Cited by 42Substance Abuse Treatment and OutcomesPsychotherapy Techniques and ApplicationsSmoking Behavior and Cessation

Motivational interviewing to reduce substance use in adolescents with psychiatric comorbidity

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Brown, Richard A., Abrantes, Ana M., Minami, Haruka, Prince, Mark A., Bloom, Erika Litvin, Apodaca, Timothy R., Strong, David R., Picotte, Dawn M. +4 more·2015·Journal of Substance Abuse Treatment

Abstract

Substance use among adolescents with one or more psychiatric disorders is a significant public health concern. In this study, 151 psychiatrically hospitalized adolescents, ages 13-17 with comorbid psychiatric and substance use disorders, were randomized to a two-session Motivational Interviewing intervention to reduce substance use plus treatment as usual (MI) vs. treatment as usual only (TAU). Results indicated that the MI group had a longer latency to first use of any substance following hospital discharge relative to TAU (36 days versus 11 days). Adolescents who received MI also reported less total use of substances and less use of marijuana during the first 6 months post-discharge, although this effect was not significant across 12 months. Finally, MI was associated with a significant reduction in rule-breaking behaviors at 6-month follow-up. Future directions are discussed, including means of extending effects beyond 6 months and dissemination of the intervention to community-based settings.

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Authors
Brown, R. A., Abrantes, A. M., Minami, H., Prince, M. A., Bloom, E. L., Apodaca, T. R., Strong, D. R., Picotte, D. M., Monti, P. M., MacPherson, L., Matsko, S. V., & Hunt, J. I.
Affiliations
  • Brown University (US)
  • Children's Mercy Hospital (US)
  • University of California San Diego (US)
  • University of Maryland, College Park (US)
  • Butler Hospital (US)
Corresponding author
Brown, Richard A.
Venue
Journal of Substance Abuse Treatment
Publisher
Elsevier BV
Published
2015-12
Volume
59
Pages
20-29
ISSN
0740-5472 (ISSN-L)
OpenAlex
W2135335918
Cited by
42
References
74
Citations by year
2026: 1 · 2024: 1 · 2023: 4 · 2022: 1 · 2021: 5 · 2020: 5 · 2019: 6 · 2018: 7 · 2017: 8 · 2016: 4
FWCI
4.97
Type
journal article
Language
en
Open access
Locations
  • Journal of Substance Abuse Treatment (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
  • eScholarship (California Digital Library) (submittedVersion)
Funders
National Institute on Drug Abuse (R01 DA016738)
Topics
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
  • Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
Keywords
motivational interviewing, adolescent substance use, psychiatric comorbidity, dual diagnosis, psychiatric hospitalization, cannabis use, rule violations, relapse prevention, post-discharge outcomes
MeSH terms
Adolescent, Mental Disorders, Female, Follow-Up Studies, Humans, Male, Comorbidity, Outcome Assessment, Health Care, Diagnosis, Dual (Psychiatry), Substance-Related Disorders, Motivational Interviewing

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