Addressing the opioid epidemic with behavioral interventions for adolescents and young adults: A quasi-experimental design.

Abstract:

OBJECTIVE:While several behavioral interventions have shown efficacy in opioid use disorder treatment, little is known regarding which behavioral interventions work best for youth, and if treatment responses vary by developmental age or sex. We explored latency to first episode of opioid use among adolescents and young adults following opioid use disorder treatment initiation with: (a) adolescent community reinforcement approach (A-CRA), (b) motivational enhancement therapy (MET) combined with cognitive-behavioral therapy (CBT) or CBT alone (MET/CBT or CBT alone), or (c) treatment as usual (TAU; 12-step facilitation, supportive therapy). METHOD:Adolescents and young adults (N = 785) entering treatment for opioid use disorder were followed for 1 year. Survival analysis was used to assess variation in latency to first episode of opioid use by treatment received, as well as moderation by age group and sex. RESULTS:Those receiving MET/CBT or CBT alone, and TAU fared better than those receiving A-CRA. For adolescent males, those receiving TAU or A-CRA had poorer outcomes compared with those receiving MET/CBT or CBT alone, while no differences were found between treatments for female adolescents. Female young adults receiving TAU had lower hazard of opioid use compared with those receiving A-CRA, and MET/CBT or CBT alone, and male young adults receiving A-CRA had higher hazard than those receiving TAU, and MET/CBT or CBT alone. CONCLUSIONS:Findings highlight different treatments may be more efficacious for youth based on developmental age and sex. Clinicians working with young people with opioid use disorder should consider patients' developmental stage and sex when considering treatment approaches. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

journal_name

J Consult Clin Psychol

authors

Davis JP,Prindle JJ,Eddie D,Pedersen ER,Dumas TM,Christie NC

doi

10.1037/ccp0000406

subject

Has Abstract

pub_date

2019-10-01 00:00:00

pages

941-951

issue

10

eissn

0022-006X

issn

1939-2117

pii

2019-57426-010

journal_volume

87

pub_type

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