Prevention and Reduction of Alcohol and Drug Problems in a Clinical Psychiatric Youth Population
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Purpose
In adolescents, mental health problems are frequently associated with substance misuse, even considered a risk factor for alcohol abuse and dependence. This dual diagnosis tends to complicate the patient's treatment and prognosis by increasing, among others, substance use problems, reckless behaviours, relationships and school problems and suicidal thoughts. It is therefore critical to invest time and effort into developing an efficient approach to prevent and reduce substance use problems and offer these children a more global and optimal treatment.
A brief personality-targeted intervention was developed with students of Canadian and English high schools based on four personality factors known to be implicated in the vulnerability to adolescent alcohol misuse (Impulsivity, Anxiety Sensitivity, Negative Thinking and Sensation Seeking) (Conrod et al., 2006,2008, O'Leary-Barrett 2010).
By helping the adolescents to develop better adaptive behaviours, this cognitive-behavioural intervention proved to reduce binge drinking, quantity and frequency of use and substance use problems (Conrod et al., 2006,2011).
The purpose of this study is to assess the impact of this intervention if combined to a regular treatment in a youth psychiatric population.
60 patients aged 14-17 years of a Child and Adolescent psychiatric department will be screened for personality risk with self-report assessments including the Substance Use Risk Profile Scale. Participants will be randomly assigned to a personality matched cognitive-behavioural intervention or a no-intervention control.
The main outcome measures of this study are alcohol and illicit drug outcomes. Secondary measures include mental health symptoms.
| Condition | Intervention |
|---|---|
|
Alcohol Abuse Drug Abuse Mood Disorder Anxiety Disorder Conduct Disorder |
Behavioral: Personality-targeted interventions |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Factorial Assignment Masking: Open Label Primary Purpose: Prevention |
- Change in Binge drinking frequency [ Time Frame: Baseline - 4months ] [ Designated as safety issue: No ]
- Change in Drinking frequency [ Time Frame: Baseline - 4 months ] [ Designated as safety issue: No ]
- Change in Drinking quantity [ Time Frame: Baseline - 4 months ] [ Designated as safety issue: No ]
- Change in Drinking problems [ Time Frame: Baseline - 4 months ] [ Designated as safety issue: No ]
- Change in Emotional and behavioural problems [ Time Frame: Baseline - 4 months ] [ Designated as safety issue: No ]Psychiatric symptoms (depression, panic anxiety, antisocial behaviours), coping skills, motives for drinking, assessed using the Strengths and Difficulties Questionnaire, the Drinking Motives Questionnaire and the Brief Symptom Inventory.
| Estimated Enrollment: | 60 |
| Study Start Date: | February 2012 |
| Estimated Primary Completion Date: | July 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Learning to cope with your impulsivity
Cognitive-behavioural intervention targeting impulsive personality
|
Behavioral: Personality-targeted interventions
Motivational and cognitive behavioural interventions targeting four personality profiles. 2 90 minute group sessions with personality-matched peers facilitated by a trained therapist and co-facilitator
Other Names:
|
|
Experimental: Learning to cope with your sensation seeking
Cognitive behavioural intervention designed to help sensation seeking youth manage their need for stimulation and excitement.
|
Behavioral: Personality-targeted interventions
Motivational and cognitive behavioural interventions targeting four personality profiles. 2 90 minute group sessions with personality-matched peers facilitated by a trained therapist and co-facilitator
Other Names:
|
|
Experimental: Learning to cope with your anxiety sensitivity
Cognitive behavioural intervention teaching anxiety sensitive youth to manager their sensitivity to threat and anxiety.
|
Behavioral: Personality-targeted interventions
Motivational and cognitive behavioural interventions targeting four personality profiles. 2 90 minute group sessions with personality-matched peers facilitated by a trained therapist and co-facilitator
Other Names:
|
|
Experimental: Learning to manage your negative thinking
Cognitive behavioural intervention targeting pessimistic and negative thinking in hopeless youth
|
Behavioral: Personality-targeted interventions
Motivational and cognitive behavioural interventions targeting four personality profiles. 2 90 minute group sessions with personality-matched peers facilitated by a trained therapist and co-facilitator
Other Names:
|
Eligibility| Ages Eligible for Study: | 14 Years to 17 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Motive for psychiatric consultation
- Able to provide consent from parent/guardian for participation in the study
Contacts and Locations| Contact: Eveline Perrier-Ménard, MD | 514-345-4931 ext 4050 | eveline.perrier-menard@umontreal.ca |
| Canada, Quebec | |
| CHU Ste-Justine | Recruiting |
| Montréal, Quebec, Canada, H3T 1C5 | |
| Contact eveline.perrier-menard@umontreal.ca | |
More Information
No publications provided
| Responsible Party: | Eveline Perrier-Ménard, MD, Master student, St. Justine's Hospital |
| ClinicalTrials.gov Identifier: | NCT01595568 History of Changes |
| Other Study ID Numbers: | CER CHU Ste-Justine 3435 |
| Study First Received: | May 3, 2012 |
| Last Updated: | July 18, 2012 |
| Health Authority: | Canada: Health Canada |
Keywords provided by St. Justine's Hospital:
|
Adolescents Dual Diagnosis Mental Disorders Substance Use Problems Prevention |
Additional relevant MeSH terms:
|
Anxiety Disorders Substance-Related Disorders Alcoholism Conduct Disorder Mood Disorders |
Mental Disorders Alcohol-Related Disorders Attention Deficit and Disruptive Behavior Disorders Mental Disorders Diagnosed in Childhood |
ClinicalTrials.gov processed this record on May 16, 2013