Trauma exposure and retention in adolescent substance abuse treatment

Jaycox, Lisa H.; Ebener, Patricia; Damesek, Leslie; Becker, Kirsten

doi:10.1023/b:jots.0000022617.41299.39

Cited by 105Posttraumatic Stress Disorder ResearchSubstance Abuse Treatment and OutcomesChild Abuse and Trauma

The DOI matches its Crossref record; 38 of the 38 references it cites were found in a registry or an index.

Trauma exposure and retention in adolescent substance abuse treatment

Jaycox, Lisa H., Ebener, Patricia, Damesek, Leslie, Becker, Kirsten·2004·Journal of Traumatic Stress

DOI 10.1023/b:jots.0000022617.41299.39

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Abstract

Trauma exposure and related symptoms interfere with adult adherence to drug treatment. Whether these findings hold true for adolescents is unknown. We examined trauma exposure. PTSD symptoms, and psychosocial functioning among 212 adolescents upon admission to long‐term residential drug treatment and examined retention in treatment at 6 months. Seventy‐one percent reported lifetime trauma exposure, and 29% of the trauma‐exposed met criteria for current PTSD. Trauma‐exposed adolescents reported more behavioral problems, with gender differences apparent. We divided the sample into three groups: no trauma exposure (21%), trauma‐exposed without PTSD (59%), and trauma‐exposed with PTSD (20%). Survival analysis showed that trauma‐exposed adolescents without PTSD left treatment sooner than the nonexposed. Need for attention to trauma in substance abuse treatment programs is discussed.

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Most comparison studies examined outpatient adolescent substance use treatment programs; five focused on residential or long-term inpatient programs, and four examined shelter-based programs.
“Most studies examined outcomes of outpatient adolescent SU treatment programs [21, 43, 44, 67–70], five focused on residential or long-term inpatient programs [33, 43–45, 69], and four examined shelter-based treatment programs [71–74].”
From Interventions for prevention and treatment of substance use in youth with traumatic childhood experiences: a systematic review and synthesis of the literature (2024) · cites this paper as [45]
Two studies found early attrition from residential and inpatient programs was significantly related to a history of trauma, but not to PTSD.
“Two studies found early attrition from residential [45] and inpatient [33] programs significantly related to history of trauma, but not PTSD.”
From Interventions for prevention and treatment of substance use in youth with traumatic childhood experiences: a systematic review and synthesis of the literature (2024) · cites this paper as [45]

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Authors: Jaycox, L. H., Ebener, P., Damesek, L., & Becker, K.
Affiliations: RAND Corporation (US)
Corresponding author: Jaycox, Lisa H.
ORCID: Jaycox, Lisa H.
Ebener, Patricia
Venue: Journal of Traumatic Stress
Publisher: Wiley
Published: 2004-04
Volume: 17
Issue: 2
Pages: 113-121
ISSN: 0894-9867 (ISSN-L)
1573-6598
DOI: 10.1023/b:jots.0000022617.41299.39
OpenAlex: W2159763202
Cited by: 105
References: 38
Citations by year: 2026: 5 · 2025: 3 · 2024: 3 · 2023: 6 · 2022: 4 · 2021: 2 · 2020: 8 · 2019: 2 · 2018: 9 · 2017: 9 · 2016: 7 · 2015: 2 · 2014: 6 · 2013: 5 · 2012: 9
FWCI: 2.43
Type: journal article
Language: en
Open access: closed
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor, 455 d)
Locations: Journal of Traumatic Stress (publishedVersion)
PubMed (publishedVersion)
Funders: Ford Foundation
International Society for Traumatic Stress Studies
Center for Substance Abuse Treatment
Topics: Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
Keywords: trauma exposure, post-traumatic stress disorder, adolescents, addiction treatment, treatment retention, residential drug treatment, psychosocial functioning, behavioral problems, gender differences, treatment discontinuation
MeSH terms: Adolescent, Adult, Analysis of Variance, Female, Humans, Life Change Events, Male, Patient Dropouts, Stress Disorders, Post-Traumatic, Stress, Psychological, United States, Comorbidity, Survival Analysis, Substance-Related Disorders

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Trauma exposure and retention in adolescent substance abuse treatment

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