The vast majority of models of treatment outcome and addiction relapse have been formulated on adult populations with only modest consideration of major developmental transitions or psychiatric factors which are salient issues for youth. The present proposal seeks 18 months of funding to test developmentally sensitive models of drug and alcohol relapse and seeks to answer two main questions in youths and adults: 1) What are the relationships between depression diagnoses, symptoms, and context of first substance use (SU) after treatment?, 2) How does depression comorbidity affect the relationship between drug-related coping self-efficacy and length of time to first use after treatment? Data will be drawn from an existing sample of youth and adults diagnosed with at least one substance use disorder (SUD), some of whom have a comorbid depression diagnosis (SUD/DEP). Youth and adults were interviewed during inpatient substance abuse and mental health treatment and followed monthly for one year after treatment to gather detailed information on patterns, context, and severity of SU. Multigroup path analysis will be used to compare two sets of hypothesized models in youths and adults that test the following relationships: 1) depression and context of first SU episode; and 2) depression, self-efficacy, and length of time to relapse. Results will aide in understanding how depression comorbidity affects the cognitive process of relapse throughout development. ? ? ?

Agency
National Institute of Health (NIH)
Institute
National Institute on Drug Abuse (NIDA)
Type
Predoctoral Individual National Research Service Award (F31)
Project #
5F31DA021941-02
Application #
7287702
Study Section
Human Development Research Subcommittee (NIDA)
Program Officer
Sirocco, Karen
Project Start
2006-09-06
Project End
2008-09-05
Budget Start
2007-09-06
Budget End
2008-09-05
Support Year
2
Fiscal Year
2007
Total Cost
$29,923
Indirect Cost
Name
University of California San Diego
Department
Psychology
Type
Schools of Arts and Sciences
DUNS #
804355790
City
La Jolla
State
CA
Country
United States
Zip Code
92093
Ramo, Danielle E; Prince, Mark A; Roesch, Scott C et al. (2012) Variation in substance use relapse episodes among adolescents: a longitudinal investigation. J Subst Abuse Treat 43:44-52
Ramo, Danielle E; Prochaska, Judith J; Myers, Mark G (2010) Intentions to quit smoking among youth in substance abuse treatment. Drug Alcohol Depend 106:48-51
Anderson, Kristen G; Ramo, Danielle E; Cummins, Kevin M et al. (2010) Alcohol and drug involvement after adolescent treatment and functioning during emerging adulthood. Drug Alcohol Depend 107:171-81
Ramo, Danielle E; Myers, Mark G; Brown, Sandra A (2010) Self-efficacy mediates the relationship between depression and length of abstinence after treatment among youth but not among adults. Subst Use Misuse 45:2301-22
Schulte, Marya T; Ramo, Danielle; Brown, Sandra A (2009) Gender differences in factors influencing alcohol use and drinking progression among adolescents. Clin Psychol Rev 29:535-47
Ramo, Danielle E; Brown, Sandra A (2008) Classes of substance abuse relapse situations: a comparison of adolescents and adults. Psychol Addict Behav 22:372-9