Reducing substance use risk and mental health problems among sexually assaulted adolescents: A pilot randomized controlled trial.

Danielson, Carla Kmett; McCart, Michael R.; Walsh, Kate; de Arellano, Michael A.; White, Deni; Resnick, Heidi S.

doi:10.1037/a0028862

Cited by 85Sexual Assault and Victimization StudiesChild Abuse and TraumaSubstance Abuse Treatment and Outcomes

Reducing substance use risk and mental health problems among sexually assaulted adolescents: A pilot randomized controlled trial.

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Danielson, Carla Kmett, McCart, Michael R., Walsh, Kate, de Arellano, Michael A., White, Deni, Resnick, Heidi S.·2012·Journal of Family Psychology

DOI 10.1037/a0028862PMC PMC3419329

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Abstract

The current study reports results from a pilot randomized controlled trial evaluating the feasibility and efficacy of Risk Reduction through Family Therapy (RRFT) for reducing substance use risk and trauma-related mental health problems among sexually assaulted adolescents. Thirty adolescents (aged 13-17 years; M = 14.80; SD = 1.51) who had experienced at least one sexual assault and their caregivers were randomized to RRFT or treatment as usual (TAU) conditions. Participants completed measures of substance use, substance use risk factors (e.g., family functioning), mental health problems (i.e., posttraumatic stress disorder, depression, and general internalizing/externalizing symptoms) and risky sexual behavior at four time points (baseline, posttreatment, and 3- and 6-month follow-up). Mixed-effects regression models yielded significantly greater reductions in substance use, specific substance use risk factors, and (parent-reported) PTSD, depression, and general internalizing symptoms among youth in the RRFT condition relative to youth in the TAU condition. However, significant baseline differences in functioning between the two conditions warrant caution in interpreting between-groups findings. Instead, emphasis is placed on replication of feasibility findings and within-group improvements over time among the RRFT youth.

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In the RRFT pilot randomized trial, PTSD, depression, and internalizing symptoms decreased more in the RRFT group than in treatment as usual, while externalizing symptoms decreased in both groups.
“PTSD, depression, and internalizing symptoms also reduced for RRFT group compared to TAU, while externalizing symptoms reduced for both groups [51].”
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 [51]
The Results (Treatment Outcomes, Mental Health) report greater reductions with RRFT than TAU in parent-reported PTSD and adolescent-reported depression and internalizing symptoms, while externalizing symptoms declined similarly in both groups. The claim leaves PTSD unqualified: adolescent-reported PTSD also declined in both groups, with no significant difference in change between them. The paper also cautions that baseline differences complicate interpretation of the between-group results. (LLM, conf=0.86)
Experimental — accuracy not yet measured
RRFT, a skill-based individual and family-focused intervention that can be applied at either the early intervention or co-occurring SUD/PTSD treatment stage, has the strongest study quality and outcomes.
“RRFT, a skill-based individual and family-focused intervention, which can be applied at either the EI or co-occurring SUD/PTSD treatment stage, has the strongest study quality and outcomes [51].”
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 [51]
The Method (Treatment Conditions; page unavailable) describes RRFT as a skills-based intervention delivered to adolescents and caregivers. The Discussion (page unavailable) considers its use for youth already receiving substance-use treatment and for those at elevated risk who do not meet diagnostic thresholds. The paper reports promising outcomes but does not compare RRFT’s study quality or outcomes with other interventions to establish that they are the strongest; it also cautions that baseline differences limit interpretation of its between-group results. (LLM, conf=0.88)
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Authors: Danielson, C. K., McCart, M. R., Walsh, K., de Arellano, M. A., White, D., & Resnick, H. S.
Affiliations: Medical University of South Carolina (US)
University of North Carolina at Chapel Hill (US)
ORCID: Danielson, Carla Kmett
McCart, Michael R.
Walsh, Kate
Venue: Journal of Family Psychology
Publisher: American Psychological Association (APA)
Published: 2012-08
Volume: 26
Issue: 4
Pages: 628-635
ISSN: 0893-3200 (ISSN-L)
1939-1293
DOI: 10.1037/a0028862
PMC: PMC3419329
OpenAlex: W2013598527
Cited by: 85
References: 30
Citations by year: 2026: 4 · 2025: 4 · 2024: 1 · 2023: 4 · 2022: 16 · 2021: 5 · 2020: 9 · 2019: 6 · 2018: 4 · 2017: 5 · 2016: 9 · 2015: 7 · 2014: 6 · 2013: 4 · 2012: 1
FWCI: 14.04
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: Journal of Family Psychology (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Carolina Digital Repository (University of North Carolina at Chapel Hill) (submittedVersion)
UNC Libraries
Funders: National Institute on Drug Abuse (K23DA018686)
NARSAD
Topics: Social Sciences › Gender Studies › Sexual Assault and Victimization Studies
Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Keywords: sexual assault, adolescents, substance use risk, family therapy, post-traumatic stress disorder, depression, internalizing problems, externalizing problems, sexual risk behavior, caregiver involvement, feasibility
MeSH terms: Adolescent, Mental Disorders, Family Therapy, Female, Humans, Male, Pilot Projects, Psychiatric Status Rating Scales, Rape, Risk Factors, Sexual Behavior, Substance-Related Disorders

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Reducing substance use risk and mental health problems among sexually assaulted adolescents: A pilot randomized controlled trial.

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