Comparing Culturally Accommodated Versus Standard Group CBT for Latino Adolescents With Substance Use Disorders: A Pilot Study
Comparing Culturally Accommodated Versus Standard Group CBT for Latino Adolescents With Substance Use Disorders: A Pilot Study
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DOI：
10.1037/a0029439
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发表时间：
2012-10-01
影响因子：
3.3
通讯作者：
Wrona, Megan
中科院分区：
文献类型：
--
作者：
Burrow-Sanchez, Jason J.;Wrona, Megan
文献中缺乏将经验支持的药物滥用治疗与其文化适应的治疗方法与来自特定少数民族群体的参与者进行比较的研究。为了弥补这一差距，这项先导性研究以拉美裔青少年为样本，比较了认知行为药物滥用治疗的经验支持标准版本(S-CBT)和文化适应版本(A-CBT)的可行性和相对有效性。这项研究是由物质滥用治疗的文化适应模式(CAM-SAT)指导的。35名拉丁裔青少年(平均年龄15.49岁)被随机分配到两个为期12周的小组治疗条件中(S-CBT=18；A-CBT=17)，在治疗前、治疗后和3个月随访时进行评估。结果表明，在两种治疗条件下，参与者的保留率和满意率相似。此外，从治疗前到治疗后，两种情况下的参与者都显示出物质使用的显著减少，而在3个月的随访中略有增加；然而，物质使用的结果受到两个文化变量的影响：种族认同和家族主义。在对拉丁裔青少年进行临床试验的背景下，讨论了这些发现的含义。
Studies comparing empirically supported substance abuse treatments versus their culturally accommodated counterparts with participants from a specific ethnic minority group are lacking in the literature. To address this gap, this pilot study was conducted to compare the feasibility and relative efficacy of an empirically supported standard version of cognitive-behavioral substance abuse treatment (S-CBT) to a culturally accommodated version (A-CBT) with a sample of Latino adolescents. This study was guided by a Cultural Accommodation Model for Substance Abuse Treatment (CAM-SAT). Thirty-five Latino adolescents (mean age = 15.49) were randomly assigned to one of two 12-week group-based treatment conditions (S-CBT = 18; A-CBT = 17) with assessments conducted at pretreatment, posttreatment and 3-month follow-up. Results indicated similar retention and satisfaction rates for participants in both treatment conditions. In addition, participants in both conditions demonstrated significant decreases in substance use from pre- to posttreatment with slight increases at 3-month follow-up; however, substance use outcomes were moderated by two cultural variables: ethnic identity and familism. Implications of these findings within the context of conducting clinical trials with Latino adolescents are discussed.