Effects of Brief Interventions on Internalizing Symptoms and Substance Use in Youth: A Systematic Review.
Effects of Brief Interventions on Internalizing Symptoms and Substance Use in Youth: A Systematic Review.
复制标题
短暂干预对年轻人内部症状和物质使用的影响：系统评价。
DOI：
10.1007/s10567-021-00372-2
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发表时间：
2022-06
影响因子：
6.9
通讯作者：
Schleider, Jessica L.
中科院分区：
文献类型：
--
作者：
McDanal, Riley;Parisi, Deanna;Opara, Ijeoma;Schleider, Jessica L.
内部化问题（例如，抑郁、焦虑）和吸毒在青年人中很常见，而且往往同时发生。然而，青年人在获得所需治疗方面面临无数障碍，现有的循证干预措施往往侧重于内化问题或药物使用，而不是同时关注两者。因此，针对这两个问题的简短干预措施可能是缓解青年困难的有效和可获得的资源;然而，这种可能性尚未得到充分评估。这项系统性综述评估了2015年至2019年6项研究的干预特征和质量，这些研究考察了干预对内化和物质使用结果的影响。根据独立计算和作者报告（分别），3-4项干预措施显着减少了青年内化症状; 3-5减少了青年物质使用; 2-3减少了两个领域的症状。所有六项干预措施都将药物使用确定为主要目标。四个干预措施管理的干预，以青少年在住院，门诊，初级保健，或学校设置。其余两项研究通过语音邮件或在线设计提供内容。干预范围从~ 15至240分钟。结果突出的稀疏性和异质性的青年为重点的简短的干预措施，评估方案的影响内化的问题和物质使用的结果，这表明一个明确的需要，也是专为无障碍的综合支持。未来的调查简短的以青年为重点的干预措施，应评估计划的影响内化和物质使用的结果;检查机制驱动不同的疗效确定的干预措施;和创建，完善，并测试干预措施，有可能解决共同发生的内化问题和物质使用的年轻人。
Internalizing problems (e.g., depression, anxiety) and substance use are common among young people and often co-occur. However, youths face myriad barriers to access needed treatment, and existing evidence-based interventions tend to focus on internalizing problems or substance use, rather than both simultaneously. Brief interventions that target both problems may, therefore, be an efficient and accessible resource for alleviating youth difficulties; however, this possibility has been insufficiently evaluated. This systematic review evaluated the intervention characteristics and quality of six studies spanning 2015 to 2019 that examined intervention effects on internalizing and substance use outcomes. Based on independent calculations and author reports (respectively), 3–4 interventions significantly reduced youth internalizing symptoms; 3–5 reduced youth substance use; and 2–3 reduced symptoms in both domains. All six interventions identified substance use as a primary target. Four interventions were administered by interventionists to youths in inpatient, outpatient, primary care, or school settings. The remaining two studies delivered content through voicemail messages or an online design. Interventions ranged from ~ 15 to 240 min. Results highlight the sparsity and heterogeneity of youth-focused brief interventions that have evaluated program effects on both internalizing problems and substance use outcomes, suggesting a clear need for integrated supports that are also designed for accessibility. Future investigations of brief youth-focused interventions should assess program effects on both internalizing and substance use outcomes; examine mechanisms driving the varied efficacy of identified interventions; and create, refine, and test interventions with potential to address co-occurring internalizing problems and substance use in young people.
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影响因子：
4.4
作者：
Fergusson, David M.;Boden, Joseph M.;Horwood, L. John
通讯作者：
Horwood, L. John
影响因子：
6.6
作者：
Lubman, Dan I.;Allen, Nicholas B.;Bonomo, Yvonne
通讯作者：
Bonomo, Yvonne
DOI：
10.1016/j.chc.2010.03.011
发表时间：
2010-07-01
影响因子：
2.4
作者：
Bukstein, Oscar G.;Horner, Michelle S.
通讯作者：
Horner, Michelle S.
影响因子：
3.8
作者：
Harpaz-Rotem, I;Leslie, D;Rosenheck, RA
通讯作者：
Rosenheck, RA
DOI：
10.1016/j.jaac.2010.05.017
发表时间：
2010-10
影响因子：
13.3
作者：
Merikangas KR;He JP;Burstein M;Swanson SA;Avenevoli S;Cui L;Benjet C;Georgiades K;Swendsen J
通讯作者：
Swendsen J