Individual Characteristics and Needs Associated with Substance Misuse of Adolescents and Young Adults in Addiction Treatment

Dennis, M; White, Michelle; Ives, Melissa

doi:10.1007/978-0-387-09732-9_3

Cited by 25 publications

(37 citation statements)

References 28 publications

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“…We administered the Substance Frequency Scale (SFS) and the Substance Problem Scale (SPS) from the Global Appraisal of Individual Needs (GAIN; Dennis, Titus, White, Unsicker, & Hodgkins, 2003), a widely used (Dennis, White, & Ives, 2009) reliable and valid biopsychosocial assessment with a well-specified training certification process (Titus, Smith, Dennis, Ives, Twanow, & White, 2012). The SFS (α = .76) measures the average percent of days (out of the past 90) of self-reported substance use, heavy substance use, multiple-substance use, and days of problems from use.…”

Section: Methodsmentioning

confidence: 99%

Self-perceived emerging adult status and substance use.

Smith

Bahar

Cleeland

et al. 2014

Psychology of Addictive Behaviors

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Very little research exists on how self-perceived emerging adult status is associated with substance use among low-income emerging adults. The Inventory of Dimensions of Emerging Adulthood (IDEA) was administered to emerging adults (EAs) ages 18–25 screened for substance use problems (n=l05) in a state-subsidized, not-for-profit treatment agency. We examined whether the defining dimensions of Arnett’s (2000a) emerging adulthood theory were associated with substance use frequency and substance-related problems, including: identity exploration, self-focus, possibilities, optimism, negativity/instability, and feeling in-between. In multivariate models, feeling in-between was positively associated with substance-related problems. An interaction term between minority status and feeling in-between approached statistical significance (p = .057). Further, IDEA scale score means were comparable to those found in college student samples. Implications for theory revision are discussed.

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Section: Methodsmentioning

confidence: 99%

Self-perceived emerging adult status and substance use.

Smith

Bahar

Cleeland

et al. 2014

Psychology of Addictive Behaviors

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“…Data from these studies and SAMHSA-funded treatment agency evaluations were collected with approval from each organization's institutional review board. A detailed description of this data source and overview of the full sample characteristics is available (Dennis et al, 2009).…”

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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“…Prior research has shown that emerging adults may have worse psychosocial and SUD treatment outcomes than older adults, including a lower likelihood of completing treatment (McHugh et al, 2013;Mertens & Weisner, 2000;SchumanOlivier et al, 2014;Vuoristo-Myllys et al, 2013) and greater substance use or less abstinence during or following treatment exposure (Dennis et al, 2009;Hoeppner et al, 2014;Schuman-Olivier et al, 2014;Sinha et al, 2003).…”

Section: Need For Specific Clinical Focus On Emerging Adultsmentioning

confidence: 99%

Testing a Matching Hypothesis for Emerging Adults in Project MATCH: During-Treatment and One-Year Outcomes

Davis

Bergman

Smith

et al. 2017

J. Stud. Alcohol Drugs

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ABSTRACT. Objective: Compared with older adults, emerging adults (18-29 years old) entering treatment typically have less severe alcohol use consequences. Also, their unique clinical presentations (e.g., modest initial abstinence motivation) and developmental contexts (e.g., drinkingrich social networks) may make a straightforward implementation of treatments developed for adults less effective. Yet, this has seldom been examined empirically. This study was a secondary analysis of Project MATCH (Matching Alcoholism Treatments to Client Heterogeneity) data examining (a) overall differences between emerging adults and older adults ( 30 years old) on outcomes during treatment and at 1-year follow-up, and (b) whether emerging adults had poorer outcomes on any of the three Project MATCH treatments in particular. Method: Participants were 267 emerging adults and 1,459 older adults randomly assigned to individually delivered cognitive-behavioral therapy (CBT), motivational enhancement therapy (MET), or 12-step facilitation (TSF).Multilevel growth curve models tested differences on percentage of days abstinent (PDA) and drinks per drinking day (DDD) by age group and treatment assignment. Results: During treatment, compared with older adults, emerging adults reported more DDD but similar PDA. Further, emerging adults assigned to TSF had less PDA and more DDD than emerging adults and older adults assigned to CBT or MET during treatment (i.e., emerging adults in TSF has poorer outcomes initially), but this matching effect was not evident at 1-year follow-up. Conclusions: This study is among the first to test age group differences across three psychosocial interventions shown to be efficacious treatments for alcohol use disorder. Although emerging adults generally did as well as their older counterparts, they may require a more developmentally sensitive approach to bolster TSF effects during treatment. (J.

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Individual Characteristics and Needs Associated with Substance Misuse of Adolescents and Young Adults in Addiction Treatment

Cited by 25 publications

References 28 publications

Self-perceived emerging adult status and substance use.

Self-perceived emerging adult status and substance use.

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

Testing a Matching Hypothesis for Emerging Adults in Project MATCH: During-Treatment and One-Year Outcomes

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