 2007
KW - Adolescent substance use
KW - Depressive symptoms
KW - Treatment outcomes
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U2 - 10.1097/chi.0b013e31806c7ad0
DO - 10.1097/chi.0b013e31806c7ad0
M3 - Article
C2 - 17667484
AN - SCOPUS:34547664915
SN - 0890-8567
VL - 46
SP - 1062
EP - 1069
JO - Journal of the American Academy of Child and Adolescent Psychiatry
JF - Journal of the American Academy of Child and Adolescent Psychiatry
IS - 8
ER -