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Treatments for co-occurring depression and substance use in young people: a systematic review

Forfatter(e)
Deady, M. Teesson, M. Kay-Lambkin, F. J.
År
2014
DOI
10.2174/1874473707666141015220608
Tidsskrift
Current Drug Abuse Reviews
Sider
3-17
Kategori(er)
Depresjon og nedstemthet (inkl. både vansker og lidelse) Rus (alkohol, illegale rusmidler)
Tiltakstype(r)
Kognitiv atferdsterapi, atferdsterapi og kognitiv terapiAntidepressiva
Abstract

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.