Interview as intervention: The case of young adult multidrug users in the club scene

Interview as intervention: The case of young adult multidrug users in the club scene
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DOI:
10.1016/j.jsat.2012.08.004
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发表时间:
2013-04-01
影响因子:
3.9
通讯作者:
Chen, Minxing
Chen, Minxing
中科院分区:
医学2区
文献类型:
--
作者:
Kurtz, Steven P.;Surratt, Hilary L.;Chen, Minxing

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本文报道了参加自然史研究的18-29岁年轻成年多吸毒者(N=444)在没有干预的情况下物质使用和物质依赖症状的变化。在基线和6个月、12个月和18个月的随访中,计算机辅助的个人访谈包括经过良好测试的药物使用和依赖措施。用Cohen‘s d统计量计算药物依赖症状和用药频度的变化。平均年龄为22岁;40%是女性;58%是西班牙裔,17%是白人,21%是黑人。在18个月的跟踪评估中,参与者报告使用可卡因(18个月时d=-.85)、摇头丸(d=-.93)、苯二氮卓类药物(d=-.82)和处方阿片类药物(d=-.81)的天数显著减少,物质依赖症状(d=-.42)也有所减少。这些结果,再加上来自具有完成者的焦点小组的数据,表明全面的健康和社会风险评估可能对年轻的成年多药吸毒者产生相当强的干预效果。(C)2013 Elsevier Inc.保留所有权利。
This paper reports on changes in substance use and substance dependence symptoms without intervention among young adult multidrug users in the club scene, ages 18-29, (N=444) who participated in a natural history study. Computer-assisted personal interviews at baseline and 6-, 12-, and 18-month follow-ups included well-tested measures of substance use and dependence. Changes in substance dependence symptoms and drug use frequencies were calculated using Cohen's d statistic. Mean age was 22; 40% were female; 58% were Hispanic, 17% White, and 21% Black. At 18-month follow-up assessment, participants reported significantly fewer days of cocaine (d=-.85 at 18 months), ecstasy (d=-.93), benzodiazepine (d=-.82), and prescription opioid (d=-.81) use, as well as reduced substance dependence symptoms (d=-.42). These results, together with data from focus groups with completers, suggest that comprehensive health and social risk assessments may have quite strong intervention effects among young adult multidrug users. (C) 2013 Elsevier Inc. All rights reserved.