Menu Expand
Adolescent Substance Use Disorders, An Issue of Child and Adolescent Psychiatric Clinics of North America - E-Book

Adolescent Substance Use Disorders, An Issue of Child and Adolescent Psychiatric Clinics of North America - E-Book

Yifrah Kaminer

(2010)

Additional Information

Book Details

Abstract

This comprehensive issue on Substance Abuse in youth begins with articles on epidemiological trends, genetic risk factors, neurobiology of substance use disorders, and race and gender associations, and then provides detailed reviews on prevention and various treatment methodologies. Treatments discussed include individual and group interventions (motivational interviewing and cognitive behavioral therapy), contingency reinforcement, multidimentional family therapy, pharmacotherapy, and post-treatment aftercare. Also reviewed in detail are substance use disorders and psychiatric comorbidity. The issue then takes a close look at two emerging areas of concern in youth: gambling and internet occupation, and energy drink use. By all accounts, a must-read issue for psychiatrists everywhere.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Contributors iii
Contents vii
Foreword The Elephant in the Room xiii
Preface Been There, Done That, and Now What? Adolescent Addictive Behaviors from Etiology to Postvention xv
Chapter 1. Epidemiologic Trends of Adolescent Use of Alcohol, Tobacco, and Other Drugs 451
TOBACCO 451
ALCOHOL 456
MARIJUANA 458
METHAMPHETAMINES 459
COCAINE 459
INHALANTS 460
LYSERGIC ACID DIETHYLAMIDE 460
AMPHETAMINES 460
HEROIN 460
PRESCRIPTION AND OVER-THE-COUNTER DRUGS 460
NARCOTICS 461
TRANQUILIZERS 461
SEDATIVES 461
CLUB DRUGS 461
SUMMARY 462
Chapter 2. Genetic and Environmental Risk Factors for Adolescent-Onset Substance Use Disorders 465
ADOLESCENT DRUG AND ALCOHOL USE 466
COMORBIDITY AND ILLICIT DRUG USE 466
EARLY INITIATION 467
HERITABILITY 467
HERITABILITY ACROSS DEVELOPMENT 468
THE EXTERNALIZING SPECTRUM 469
GENE-ENVIRONMENT INTERACTION 470
GENE IDENTIFICATION EFFORTS 471
GENE IDENTIFICATION IN ADOLESCENT POPULATIONS 472
APPLICATIONS FOR PREVENTION 473
Chapter 3. Neurobiology of Adolescent Substance Use Disorders: Implications for Prevention and Treatment 479
THE NEUROBIOLOGY OF ADOLESCENT DECISION MAKING 480
ADOLESCENT SUBSTANCE USE DISORDERS: BRAIN STRUCTURE AND FUNCTION 482
IMPLICATIONS FOR PREVENTION AND TREATMENT 486
SUMMARY 488
ACKNOWLEDGMENTS 488
Chapter 4. Development and Vulnerability Factors in Adolescent Alcohol Use 493
VARIATIONS IN ADOLESCENT DRINKING 494
RISK FACTORS FOR PROBLEM DRINKING 495
THE DEVIANCE PRONE MODEL 498
SUMMARY 499
Chapter 5. Evidence-Based Interventions for Preventing Substance Use Disorders in Adolescents 505
EPIDEMIOLOGY AND PROGRESSION OF USE 506
RISK AND PROTECTIVE FACTORS 507
PREVENTION TERMINOLOGY 509
EVIDENCE-BASED PREVENTION PROGRAMS 509
SCHOOL-BASED PREVENTION 510
