Can 12-step group participation strengthen and extend the benefits of adolescent addiction treatment? A prospective analysis.
Can 12-step group participation strengthen and extend the benefits of adolescent addiction treatment? A prospective analysis.
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DOI：
10.1016/j.drugalcdep.2010.02.019
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发表时间：
2010-07-01
影响因子：
4.2
通讯作者：
Kahler CW
中科院分区：
文献类型：
--
作者：
Kelly JF;Dow SJ;Yeterian JD;Kahler CW
尽管针对患有物质使用障碍 (SUD) 的青少年的治疗方法取得了进展，但在初次治疗后复发仍然很常见。社区持续护理资源，例如戒酒互助会 (AA) 和戒毒互助会 (NA)，已被证明对成年人来说是有帮助且具有成本效益的康复资源。然而，尽管治疗转诊广泛，但 AA/NA 对青少年的临床效用和有效性却知之甚少。参加一项社区门诊治疗自然前瞻性研究的青少年（N = 127；24% 女性，87% 白人，男性年龄 = 16.7 岁）在入院时以及 3 个月和 6 个月后使用一系列标准化和验证的措施进行评估。超过四分之一的青少年在前 3 个月内参加了 AA/NA 会议，这是根据禁欲目标、之前出席 AA/NA 以及之前 SUD 治疗经历预测的。受控多元回归分析显示，在同时模型和滞后模型中，AA/NA 对戒断具有独立影响，这种影响持续高于治疗前 AA/NA 出勤率、既往治疗、自我效能、戒断目标和伴随门诊治疗的影响。结果表明，与成人门诊患者与住院患者的比较结果类似，AA/NA 参与在病情较轻的青少年门诊患者中不太常见。尽管如此，就诊似乎加强和扩大了典型社区门诊治疗的益处。鉴于这一生命阶段人口中同龄同龄人的药物使用率急剧上升，以及戒毒者和康复特定支持相对缺乏，这些资源可能为年轻人提供集中的、具有成本效益的社会康复资源。
Despite advances in the development of treatments for adolescents with substance use disorders (SUD), relapse remains common following an index treatment episode. Community continuing care resources, such as Alcoholics Anonymous (AA) and Narcotics Anonymous (NA), have been shown to be helpful and cost-effective recovery resources among adults. However, little is known about the clinical utility and effectiveness of AA/NA for adolescents, despite widespread treatment referrals. Adolescents (N = 127; 24% female, 87% White, M age = 16.7 years) enrolled in a naturalistic, prospective study of community outpatient treatment were assessed at intake, and 3- and 6-months later using a battery of standardized and validated measures. Just over one-quarter of youth attended AA/NA meetings during the first 3-months, which was predicted by a goal of abstinence, prior AA/NA attendance, and prior SUD treatment experiences. Controlled multiple regression analyses revealed an independent effect of AA/NA on abstinence, in both contemporaneous and lagged models, which persisted over and above the effects of pre-treatment AA/NA attendance, prior treatment, self-efficacy, abstinence goal, and concomitant outpatient treatment. Results suggest that, similar to findings comparing adult outpatients to inpatients, AA/NA participation is less common among less severe adolescent outpatients. Nonetheless, attendance appears to strengthen and extend the benefits of typical community outpatient treatment. Given the dramatic increase in rates of substance use among same-aged peers in the population at this life-stage, and the relative dearth of abstainers and recovery-specific supports, these resources may provide a concentrated cost-effective social recovery resource for young people.
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影响因子：
2.3
作者：
Kaskutas, Lee Ann
通讯作者：
Kaskutas, Lee Ann
影响因子：
3.9
作者：
Kelly, JF;Moos, R
通讯作者：
Moos, R
影响因子：
6
作者：
FINNEY, JW;MOOS, RH
通讯作者：
MOOS, RH
影响因子：
0.9
作者：
Kelly, John F.;Yeterian, Julie D.;Myers, Mark G.
通讯作者：
Myers, Mark G.
影响因子：
4.4
作者：
BROWN, SA;VIK, PW;CREAMER, VA
通讯作者：
CREAMER, VA