Reducing substance use risk and mental health problems among sexually assaulted adolescents: A pilot randomized controlled trial.

Carla Kmett Danielson · Michael R. McCart · Kate Walsh · Michael A. de Arellano · Deni White · Heidi S. Resnick

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Sexual Assault and Victimization Studies Substance Abuse Treatment and Outcomes Child Abuse and Trauma

Abstract

The current study reports results from a pilot randomized controlled trial evaluating the feasibility and efficacy of Risk Reduction through Family Therapy (RRFT) for reducing substance use risk and trauma-related mental health problems among sexually assaulted adolescents. Thirty adolescents (aged 13-17 years; M = 14.80; SD = 1.51) who had experienced at least one sexual assault and their caregivers were randomized to RRFT or treatment as usual (TAU) conditions. Participants completed measures of substance use, substance use risk factors (e.g., family functioning), mental health problems (i.e., posttraumatic stress disorder, depression, and general internalizing/externalizing symptoms) and risky sexual behavior at four time points (baseline, posttreatment, and 3- and 6-month follow-up). Mixed-effects regression models yielded significantly greater reductions in substance use, specific substance use risk factors, and (parent-reported) PTSD, depression, and general internalizing symptoms among youth in the RRFT condition relative to youth in the TAU condition. However, significant baseline differences in functioning between the two conditions warrant caution in interpreting between-groups findings. Instead, emphasis is placed on replication of feasibility findings and within-group improvements over time among the RRFT youth.

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References

1979The ecology of human development : experiments by nature and design 1980The ecology of human development: Experiments by nature and design 2003Violence and risk of PTSD, major depression, substance abuse/dependence, and comorbidity: Results from the National Survey of Adolescents.1962Learning Theory and Behavior 2004The Victimization of Children and Youth: A Comprehensive, National Survey 2000Childhood Sexual Abuse and Adult Psychiatric and Substance Use Disorders in Women 2011Rebooting Psychotherapy Research and Practice to Reduce the Burden of Mental Illness 2004The University of California at Los Angeles post-traumatic stress disorder reaction index

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2016Psychological therapies for children and adolescents exposed to trauma 2016The effectiveness, acceptability and cost-effectiveness of psychosocial interventions for maltreated children and adolescents: an evidence synthesis 2013Developmentally Adapted Cognitive Processing Therapy for Adolescents Suffering from Posttraumatic Stress Disorder after Childhood Sexual or Physical Abuse: A Pilot Study 2013Patterns of drug and alcohol use associated with lifetime sexual revictimization and current posttraumatic stress disorder among three national samples of adolescent, college, and household-residing women

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