Drug trajectories among youth undergoing treatment: the influence of psychological problems and delinquency

J Adolesc. 2013 Aug;36(4):705-16. doi: 10.1016/j.adolescence.2013.05.009. Epub 2013 Jun 20.

Abstract

Previous research has documented associations of addiction with delinquency and psychological problems. However, few studies have evaluated their influence on adolescent's drug use trajectories. The current study aims to examine the influence of these factors on the recovery trajectories of 199 youths aged 15.6 years on average admitted to inpatient and outpatient addiction treatment centers, followed up three and six months later. Results indicate that youth who show higher severity of drug abuse exhibit greater improvement than youth with a lower severity of drug abuse at the onset of treatment. Although psychological problems were associated with baseline drug use, they did not influence drug use trajectory over time. Only delinquency influenced the recovery trajectories of these youth. Results suggest that a high level of delinquency can have a significant effect on the drug recovery process of adolescents and that interventions should attempt to reduce both drug use and delinquency.

Keywords: Addiction; Adolescents; Concurrent problems; Delinquency; Psychological problems; Treatment.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Child Abuse / psychology
  • Child Abuse / statistics & numerical data
  • Child Abuse, Sexual / psychology
  • Child Abuse, Sexual / statistics & numerical data
  • Combined Modality Therapy
  • Comorbidity
  • Educational Status
  • Family Characteristics
  • Female
  • Humans
  • Interview, Psychological
  • Juvenile Delinquency / psychology
  • Juvenile Delinquency / rehabilitation*
  • Juvenile Delinquency / statistics & numerical data*
  • Longitudinal Studies
  • Male
  • Mental Disorders / epidemiology
  • Mental Disorders / psychology
  • Mental Disorders / rehabilitation
  • Personality Assessment / statistics & numerical data
  • Psychometrics
  • Quebec
  • Substance Abuse Treatment Centers
  • Substance-Related Disorders / epidemiology*
  • Substance-Related Disorders / psychology
  • Substance-Related Disorders / rehabilitation*