- Title
- Treatments for co-occurring depression and substance use in young people: a systematic review.
- Creator
- Deady, Mark; Teesson, Maree; Kay-Lambkin, Frances J.
- Relation
- Current Drug Abuse Reviews Vol. 7, Issue 1, p. 3-17
- Publisher Link
- http://dx.doi.org/10.2174/1874473707666141015220608#sthash.AtsAn4OQ.dpuf
- Publisher
- Bentham Science Publishers
- Resource Type
- journal article
- Date
- 2014
- Description
- Background: Depression and problematic substance use represent two of the major social and health problems facing young people internationally. Frequently, these conditions co-occur and this co-occurrence is associated with greater functional impact, poorer treatment outcomes, and increased costs to both society and the individual. Objective: This review aims to identify peer-reviewed published trials of interventions for co-occurring substance use and depression delivered to young people, describe these interventions, and critique the methodological quality of the studies. Method: Eleven electronic databases were searched. The reference lists of relevant review papers were searched manually for additional studies not identified by the electronic database search. Results: Initially, 1,976 studies were identified, of which 22 were classified as trial studies of youth-based treatment interventions for co-occurring substance use and depression. Ten of these studies met criteria for review. The majority (60%) utilized a pharmacotherapy component, but found it to be generally no better than placebo when both groups received adjunct counselling. Methodological quality of studies varied. Conclusions: There is a dearth of trials of interventions for co-occurring depression and substance use disorders in young people. The limited data available is promising regarding the overall effectiveness of a psychological counselling approach. Given the importance of early intervention, and the difficulties faced when engaging youth in treatment, there is a need for further focused effort amongst this group. This may require more innovative techniques in intervention design and implementation. Recent advances in Internet- and mobile phone-based therapies present a potential avenue for further research.
- Subject
- adolescent; alcohol; co-occurring disorder; comorbidity; depression; substance use; systematic review; young people
- Identifier
- http://hdl.handle.net/1959.13/1294662
- Identifier
- uon:18835
- Identifier
- ISSN:1874-4737
- Language
- eng
- Reviewed
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