Long-Term Effects of a Personality-Targeted Intervention to Reduce Alcohol Use in Adolescents
Long-Term Effects of a Personality-Targeted Intervention to Reduce Alcohol Use in Adolescents
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DOI：
10.1037/a0022997
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发表时间：
2011-06-01
影响因子：
5.9
通讯作者：
Mackie, Clare
中科院分区：
文献类型：
--
作者：
Conrod, Patricia J.;Castellanos-Ryan, Natalie;Mackie, Clare
目的：探讨针对个性的干预措施对青春期早期饮酒数量和频率（QF）、饮酒问题以及个性特定饮酒动机的长期影响。方法：对来自 13 所中学的 364 名青少年（中位年龄 14 岁）进行了一项随机对照试验，这些青少年在绝望、焦虑敏感性 (AS)、冲动和感觉寻求方面得分较高。参与者被随机分配到无干预对照条件组或针对 4 个人格风险因素中的 I 个的 2 次小组应对技巧干预组。在干预后 6、12、18 和 24 个月检查干预对饮酒数量/频率 (QF)、酗酒频率、饮酒问题和动机的影响。结果：意向治疗重复测量分析显示，在减少问题饮酒症状方面具有显着的总体干预效果，并且对饮酒 QF 和酗酒频率具有 Time X 干预效果。与对照组相比，干预组在干预后 6 个月的饮酒和酗酒水平显着降低，并且在整个 24 个月的随访期内饮酒问题症状有所减轻（Cohen's d = 0.33）。在应对和增强饮酒动机方面，时间 x 干预 x 个性之间存在显着的相互作用。除了干预对应对动机的总体影响外，接受干预的 AS 组在干预后 12 个月和 24 个月时报告的应对动机比 AS 对照组要少。结论：这项研究提供了进一步的证据，表明针对个性的干预措施可以在短期内减少青少年的饮酒行为。新的发现表明，这些干预措施对饮酒问题产生了长期影响，并对饮酒动机产生了个性化的影响。
Objective: To examine the long-term effects of a personality-targeted intervention on drinking quantity and frequency (QF), problem drinking, and personality-specific motivations for alcohol use in early adolescence. Method: A randomized control trial was carried out with 364 adolescents (median age 14) recruited from 13 secondary schools with elevated scores in Hopelessness, Anxiety-Sensitivity (AS), Impulsivity, and Sensation-Seeking. Participants were randomly assigned to a control no-intervention condition or a 2-session group coping skills intervention targeting I of 4 personality risk factors. The effects of the intervention on quantity/frequency (QF) of alcohol use, frequency of binge drinking, problem drinking, and motives were examined at 6, 12, 18, and 24 months postintervention. Results: Intent-to-treat repeated measures analyses revealed a significant overall intervention effect in reducing problem drinking symptoms, and a Time X Intervention effect on drinking QF and binge drinking frequency. Relative to the control group, the intervention group showed significantly reduced drinking and binge drinking levels at 6 months postintervention and reduced problem drinking symptoms for the full 24-month follow-up period (Cohen's d = 0.33). A significant Time x Intervention X Personality interaction was demonstrated for coping and enhancement drinking motives. In addition to an overall effect of intervention on coping motives, the AS group who received that intervention reported fewer coping motives compared with the AS control group at 12 and 24 months postintervention. Conclusions: This study provides further evidence showing that personality-targeted interventions reduce drinking behavior in adolescents in the short term. Novel findings were that the interventions were shown to produced long-term effects on drinking problems and personality-specific effects on drinking motives.