Stability of Comorbid Psychiatric Diagnosis Among Youths in Treatment and Aftercare for Alcohol Use Disorders
Objectives: To examine the stability of comorbid psychiatric diagnoses among a sample of 50 adolescents in cognitive-behaviorally-based treatment for alcohol and other substance use disorders (AOSUD). Methods: A standardized psychiatric interview was administered at baseline and 12 month later to ob...
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Veröffentlicht in: | Substance abuse 2008-01, Vol.29 (2), p.33-41 |
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creator | Hawke, Josephine M. Kaminer, Yifrah Burke, Rebecca Burleson, Joseph A. |
description | Objectives: To examine the stability of comorbid psychiatric diagnoses among a sample of 50 adolescents in cognitive-behaviorally-based treatment for alcohol and other substance use disorders (AOSUD).
Methods: A standardized psychiatric interview was administered at baseline and 12 month later to obtain current comorbid psychiatric disorders. Chi square and Wilconxon sign tests coefficients were used to examine changes in threshold status by type of disorder. Pearson's coefficients were used to identify correlates with improvements in threshold status, include the need for alcohol treatment and alcohol consumption at follow-up.
Results: Diagnostic status changes considerably over time. Prevalence rates for comorbid disorders overall declined. Only declines in mood and externalizing disorders achieved statistical significance. Improvements were positively correlated with mental health service utilization and negatively correlated with the need for alcohol treatment and consumption at 12 months.
Conclusions: Further investigation on the stability and change in diagnostic status of AOSUD youths is warranted. |
doi_str_mv | 10.1080/08897070802093015 |
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Methods: A standardized psychiatric interview was administered at baseline and 12 month later to obtain current comorbid psychiatric disorders. Chi square and Wilconxon sign tests coefficients were used to examine changes in threshold status by type of disorder. Pearson's coefficients were used to identify correlates with improvements in threshold status, include the need for alcohol treatment and alcohol consumption at follow-up.
Results: Diagnostic status changes considerably over time. Prevalence rates for comorbid disorders overall declined. Only declines in mood and externalizing disorders achieved statistical significance. Improvements were positively correlated with mental health service utilization and negatively correlated with the need for alcohol treatment and consumption at 12 months.
Conclusions: Further investigation on the stability and change in diagnostic status of AOSUD youths is warranted.</description><identifier>ISSN: 0889-7077</identifier><identifier>EISSN: 1547-0164</identifier><identifier>DOI: 10.1080/08897070802093015</identifier><identifier>PMID: 19042322</identifier><language>eng</language><publisher>Los Angeles, CA: Taylor & Francis Group</publisher><subject>Adolescent ; Adolescents ; Aftercare ; Alcohol Abuse ; alcohol and substance use disorders ; Alcoholism - epidemiology ; Alcoholism - rehabilitation ; Behavior Modification ; Clinical Diagnosis ; Cognitive Restructuring ; Cognitive Therapy - methods ; comor-bidity ; Comorbidity ; Correlation ; Drinking ; Emotional Disturbances ; Female ; Health Services ; Humans ; Incidence ; Interviews ; Male ; Measures (Individuals) ; Mental Disorders ; Mental Disorders - epidemiology ; Pilot Projects ; Prevalence ; psychiatric disorder ; Statistical Significance ; treatment outcomes</subject><ispartof>Substance abuse, 2008-01, Vol.29 (2), p.33-41</ispartof><rights>Copyright Taylor & Francis Group, LLC 2008</rights><rights>2008 AMERSA, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c460t-61a8883d450282b08d76200e69b3169a53f2a78b4aa27d22cb04a0daf0a84e703</citedby><cites>FETCH-LOGICAL-c460t-61a8883d450282b08d76200e69b3169a53f2a78b4aa27d22cb04a0daf0a84e703</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1080/08897070802093015$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1080/08897070802093015$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttp://eric.ed.gov/ERICWebPortal/detail?accno=EJ888876$$DView record in ERIC$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19042322$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hawke, Josephine M.</creatorcontrib><creatorcontrib>Kaminer, Yifrah</creatorcontrib><creatorcontrib>Burke, Rebecca</creatorcontrib><creatorcontrib>Burleson, Joseph A.</creatorcontrib><title>Stability of Comorbid Psychiatric Diagnosis Among Youths in Treatment and Aftercare for Alcohol Use Disorders</title><title>Substance abuse</title><addtitle>Subst Abus</addtitle><description>Objectives: To examine the stability of comorbid psychiatric diagnoses among a sample of 50 adolescents in cognitive-behaviorally-based treatment for alcohol and other substance use disorders (AOSUD).
