Alcohol-Related Disorders, Marijuana Abuse, Substance-Related Disorders
Conditions
Keywords
alcohol dependence, marijuana dependence
Brief summary
The purpose of this study is to evaluate the impact of treating depression on substance dependent teens.
Detailed description
The primary study aim is to determine whether fluoxetine + CBT is a more effective treatment than placebo + CBT for substance outcomes, depression, and behavior problems. The current community standard of care often withholds pharmacotherapy for depression in substance abusing adolescents, since it is often assumed that their depressions may remit with SUD treatment alone. However, this is an untested hypothesis in adolescents and one that we propose to test in the current study.
Interventions
single fixed morning dose X 16 weeks
single fixed morning dose 20 mg X 15 weeks
20mg, QD x 16 weeks
Sponsors
Study design
Eligibility
Inclusion criteria
* Must have DSM IV non bipolar Major Depressive disorder (by clinical interview), DSM IV Conduct Disorder, and Non-Tobacco Substance Disorder.
Exclusion criteria
* History of or current psychosis, history of psychotic depression, bipolar disorder I or II, family history of first degree relative with bipolar I, lifetime history of non-substance induced Mania/Hypomania * Unstable chronic or serious medical illness * Currently pregnant * Take psychotrophic medication, past 2 months: medication or treatment for depression, clinically significant laboratory abnormality
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To determine whether fluoxetine + CBT is a more effective treatment than placebo + CBT for substance outcomes, depression, and behavior problems. | 16 weeks |
Secondary
| Measure | Time frame |
|---|---|
| To determine if the treatment of depression with fluoxetine + CBT, in depressed adolescents with SUD and CD will be more effective than placebo + CBT in reducing substance use and improving conduct symptoms. | 16 weeks |
Countries
United States