Risk Reduction for Substance Use and Trauma-Related Psychopathology in Adolescent Sexual Assault Victims: Findings From an Open Trial
Open accessAbstract
Limited attention has been paid to the development and evaluation of interventions that reduce risk for substance use, while also targeting trauma-related psychopathology among maltreated adolescents. Risk Reduction through Family Therapy (RRFT) is a multicomponent treatment that integrates principles and interventions from existing empirically supported treatments. The purpose of the current study was to evaluate the feasibility of implementation and initial efficacy of RRFT through an open pilot trial involving a small sample (N = 10) of female adolescents (aged 13—17 years) who had experienced at least one memorable sexual assault in their lifetime. Measures of substance use and substance use risk factors (e.g., family functioning), posttraumatic stress disorder (PTSD), and depression symptoms were assessed pre- and posttreatment as well as at 3-month and 6-month posttreatment follow-up assessments. Results demonstrated reductions in multiple areas, including substance use and related risk factors, PTSD, and depression symptoms, which were maintained through follow-up. Clinical implications and future directions with this line of research are discussed.
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In the RRFT pilot with 10 participants, treatment satisfaction was high and outcomes for substance use, PTSD, depression, and ecological functioning were promising, while family functioning outcomes were modest; formal significance testing was not used because of the small sample, and overall study quality was weak.
“In the pilot (n=10), participants had high levels of treatment satisfaction, and promising outcomes for substance use, PTSD, depression, and ecological functioning, although family functioning outcomes were modest; the authors did not use formal significance testing due to the small sample size (weak overall study quality) [50].”
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- Authors
- Kmett Danielson, C., McCart, M. R., de Arellano, M. A., Macdonald, A., Doherty, L. S., & Resnick, H. S.
- Affiliations
- National Crime Victims Research & Treatment Center, Department of Psychiatry & Behavioral Sciences, Medical University of South Carolina, Charleston, USA,
- Medical University of South Carolina (US)
- National Crime Victims Research & Treatment Center, Department of Psychiatry & Behavioral Sciences, Medical University of South Carolina, Charleston, USA
- Oklahoma State University (US)
- Venue
- Child Maltreatment
- Publisher
- SAGE Publications
- Published
- 2010-06-08
- Volume
- 15
- Issue
- 3
- Pages
- 261-268
- ISSN
- 1077-5595 (ISSN-L)
- 1552-6119
- PMC
- PMC3105119
- OpenAlex
- W2090741384
- Cited by
- 50
- References
- 23
- Citations by year
- 2026: 3 · 2024: 3 · 2023: 5 · 2022: 4 · 2021: 4 · 2020: 7 · 2019: 4 · 2018: 2 · 2017: 1 · 2016: 4 · 2015: 1 · 2014: 2 · 2012: 6
- FWCI
- 3.52
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Child Maltreatment (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Alliance for Research on Schizophrenia and Depression
- National Institute on Drug Abuse (1-K23-DA018686, K23DA018686)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Social Sciences › Gender Studies › Sexual Assault and Victimization Studies
- Social Sciences › Safety Research › Child Welfare and Adoption
- Keywords
- adolescent sexual assault, substance use, trauma-related psychopathology, post-traumatic stress disorder, depression, family therapy, risk mitigation, family functioning, adolescent girls, treatment feasibility, treatment efficacy
- MeSH terms
- Adolescent, Child Abuse, Sexual, Depressive Disorder, Family Therapy, Female, Humans, Pilot Projects, Psychiatric Status Rating Scales, Risk Factors, Stress Disorders, Post-Traumatic, Time Factors, Treatment Outcome, Substance-Related Disorders, Risk Reduction Behavior
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