Decision-making style and response to parental involvement in brief interventions for adolescent substance use.

Decision-making style and response to parental involvement in brief interventions for adolescent substance use.
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决策风格和对父母参与青少年药物使用简短干预的反应。

DOI:
10.1037/fam0000266
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发表时间:
2017
期刊:
Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association (Division 43)
影响因子:
--
通讯作者:
Winters,KenC
Winters,KenC
中科院分区:
--
文献类型:
--
作者:
Piehler,TimothyF;Winters,KenC

文献摘要

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Adolescent decision making has been previously identified as risk factor for substance abuse as well as a proximal intervention target. The study sought to extend this research by evaluating the role of decision-making style in response to parent involvement in brief substance abuse interventions. Adolescents (aged 12 to 18 years; n= 259) identified in a school setting as abusing alcohol and marijuana were randomly assigned to complete 1 of 2 brief interventions (BIs), either a 2-session adolescent-only program (BI-A) or the 2-session adolescent program with an additional parent session (BI-AP). Interventions were manualized and delivered in a school setting by trained counselors. Adolescent decision-making style was evaluated at intake, and alcohol and marijuana use were evaluated at intake and at a 6-month follow-up assessment. Supporting past research with these interventions, BI-AP demonstrated overall stronger outcomes for marijuana when compared with BI-A. Across both intervention models, an adaptive decision-making style (ie, constructive, rational) assessed at intake predicted greater reductions in marijuana use. A significant moderation effect emerged for alcohol outcomes. Adolescents with maladaptive decision-making tendencies (ie, impulsive/careless, avoidant) demonstrated the largest benefit from the parental involvement in BI-AP, whereas those with a less impulsive style derived little additional benefit from parental involvement in regard to alcohol use outcomes. Implications for the tailoring of brief interventions for adolescent substance abuse are discussed.