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Emerging Pharmacologic Treatments for Adolescent Substance Use: Challenges and New Directions

  • Adolescent Substance Abuse (T Chung, Section Editor)
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Abstract

Adolescence is a key period in the development of substance use and misuse. Substance use typically begins during adolescence, and prevalence rates for many substance use disorders peak before age 21 years. Yet, despite clinical demand, treatments for youth rely almost entirely on psychosocial interventions that yield only modest benefit. One potential way to improve treatment effects is to augment the best available psychosocial interventions with pharmacotherapy. Although pharmacotherapy research has advanced care for adults with substance use disorders, no medication is indicated for adolescents and controlled trials with teenagers are scant. Optimizing treatments for youth will require closing this important gap in medication development research. In this paper, we review the paucity of pharmacotherapy research for adolescent substance misuse, and we discuss how we can leverage human laboratory paradigms and technology to advance our understanding regarding if and how medications may improve treatment options for youths.

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Acknowledgments

The National Institute on Alcohol Abuse and Alcoholism at the National Institutes of Health supported this work (AA07850). The funding source had no role in this research other than financial support. We thank Alexander Blanchard for his help with the literature review for this article.

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Robert Miranda Jr. and Hayley Treloar declare that they have no conflict of interest.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. This article does not contain any studies with animals performed by any of the authors. Informed consent was obtained from all individual participants included in the study.

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This article is part of the Topical Collection on Adolescent Substance Abuse

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Miranda, R., Treloar, H. Emerging Pharmacologic Treatments for Adolescent Substance Use: Challenges and New Directions. Curr Addict Rep 3, 145–156 (2016). https://doi.org/10.1007/s40429-016-0098-7

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