Adolescent Community Reinforcement Approach outcomes differ among emerging adults and adolescents.

Adolescent Community Reinforcement Approach outcomes differ among emerging adults and adolescents.
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DOI:
10.1016/j.jsat.2011.06.003
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发表时间:
2011-12
影响因子:
3.9
通讯作者:
Dennis ML
Dennis ML
中科院分区:
医学2区
文献类型:
--
作者:
Smith DC;Godley SH;Godley MD;Dennis ML

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五分之一的公共治疗入院是新兴的成年人,很少有研究考虑治疗是否适合发展。本研究比较了物质使用障碍的青少年和接受青少年社区强化方法(A-CRA)的新兴成年人之间的结果。倾向评分匹配用于创建青少年(n=151)的加权比较组,其具有与新兴成人组(n=152)相似的人口统计学特征、临床严重程度和治疗保持率。我们在最后一次随访时检查了禁欲和其他心理社会结果的年龄差异。新兴的成年人和青少年在随访时都减少了他们的物质使用。然而,与青少年相比,新兴成年人不太可能禁欲和缓解,并且有更多的饮酒天数。这项研究的发现与先前对新兴成年人的研究一致。更多的研究应审查干预措施的特点,是最有效地解决新兴成年人的发展需要。
One-fifth of all public treatment admissions are emerging adults, and few studies have considered whether treatments are developmentally appropriate. This study compares outcomes between substance use-disordered adolescents and emerging adults that received the Adolescent Community Reinforcement Approach (A-CRA). Propensity score matching was used to create a weighted comparison group of adolescents (n=151) that had similar demographic characteristics, clinical severity, and treatment retention as the group of emerging adults (n=152). We examined age differences in abstinence and other psychosocial outcomes at the last available follow up. Emerging adults and adolescents both reduced their substance use at follow-up. However, emerging adults were less likely to be abstinent and in remission, and had more days of alcohol use when compared to adolescents. This study’s findings are consistent with prior work on emerging adults. Additional research should examine features of interventions that are most effective in addressing the developmental needs of emerging adults.
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