A Review of Behavioral Therapies in Adolescents with Opioid Use Disorder.
A Review of Behavioral Therapies in Adolescents with Opioid Use Disorder.
复制标题
患有阿片类药物使用障碍的青少年的行为治疗综述。
DOI：
10.1097/hrp.0000000000000272
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发表时间：
2020
影响因子：
3.8
通讯作者：
McHugh,RKathryn
中科院分区：
文献类型：
--
作者：
Welsh,JustineW;Mataczynski,MaggieJ;Nguyen,MinhD;McHugh,RKathryn
越来越多的证据支持使用药物治疗青少年阿片类药物使用障碍（OUD），但对青少年OUD的行为治疗知之甚少。采用PRISMA方法对青少年OUD的行为治疗进行系统评价。只有三个研究被确认。两项研究的综合证据表明，青少年-社区强化方法、动机增强疗法和认知行为疗法在减少阿片类药物使用方面具有初步疗效。唯一确定的团体治疗，包括青少年和他们的父母，证明了参与者在预防复发策略、拒绝药物技能和整体社会心理功能方面的知识的改善。还强调了包括行为疗法但没有专门测试其功效的其他研究，以扩大对小文献基础的理解。这篇综述强调了这些疗法在这一人群中的证据基础不足。此外，我们强调了未来研究的有希望的领域，并包括来自成人文献的证据，可能会为该研究提供信息。对这一人群进行随机对照试验的行为疗法研究是必要的。
A growing evidence base supports the use of medication to treat opioid use disorder (OUD) in adolescents, but little is known about behavioral therapies for adolescents with OUD. A systematic review using PRISMA methodology was conducted on behavioral therapy for adolescent OUD. Only three studies were identified. Combined evidence from two studies indicates initial efficacy of the Adolescent–Community Reinforcement Approach, motivational enhancement therapy, and cognitive-behavioral therapy for reducing opioid use. The only group therapy identified, which involved adolescents and their parents, demonstrated improvement in participants’ knowledge of relapse-prevention strategies, drug-refusal skills, and overall psychosocial functioning. Additional studies that included behavioral therapy but that did not specifically test its efficacy are also highlighted to expand the understanding of the small literature base. This review highlights the sparse evidence base for these therapies in this population. In addition, we highlight promising areas for future research and include evidence from the adult literature that may inform that research. Studies on behavioral therapies that utilize randomized, controlled trials for this population are imperative.