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19 - Evidence-based cognitive–behavioral therapies for adolescent substance use disorders: applications and challenges

from Part IV - Empirically based interventions for adolescent substance abuse: research and practical implications

Published online by Cambridge University Press:  26 August 2009

By
Yifrah Kaminer  and
Holly Barrett Waldron
Edited by
Howard A. Liddle  and
Cynthia L. Rowe
Yifrah Kaminer
Affiliation:
University of Connecticut Health Center, Farmington, CT, USA
Holly Barrett Waldron
Affiliation:
Oregon Research Institute, Eugene OR USA
Howard A. Liddle
Affiliation:
University of Miami School of Medicine
Cynthia L. Rowe
Affiliation:
University of Miami School of Medicine
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Summary

The effectiveness of cognitive–behavioral therapy (CBT) has been tested extensively and its effectiveness has been demonstrated in randomized trials since the 1970s for adult alcohol and other substance use disorders (SUD). Morgenstern and Longabaugh, (2000), indicated that although these intervention packages have differed in modality (i.e., individual, group, couples, family), format, and content (e.g., exclusively CBT, CBT as a component of integrative psychosocial treatment, CBT in combination with psychopharmacology), a strong theoretical base and impressive efficacy data made CBT either the standard to which other treatments were compared or the primary technique or component in a variety of intervention conditions (e.g., family, 12-step therapies). By contrast, research conducted to evaluate CBT for adolescents has been limited and, while the evidence supporting CBT is promising, formal controlled clinical efficacy and effectiveness trials have only recently begun to emerge in the literature. Latest innovations in the management of treatment protocols for adolescent SUD and the recent completion of several randomized clinical trials examining manual-guided CBT, have established empirical support for CBT in youth (Dennis et al., 2004; Kaminer, Burleson, & Goldberger, 2002; Waldron & Kaminer, 2004; Waldron et al., 2001a). The purpose of this chapter is to review (a) the theoretical models underlying intervention approaches based on CBT; (b) the evidence-based literature on CBT for the most prevalent psychiatric disorders and behaviors accompanying SUD in youth; and (c) the empirical studies addressing CBT for youth with SUD. Mechanisms and therapeutic processes of CBT associated with change are examined in adults and youth, and future research directions and treatment implications conclude the chapter.

Type
Chapter
Information
Adolescent Substance Abuse
Research and Clinical Advances
 , pp. 396 - 420
Publisher: Cambridge University Press
Print publication year: 2006

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