Treatment Adherence and Differentiation in Individual Versus Family Therapy for Adolescent Substance Abuse

Aaron Hogue, Ralph M. Turner, Howard A Liddle, Cynthia L Rowe, Gayle A Dakof, Karin LaPann

Research output: Contribution to journalArticle

68 Citations (Scopus)

Abstract

Treatment adherence and differentiation in dynamic cognitive-behavioral therapy and multidimensional family therapy for adolescent substance abuse were evaluated with a treatment adherence process measure. Full-length videotapes of 90 treatment sessions (36 clients) were reviewed by nonparticipant raters. Adherence scales for each treatment generated through factor analysis of observational ratings demonstrated sound interrater reliability and internal consistency. Therapists in each condition used techniques unique to their own model and avoided those unique to the competing model. Individual therapists emphasized behavioral and substance-use interventions, whereas family therapists focused on interactional and affective interventions. Challenges in conducting adherence research that compares individual and family treatments are addressed, as are implications of these results for advancing treatment development for adolescent drug users.

Original languageEnglish
Pages (from-to)104-114
Number of pages11
JournalJournal of Counseling Psychology
Volume45
Issue number1
StatePublished - Jan 1 1998

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Family Therapy
Substance-Related Disorders
Therapeutics
Adolescent Development
Videotape Recording
Process Assessment (Health Care)
Cognitive Therapy
Drug Users
Statistical Factor Analysis
Research

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Clinical Psychology

Cite this

Treatment Adherence and Differentiation in Individual Versus Family Therapy for Adolescent Substance Abuse. / Hogue, Aaron; Turner, Ralph M.; Liddle, Howard A; Rowe, Cynthia L; Dakof, Gayle A; LaPann, Karin.

In: Journal of Counseling Psychology, Vol. 45, No. 1, 01.01.1998, p. 104-114.

Research output: Contribution to journalArticle

Hogue, Aaron ; Turner, Ralph M. ; Liddle, Howard A ; Rowe, Cynthia L ; Dakof, Gayle A ; LaPann, Karin. / Treatment Adherence and Differentiation in Individual Versus Family Therapy for Adolescent Substance Abuse. In: Journal of Counseling Psychology. 1998 ; Vol. 45, No. 1. pp. 104-114.
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