MODEL SCHOOL-BASED PROGRAMS 511
FAMILY-BASED PREVENTION 517
MODEL FAMILY-BASED PREVENTION PROGRAMS 517
COMMUNITY-BASED PREVENTION 522
MODEL COMMUNITY-BASED PREVENTION PROGRAM 523
Chapter 6. Evidence for Optimism: Behavior Therapies and Motivational Interviewing in Adolescent Substance Abuse Treatment 527
METHOD 528
RESULTS 529
DISCUSSION 540
Chapter 7. Contingency Management Approaches for Adolescent Substance Use Disorders 547
CM CONCEPTUALIZATION AND BASIC PRINCIPLES 548
CM IMPLEMENTATION 549
CM FOR ADOLESCENT SUBSTANCE ABUSE 551
ADOLESCENT CM RESEARCH 551
DEVELOPMENT OF A COMPREHENSIVE CM-BASED TREATMENT 553
REAL-WORLD APPLICATION AND CHALLENGES 558
SUMMARY AND FUTURE DIRECTIONS 559
Chapter 8. Multidimensional Family Therapy: Addressing Co-occurring Substance Abuse and Other Problems Among Adolescents with Comprehensive Family-based Treatment 563
MDFT 565
EFFECTS OF MDFT ON ADOLESCENT SUBSTANCE USE 568
EFFECTS ON DELINQUENT BEHAVIORS AND AFFILIATION WITH DELINQUENT PEERS 569
EFFECTS ON SCHOOL FUNCTIONING 570
EFFECTS ON HIV/STD RISK BEHAVIORS 570
EFFECTS ON INTERNALIZING SYMPTOMS AND OUTCOME TRAJECTORIES OF YOUTHS WITH GREATER COMORBIDITY 570
SUMMARY 572
ACKNOWLEDGMENTS 572
Chapter 9. From Assessment Reactivity to Aftercare for Adolescent Substance Abuse: Are We There Yet? 577
YOUTH VERSUS ADULTS 578
PRETREATMENT FACTORS AND BASELINE ASSESSMENT REACTIVITY 578
MECHANISMS OF BEHAVIORAL CHANGE 580
AFTER/CONTINUED CARE FOR YOUTH AOSUD 581
FUTURE RESEARCH DIRECTIONS: EXTENDING CARE WITH ADAPTIVE TREATMENT 583
SUMMARY 585
Chapter 10. Pharmacotherapies for Adolescent Substance Use Disorders 591
PHARMACOTHERAPY IN ADOLESCENT SUBSTANCE ABUSERS 591
PHARMACOTHERAPY 591
AVERSION AGENTS 592
ANTI-CRAVING AGENTS 593
AGENTS OF SUBSTITUTION 597
DETOXIFICATION 599
SUMMARY 601
Chapter 11. Management of the Adolescent with Substance Use Disorders and Comorbid Psychopathology 609
THE IMPORTANCE OF COMORBIDITY 610
ASSESSMENT 611
CAN SUBSTANCE USE DISORDERS AND PSYCHIATRIC TREATMENTS COEXIST? 611
ARE THERE TREATMENTS FOR COMORBID DISORDERS? 613
SPECIFIC INTERVENTION MODELS 613
PHARMACOTHERAPY 615
SAFETY AND DIVERSION ISSUES 617
RECOMMENDATIONS 618
FUTURE RESEARCH 618
Chapter 12. Non–Substance- Addictive Behaviors in Youth: Pathological Gambling and Problematic Internet Use 625
DEFINITIONS 626
FORMS OF PG AND PIU AND THEIR ADDICTIVE POTENTIALS 627
PREVALENCE 627
FACTORS THAT MAY INFLUENCE PREVALENCE 628
AGE OF ONSET AND COURSE OF DISORDER 630
NEUROBIOLOGY 631
PREVENTION 632
TREATMENT 633
SUMMARY 634
Chapter 13. Problematic Use of Energy Drinks by Adolescents 643
THE COMPOSITION OF EDS 643
THE EFFECTS OF EDS, AND TRUTH IN ADVERTISEMENT 644
EDS AND RISK-TAKING BEHAVIORS 645
ADVERSE EFFECTS OF EDS ATTRIBUTED TO CAFFEINE 645
EDS AND ALCOHOL INTERACTION 646
LEGAL CONCERNS 647
RECENT DEVELOPMENT IN THE ED MARKET 648
SUMMARY AND CONCLUSIONS 648
Index 651