How safe are adolescents at Alcoholics Anonymous and Narcotics Anonymous meetings? A prospective investigation with outpatient youth.

How safe are adolescents at Alcoholics Anonymous and Narcotics Anonymous meetings? A prospective investigation with outpatient youth.
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DOI:
10.1016/j.jsat.2011.01.004
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发表时间:
2011-06
影响因子:
3.9
通讯作者:
Myers M
Myers M
中科院分区:
医学2区
文献类型:
--
作者:
Kelly JF;Dow SJ;Yeterian JD;Myers M

文献摘要

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匿名戒酒会(AA)和匿名戒毒会(NA)已被证明是具有成本效益的恢复资源,为成年人,也似乎有助于青年。然而,关于青少年在会议上的安全的传闻使青年参与的热情降低。遗憾的是,几乎没有资料可以评估这种关切。门诊患者(N = 127; 24%为女性)在入院时以及第3、6和12个月时评估了AA/NA时的安全性感知、不良事件经历和未就诊/停药原因。到12个月随访时,57.5%的患者报告了一些AA/NA出席率,合并终身暴露为5,340次会议。其中,21.9%的人表示至少有一次负面经历,这在NA中比AA与会者更常见。总体而言,年轻人报告说,他们在会议上感到非常安全,而且评级没有因年龄或性别而异。中止或缺席的原因与安全或负面事件无关。权衡风险与记录的好处,这些初步研究结果表明,不应劝阻推荐AA/NA,但与成年人类似,应监测青年在会议上的经历。
Alcoholics Anonymous (AA) and Narcotics Anonymous (NA) have proven to be cost-effective recovery resources for adults and also appear helpful for youth. However, anecdotal concerns about adolescents’ safety at meetings have dampened enthusiasm regarding youth participation. Unfortunately, little information exists to evaluate such concerns. Outpatients (N = 127; 24% female) were assessed at intake, and 3, 6, and 12-months regarding perceived safety at AA/NA, experience of negative incidents, and reasons for non-attendance/discontinuation. By 12-month follow-up, 57.5% reported some AA/NA attendance with a combined lifetime exposure of 5,340 meetings. Of these, 21.9% reportedat least one negative experience, which was more common among NA than AA attendees. Overall, youthreported feeling very safe at meetings and ratings did not differ by age or gender. Reasons for discontinuation or non-attendance were unrelated to safety or negative incidents. Weighing risks against documented benefits, these preliminary findings suggest referral to AA/NA should not be discouraged, but, similar to adults, youth experiences at meetings should be monitored.