Are Special Treatments Needed for Special Populations?

Miller, William R.; Villanueva, Michael R.; Tonigan, J. Scott; Cuzmar, Ivette Y.

doi:10.1300/j020v25n04_05

Cited by 28 publications

(33 citation statements)

References 51 publications

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“…Because it is a standardized instrument in widespread use, data from both these controlled studies and SAMHSA-funded demonstration projects are pooled and made available to researchers under Health Insurance Portability and Accountability Act-compliant data-sharing agreements. Such data pooling enables investigations of research questions (e.g., age differences in reasons for quitting) that would be left unanswered by individual studies, which may lack adequate subgroup samples and statistical power (Miller et al, 2007). Data from these studies and SAMHSA-funded treatment agency evaluations were collected with approval from each organization's institutional review board.…”

Section: Participants and Settingmentioning

confidence: 99%

Reasons for Quitting Among Emerging Adults and Adolescents in Substance-Use-Disorder Treatment

Smith¹,

Cleeland²,

Dennis³

2010

J. Stud. Alcohol Drugs

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ABSTRACT. Objective: Understanding developmental differences in reasons for quitting substance use may assist clinicians in tailoring treatments to different clinical populations. This study investigates whether alcohol-disordered and problem-drinking emerging adults (i.e., ages 18-25 years) have different reasons for quitting than younger adolescents (i.e., ages 13-17 years) Method: Using a large clinical sample of emerging adults and adolescents, we compared endorsement rates for 26 separate reasons for quitting between emerging adults and adolescents who were matched on clinical severity. Then age group was regressed on total, interpersonal, and personal reasons for quitting, and mediation tests were conducted with variables proposed to be developmentally salient to emerging adults. Results: Among both age groups, self-control reasons were the most highly endorsed. Emerging adults had significantly fewer interpersonal reasons for quitting (Cohen's d = 0.20), and this association was partially mediated by days of being in trouble with one's family. There were no differences in personal reasons or total number of reasons for quitting. Conclusions: Our findings are consistent with developmental theory suggesting that emerging adults experience less social control, which here leads to less interpersonal motivation to refrain from alcohol and drug use. As emerging adults in clinical samples may indicate few interpersonal reasons for quitting, one challenge to tailoring treatments for them will be identifying innovative ways of leveraging social supports and altering existing social networks. (J. Stud. Alcohol Drugs, 71, 400-409, 2010)

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Section: Participants and Settingmentioning

confidence: 99%

Reasons for Quitting Among Emerging Adults and Adolescents in Substance-Use-Disorder Treatment

Smith¹,

Cleeland²,

Dennis³

2010

J. Stud. Alcohol Drugs

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“…Not only is this brief (i.e., 1–2 sessions), empathic, and strength-based intervention highly effective across a number of substance use and health risk behaviors (e.g., Hettema, Steele, & Miller, 2005; Lundahl, Kunz, Brownell, Tollefson, & Burke, 2010), it has been found to be a particularly good fit with wary recipients, such as non-treatment-seeking emerging adults (McCambridge & Strang, 2004). This may be due to the non-judgmental, empathic, and collaborative approach of MI (Miller, Villanueva, Tonigan, & Cuzmar, 2007), whereby the individual’s own values, opinions, and arguments for change are the most valued and reflected part of the therapeutic discussion. However, despite the promise of MI with young problem drinkers (Larimer & Cronce, 2007), the range of observed effect sizes indicates that there is still room for improvement (Carey, Carey, Maisto, & Henson, 2006).…”

Section: 1 Introductionmentioning

confidence: 99%

Brain-based origins of change language: A beginning

Ewing

Yezhuvath²,

Filbey

2014

Addictive Behaviors

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Motivational interviewing (MI) is a promising treatment for heavy drinking. Client change talk (CT), a critical component of MI, has been associated with differential brain activation. The goal of this study was to begin to deconstruct how and why CT may affect the brain. Specifically, we sought to determine whether simply repeating statements in favor of change would cause differential brain activation, or whether client statements must be spontaneously generated within a therapeutic milieu in order to influence brain activation. We therefore examined blood oxygenation level dependent (BOLD) response following two types of client language (CT; and sustain talk, ST) across two conditions: (1) Self-Generated: CT and ST were elicited during an MI session vs. (2) Experimenter-Selected: a pre-established list of CT and ST was provided to the individual in the absence of an MI session. Across both conditions, participants’ CT and ST were visually and aurally presented during fMRI. We enrolled 39 recent binge drinkers (41% male; M age = 19.9; n = 18 in Self-Generated group; n = 21 in Experimenter-Selected group). We found that both types of client language (CT and ST) elicited greater BOLD activation in the Self-Generated vs. the Experimenter-Selected group in the left inferior frontal gyrus/anterior insula and superior temporal gyri (p ≤ 0.001). These findings indicate that the nature of client language matters. It appears that it is not just the words themselves, but the origin (naturally generated within a therapeutic session) that influences brain-based effects.

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“…Despite the growing call for CSIs in the social sciences, scholars have discovered a disproportionate lag and phenomenological gap in ethnic minority outcome research (Hall, 2001;Miller, Villanueva, Tonigan, & Cuzmar, 2007;Phinney, 1990;Ponterotto, 1988). This may be related to the absence of a clear theoretical construct and definition of cultural sensitivity (Resnicow et al, 2000).…”

mentioning

confidence: 99%

Native American Youth and Culturally Sensitive Interventions: A Systematic Review

Jackson

Hodge

2010

Research on Social Work Practice

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Objective: A systematic evaluation of the effectiveness of culturally sensitive interventions (CSIs) with Native American youth was conducted. Method: Electronic bibliographic databases, Web sites, and manual searches were used to identify 11 outcome studies that examined CSI effectiveness with Native American youth. Results: This review found general improvement in the employment of rigorous evaluative methods in CSI research with Native American youth. Conclusion: Despite recent progress, CSI research remains in its infancy and more rigorous outcome studies are needed in order to determine if CSIs are more effective than standard treatments with Native American youth. Such research is necessary for professional competent practice with Native American youth and families.

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Are Special Treatments Needed for Special Populations?

Cited by 28 publications

References 51 publications

Reasons for Quitting Among Emerging Adults and Adolescents in Substance-Use-Disorder Treatment

Reasons for Quitting Among Emerging Adults and Adolescents in Substance-Use-Disorder Treatment

Brain-based origins of change language: A beginning

Native American Youth and Culturally Sensitive Interventions: A Systematic Review

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