Alcohol Intervention for Adolescents with Fetal Alcohol Spectrum Disorders: Project Step Up, a Treatment Development Study.
Alcohol Intervention for Adolescents with Fetal Alcohol Spectrum Disorders: Project Step Up, a Treatment Development Study.
复制标题
对患有胎儿酒精谱系障碍的青少年进行酒精干预：项目升级，一项治疗开发研究。
DOI：
10.1111/acer.13111
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发表时间：
2016
期刊：
影响因子：
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通讯作者：
Dipple,KatrinaM
中科院分区：
文献类型：
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作者：
O'Connor,MaryJ;Quattlebaum,Justin;Castañeda,Marleen;Dipple,KatrinaM
背景Project Step Up 旨在减少患有胎儿酒精谱系障碍 (FASD) 的青少年的饮酒量和与酒精相关的负面结果。方法54 名参与者（30 名女性，24 名男性）被分配到 Project Step Up 干预组 (SUI) 或对照条件组，并在干预前、干预后立即和 3 个月随访时进行评估。患有 SUI 的青少年参加了为期 6 周、时长 60 分钟的小组干预，该干预提供酒精教育并促进对与酒精相关的社会压力的适应性反应。护理人员参加了同时但单独的会议，讨论产前酒精暴露对大脑的影响，以及如何应对与 FASD 青少年饮酒相关的养育挑战。结果根据一生的饮酒史，33% (n=18) 的青少年被归类为轻度/中度饮酒者，67% (n=36) 为戒酒/不经常饮酒者。结果显示，与对照组相比，SUI 中轻度/中度饮酒者自我报告的酒精风险和与酒精相关的负面行为（Cohen'sd=1.08 和 0.99）显着降低。这些结果在 3 个月的随访中部分得到维持。此外，戒酒/不频繁饮酒组的青少年没有表现出与酒精相关的结果增加，这表明本研究中使用的团体干预不是医源性的。结论这项治疗开发研究的成功为有效治疗 FASD 青少年提供了初步支持，以预防或减少饮酒及其在这一高危人群中的负面后果。
BackgroundProject Step Up proposed to reduce alcohol consumption and alcohol‐related negative outcomes in adolescents with fetal alcohol spectrum disorders (FASD).MethodsThe 54 participants (30 females, 24 males) were assigned to either Project Step Up Intervention (SUI) or Control conditions and were assessed prior to intervention, immediately following intervention, and at 3‐month follow‐up. Adolescents in the SUI condition participated in a 6‐week, 60‐minute group intervention that provided alcohol education and promoted adaptive responses to alcohol‐related social pressures. Caregivers attended concurrent but separate sessions on the effects of prenatal alcohol exposure on the brain and how to handle parenting challenges associated with alcohol use in teens with FASD.ResultsThirty‐three percent (n=18) of adolescents were classified as light/moderate drinkers, and 67% (n=36) were abstinent/infrequent drinkers based on their lifetime drinking histories. Results revealed a significant decrease in self‐reported alcohol risk and in alcohol‐related negative behaviors (Cohen'sd=1.08 and 0.99) in light/moderate drinkers in the SUI compared to the Control group. These results were partially sustained at 3‐month follow‐up. Furthermore, adolescents in the abstinent/infrequent group exhibited no increase in alcohol‐related outcomes suggesting that the group intervention used in this study was not iatrogenic.ConclusionsThe success of this treatment development study provides preliminary support for effective treatment of adolescents with FASD to prevent or reduce alcohol use and its negative consequences in this high risk population.