Addictive Behaviors 2015;42:44-50. [doi: 10.1016/j.addbeh.2014.10.024]
Viviana E. Horigian, MD (University of Miami Miller School of Medicine, FNA Node), Daniel J. Feaster, PhD (University of Miami Miller School of Medicine, FNA Node), Ahnalee M. Brincks, PhD (University of Miami Miller School of Medicine, FNA Node), Michael S. Robbins, PhD (Oregon Research Institute, WS Node), Maria Alejandra Perez (University of Miami Miller School of Medicine, FNA Node), José Szapocznik, PhD (University of Miami Miller School of Medicine, FNA Node).
The effects of family therapy for adolescent substance use on parent substance use have not been explored. This study aimed to determine those effects for Brief Strategic Family Therapy (BSFT), as well as the relationship between parent substance abuse and adolescent substance use. Using data from the National Drug Abuse Treatment Clinical Trials Network protocol about the use of BSFT (CTN-0014), which involved 480 adolescents and parents randomized to BSFT or treatment as usual (TAU) across eight outpatient treatment programs, substance use for both parents and adolescents was assessed at baseline and 12 months post-randomization. Family functioning was assessed at baseline, 4, 8, and 12 months post-randomization.
Parents in BSFT significantly decreased their alcohol use as measured by the ASI composite score from baseline to 12 months. Change in family functioning mediated the relationship between Treatment Condition and change in parent alcohol use. Children of parents who reported drug use at baseline had three times as many days of reported substance use at baseline compared with children of parents who did not use or only used alcohol. Adolescents in BSFT had a significantly lower trajectory of substance use than those in TAU if their parents used drugs at baseline.
Conclusions: BSFT is effective in reducing alcohol use in parents, and also in reducing adolescents' substance use in families where parents were using drugs at baseline. BSFT may also decrease alcohol use among parents by improving family functioning. These results have important clinical implications, providing evidence that BSFT could improve the alcohol use of parents and that BSFT may be particularly beneficial for adolescents of parents who were drug-using at baseline. Though BSFT was developed for adolescent drug abuse, these findings suggest future research is warranted on investigating the cost benefits of delivering BSFT to substance abusing families, as it is suggested that more than one member might obtain improvement in alcohol, drug, and other health outcomes. (Article (Peer-Reviewed), PDF, English, 2015)
Keywords: Adolescents |
Alcohol | Behavior therapy | Brief Strategic Family Therapy (BSFT) | CTN platform/ancillary study | Family therapy | Parental influence | Addictive Behaviors (journal)
Document No: 1142, PMID: 25462653, PMCID: PMC4370509.
Submitted by CTN Dissemination Librarians, 5/6/2015.