SBIRT for adolescent drug and alcohol use: current status and future directions.

SBIRT for adolescent drug and alcohol use: current status and future directions.
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DOI:
10.1016/j.jsat.2012.11.005
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发表时间:
2013-05
影响因子:
3.9
通讯作者:
Schwartz RP
Schwartz RP
中科院分区:
医学2区
文献类型:
--
作者:
Mitchell SG;Gryczynski J;O'Grady KE;Schwartz RP

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青春期是人类生命周期中生物、心理和社会快速发展的时期。在这一关键时期滥用毒品和酒精给个人和公共健康带来了严重问题,但在美国和其他地方却非常普遍。筛查、短暂干预和转诊治疗(SBIRT)模式可能非常适合于识别和干预那些有发展成药物使用障碍风险的青少年,以及那些药物使用使他们面临受伤或疾病风险的青少年。这篇文章回顾了有关青少年人群SBIRT的文献,重点是随机对照试验的结果。有限的证据表明,短暂的干预可能对青少年有效,但发现了文献中的一些空白。讨论了在青少年人群中实施SBIRT的考虑因素。需要具有足够统计能力的随机试验,采用较长期的随访,并测试SBIRT在各种服务提供环境中对青少年的有效性。
Adolescence is a period of rapid biological, psychological, and social development in the human life cycle. Drug and alcohol misuse during this critical period poses substantial problems for individual and public health, yet is highly prevalent in the United States and elsewhere. The screening, brief intervention, and referral to treatment (SBIRT) model may be well-suited for identifying and intervening with adolescents who are at-risk of developing substance use disorders and those adolescents whose substance use puts them at risk for injury or illness. This article reviews the literature on SBIRT for adolescent populations, focusing on findings from randomized controlled trials. The limited evidence suggests that brief interventions may be effective with adolescents, but a number of gaps in the literature were identified. Considerations for implementing SBIRT with adolescent populations are discussed. Randomized trials are needed that have adequate statistical power, employ longer-term follow-ups, and test the effectiveness of SBIRT for adolescents in various service delivery settings.
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