Does Temperament Moderate Treatment Response in Adolescent Substance Use Disorders?
Does Temperament Moderate Treatment Response in Adolescent Substance Use Disorders?
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DOI：
10.1080/08897070802093387
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发表时间：
2008-01-01
期刊：
影响因子：
3.5
通讯作者：
Kaminer, Yifrah
中科院分区：
文献类型：
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作者：
Burleson, Joseph A.;Kaminer, Yifrah
为了评估气质是否会调节对物质使用障碍 (SUD) 治疗的反应，n = 88 名连续转诊的 SUD 青少年被随机接受认知行为 (CBT) 或心理教育 (PET) 治疗。主成分分析将气质修订版 (DOTS-R) 的 10 个属性维度减少为三个因素（节奏性、活动/灵活性和情绪/社交性）。在基线和治疗完成后 3 个月时评估青少年成瘾严重程度指数 (T-ASI) 的三个反应领域（酒精使用、其他物质使用和心理功能）。仅针对节律性治疗对 T-ASI 酒精和心理领域有显着调节作用。对于酒精使用，对于节律性水平较差的青少年来说，只有 PET 能够显着改善，而对于节律性水平良好的青少年来说，没有出现治疗差异。对于心理功能而言，对于节律性水平良好的青少年，仅CBT就有显着改善，而对于节律性水平较差的青少年，没有出现治疗差异。讨论了这些发现的意义。 doi:10.1080/0889707080209 3387 [可通过 Haworth 文件递送服务付费获取文章副本：1-800-HAWORTH。电子邮件地址：< docdelivery@haworthpress.com > 网站：< http://www.HaworthPress.com > (C) 2008，The Haworth Press。版权所有。]
To assess whether temperament moderates response to treatment for substance use disorders (SUD), n = 88 consecutively referred adolescents with SUD were randomized to cognitive-behavioral (CBT) or psychoeducational (PET) therapies. Principal components analyses reduced the 10-attribute Dimensions of Temperament Revised (DOTS-R) to three factors (Rhythmicity, Activity/Flexibility, and Mood/Sociability). Three response domains (Alcohol Use, Other Substance Use, and Psychological Function) from the Teen Addiction Severity Index (T-ASI) were assessed at baseline and at 3-month post-treatment completion. There was a significant moderator effect on Treatment only for Rhythmicity on T-ASI Alcohol and Psychological domains. For Alcohol use, for youth with poor levels of Rhythmicity, only PET effected significant improvement, whereas for youth with good levels of Rhythmicity, no treatment differences emerged. For Psychological function, for youth with good levels of Rhythmicity, only CBT effected significant improvement, whereas for youth with poor levels of Rhythmicity, no treatment differences emerged. Implications of these findings are discussed. doi:10.1080/0889707080209 3387 [Article copies available for a fee from The Haworth Document Delivery Service: 1-800-HAWORTH. E-mailaddress: < docdelivery@haworthpress.com > Website: < http://www.HaworthPress.com > (C) 2008 by The Haworth Press. All rights reserved.]