Management of the Adolescent with Substance Use Disorders and Comorbid Psychopathology
Management of the Adolescent with Substance Use Disorders and Comorbid Psychopathology
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DOI：
10.1016/j.chc.2010.03.011
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发表时间：
2010-07-01
影响因子：
2.4
通讯作者：
Horner, Michelle S.
中科院分区：
文献类型：
--
作者：
Bukstein, Oscar G.;Horner, Michelle S.
药物使用障碍在青年中很常见，大多数情况下都存在共同发生的精神疾病。本文综述了人群特有的临床考虑，包括复杂的评估和特殊治疗考虑。讨论了几种心理治疗干预模式，包括认知行为治疗，辩证行为治疗，动机增强治疗/动机访谈，家庭行为治疗，多维家庭治疗和多系统治疗。精神药理学治疗的研究是有限的，主要集中在情绪障碍和注意力缺陷/多动症。为了最大限度地提高结果，建议的实践参数的基础上，促进一体化的治疗方式与串行或并行治疗的共同发生的物质使用和精神疾病。
Substance use disorders are common in youth, and co-occurring psychiatric disorders are present in the majority of cases. This article reviews clinical considerations unique to the population, including intricacies of assessment and special treatment considerations. Several psychotherapeutic intervention models are discussed, including cognitive-behavioral therapy, dialectic behavior therapy, motivational enhancement therapy/motivational interviewing, family behavior therapy, multidimensional family therapy, and multisystemic therapy. Research on psychopharmacologic treatment is limited, and primarily focuses on mood disorders and attention deficit/hyperactivity disorder. To maximize outcome, recommendations based on practice parameters promote integration of treatment modalities versus serial or concurrent treatment of co-occurring substance use and psychiatric disorders.