Methods: A standardized psychiatric interview was administered at baseline and 12 month later to obtain current comorbid psychiatric disorders. Chi square and Wilconxon sign tests coefficients were used to examine changes in threshold status by type of disorder. Pearson's coefficients were used to identify correlates with improvements in threshold status, include the need for alcohol treatment and alcohol consumption at follow-up.
Results: Diagnostic status changes considerably over time. Prevalence rates for comorbid disorders overall declined. Only declines in mood and externalizing disorders achieved statistical significance. Improvements were positively correlated with mental health service utilization and negatively correlated with the need for alcohol treatment and consumption at 12 months.
Conclusions: Further investigation on the stability and change in diagnostic status of AOSUD youths is warranted.</description><subject>Adolescent</subject><subject>Adolescents</subject><subject>Aftercare</subject><subject>Alcohol Abuse</subject><subject>alcohol and substance use disorders</subject><subject>Alcoholism - epidemiology</subject><subject>Alcoholism - rehabilitation</subject><subject>Behavior Modification</subject><subject>Clinical Diagnosis</subject><subject>Cognitive Restructuring</subject><subject>Cognitive Therapy - methods</subject><subject>comor-bidity</subject><subject>Comorbidity</subject><subject>Correlation</subject><subject>Drinking</subject><subject>Emotional Disturbances</subject><subject>Female</subject><subject>Health Services</subject><subject>Humans</subject><subject>Incidence</subject><subject>Interviews</subject><subject>Male</subject><subject>Measures (Individuals)</subject><subject>Mental Disorders</subject><subject>Mental Disorders - epidemiology</subject><subject>Pilot Projects</subject><subject>Prevalence</subject><subject>psychiatric disorder</subject><subject>Statistical Significance</subject><subject>treatment outcomes</subject><issn>0889-7077</issn><issn>1547-0164</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkNFq2zAUhkXZWNN0D1AYQy_g9EhyLBl2E9Ks7QhssOaiV-bYkhMV2yqSQpe3r4LLdhHoriT4_-_o6CPkisGMgYJrUKqUINOVQymAzc_IhM1zmQEr8g9kcsyzVJDn5CKEJwDGClF-IueshJwLziek_x2xtp2NB-paunS987XV9Fc4NDuL0duG3ljcDi7YQBe9G7b00e3jLlA70AdvMPZmiBQHTRdtNL5Bb2jrPF10jdu5jm6CSROC89r4cEk-ttgF8_ntnJLN99XD8i5b_7y9Xy7WWZMXELOCoVJK6HwOXPEalJYFBzBFWQtWlDgXLUep6hyRS815U0OOoLEFVLmRIKaEjXMb70Lwpq2eve3RHyoG1VFddaIuMV9H5nlf90b_I95cpcKXsWCSlb_x6kdaVckixbMxDrg11ZPb-yF98d0Hv42AHZKwHl-c73QV8dA533ocGhsq8R4u_4ufUFX8E8UrCHelMg</recordid><startdate>20080101</startdate><enddate>20080101</enddate><creator>Hawke, Josephine M.</creator><creator>Kaminer, Yifrah</creator><creator>Burke, Rebecca</creator><creator>Burleson, Joseph A.</creator><general>Taylor & Francis Group</general><general>SAGE Publications</general><general>Routledge</general><scope>7SW</scope><scope>BJH</scope><scope>BNH</scope><scope>BNI</scope><scope>BNJ</scope><scope>BNO</scope><scope>ERI</scope><scope>PET</scope><scope>REK</scope><scope>WWN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>20080101</creationdate><title>Stability of Comorbid Psychiatric Diagnosis Among Youths in Treatment and Aftercare for Alcohol Use Disorders</title><author>Hawke, Josephine M. ; Kaminer, Yifrah ; Burke, Rebecca ; Burleson, Joseph A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c460t-61a8883d450282b08d76200e69b3169a53f2a78b4aa27d22cb04a0daf0a84e703</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adolescent</topic><topic>Adolescents</topic><topic>Aftercare</topic><topic>Alcohol Abuse</topic><topic>alcohol and substance use disorders</topic><topic>Alcoholism - epidemiology</topic><topic>Alcoholism - rehabilitation</topic><topic>Behavior Modification</topic><topic>Clinical Diagnosis</topic><topic>Cognitive Restructuring</topic><topic>Cognitive Therapy - methods</topic><topic>comor-bidity</topic><topic>Comorbidity</topic><topic>Correlation</topic><topic>Drinking</topic><topic>Emotional Disturbances</topic><topic>Female</topic><topic>Health Services</topic><topic>Humans</topic><topic>Incidence</topic><topic>Interviews</topic><topic>Male</topic><topic>Measures (Individuals)</topic><topic>Mental Disorders</topic><topic>Mental Disorders - epidemiology</topic><topic>Pilot Projects</topic><topic>Prevalence</topic><topic>psychiatric disorder</topic><topic>Statistical Significance</topic><topic>treatment outcomes</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hawke, Josephine M.</creatorcontrib><creatorcontrib>Kaminer, Yifrah</creatorcontrib><creatorcontrib>Burke, Rebecca</creatorcontrib><creatorcontrib>Burleson, Joseph A.</creatorcontrib><collection>ERIC</collection><collection>ERIC (Ovid)</collection><collection>ERIC</collection><collection>ERIC</collection><collection>ERIC (Legacy Platform)</collection><collection>ERIC( SilverPlatter )</collection><collection>ERIC</collection><collection>ERIC PlusText (Legacy Platform)</collection><collection>Education Resources Information Center (ERIC)</collection><collection>ERIC</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><jtitle>Substance abuse</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hawke, Josephine M.</au><au>Kaminer, Yifrah</au><au>Burke, Rebecca</au><au>Burleson, Joseph A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><ericid>EJ888876</ericid><atitle>Stability of Comorbid Psychiatric Diagnosis Among Youths in Treatment and Aftercare for Alcohol Use Disorders</atitle><jtitle>Substance abuse</jtitle><addtitle>Subst Abus</addtitle><date>2008-01-01</date><risdate>2008</risdate><volume>29</volume><issue>2</issue><spage>33</spage><epage>41</epage><pages>33-41</pages><issn>0889-7077</issn><eissn>1547-0164</eissn><abstract>Objectives: To examine the stability of comorbid psychiatric diagnoses among a sample of 50 adolescents in cognitive-behaviorally-based treatment for alcohol and other substance use disorders (AOSUD).
Methods: A standardized psychiatric interview was administered at baseline and 12 month later to obtain current comorbid psychiatric disorders. Chi square and Wilconxon sign tests coefficients were used to examine changes in threshold status by type of disorder. Pearson's coefficients were used to identify correlates with improvements in threshold status, include the need for alcohol treatment and alcohol consumption at follow-up.
Results: Diagnostic status changes considerably over time. Prevalence rates for comorbid disorders overall declined. Only declines in mood and externalizing disorders achieved statistical significance. Improvements were positively correlated with mental health service utilization and negatively correlated with the need for alcohol treatment and consumption at 12 months.
Conclusions: Further investigation on the stability and change in diagnostic status of AOSUD youths is warranted.</abstract><cop>Los Angeles, CA</cop><pub>Taylor & Francis Group</pub><pmid>19042322</pmid><doi>10.1080/08897070802093015</doi><tpages>9</tpages></addata></record> |
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subjects | Adolescent Adolescents Aftercare Alcohol Abuse alcohol and substance use disorders Alcoholism - epidemiology Alcoholism - rehabilitation Behavior Modification Clinical Diagnosis Cognitive Restructuring Cognitive Therapy - methods comor-bidity Comorbidity Correlation Drinking Emotional Disturbances Female Health Services Humans Incidence Interviews Male Measures (Individuals) Mental Disorders Mental Disorders - epidemiology Pilot Projects Prevalence psychiatric disorder Statistical Significance treatment outcomes |
title | Stability of Comorbid Psychiatric Diagnosis Among Youths in Treatment and Aftercare for Alcohol Use Disorders |
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