ABSTRACT
Adolescent substance abusers demonstrate numerous emotional and behavioral difficulties in conjunction with drug problems. In this study, 236 clinically referred substance abusing adolescents were grouped on level of self-reported and parent-reported internalizing and externalizing symptoms and compared on important variables. Three groups emerged: Externalizers, Exclusive Substance Abusers, and Mixed (adolescents with both internalizing and externalizing symptoms). Exclusive Substance Abusers showed a general pattern of more positive functioning than adolescents in the other groups. This study reveals that clinically referred adolescent substance abusers can be meaningfully distinguished on levels of externalizing and internalizing problems, and that family characteristics differentiate these groups.