Mechanisms of change in adolescent substance use treatment: how does treatment work?
Mechanisms of change in adolescent substance use treatment: how does treatment work?
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DOI：
10.1080/08897077.2014.925029
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发表时间：
2014
期刊：
影响因子：
3.5
通讯作者：
Chung T
中科院分区：
文献类型：
--
作者：
Black JJ;Chung T
青少年物质使用治疗结果研究一般显示，在减少物质使用方面的效果较小至中等，没有特定的“品牌”治疗明显上级任何其他治疗，治疗效果随着时间的推移而逐渐消失。治疗效果相对较弱和暂时，需要提高干预效果的效力和持久性。为了响应这一呼吁，这一重要的叙述性审查总结了成人和青少年在物质使用治疗的变化机制的研究，特别侧重于审查什么是已知的“如何”青少年物质使用治疗的工作。对青少年（11-18岁）物质使用治疗文献进行了全面审查，以确定干预效果的中介物的实证研究。相关数据库（例如，PsychInfo、Medline）使用关键词（例如，“调解人”），并从确定的研究和审查文件的参考部分的相关文章进行了审议。在成人，特别是青少年，物质使用治疗结果的文献中，很少有关于心理治疗改变机制的研究。四个青少年研究，检查物质使用的治疗机制发现，积极的社会支持，动机弃权，积极的父母行为介导的治疗效果。到目前为止，研究还没有支持治疗特定的变化机制，相反，发现“共同”的变化过程在很大程度上解释了不同“品牌”治疗结果的改善。治疗特异性变化机制缺乏经验支持可能是由于需要更精确地定义和测量治疗特异性因果链。未来的方向包括神经科学方法来检查与治疗反应和恢复相关的脑功能变化，以及检查适应性治疗设计中的机制，这些机制可以适应干预目标和治疗反应的个体差异。
Adolescent substance use treatment outcome research generally shows small to moderate effects in reducing substance use, with no specific “brand” of treatment emerging as clearly superior to any other, and treatment gains that fade over time. The relatively weak and temporary effects of treatment call for improving the potency and durability of intervention effects. In response to this call, this critical narrative review summarizes research on mechanisms of change for both adults and adolescents in substance use treatment, with a particular focus on reviewing what is known regarding “how” adolescent substance use treatment works. A comprehensive review of the adolescent (ages 11–18) substance use treatment literature was conducted to identify empirical studies that examined mediators of intervention effects. Relevant databases (e.g., PsychINFO, Medline) were searched using key words (e.g., “mediator”), and relevant articles from reference sections of identified studies and review papers were considered. Studies of mechanisms of psychotherapy change are rare in the adult, and particularly adolescent, substance use treatment outcome literature. The four adolescent studies that examined substance use treatment mechanisms found that positive social support, motivation to abstain, and positive parenting behaviors mediated treatment effects. To date, research has not supported therapy-specific mechanisms of change, finding instead that “common” processes of change largely account for improvements in outcome across distinct “brands” of treatment. The lack of empirical support for treatment-specific mechanisms of change may be due to the need for greater precision in defining and measuring treatment-specific causal chains. Future directions include neuroscience approaches to examining changes in brain functioning that are associated with treatment response and recovery and examining mechanisms in adaptive treatment designs, which can accommodate individual differences in targets for intervention and response to treatment.
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影响因子：
4.2
作者：
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通讯作者：
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影响因子：
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