Cognitions in youth substance use relapse contexts

描述（由申请人提供）：拟议研究的长期目标是：1。加强对青少年物质使用障碍（SUD）复发过程的认知特征的理解，以及2.）评估建议的青少年物质使用复发的发展模式，最终目标是制定更有效的复发预防计划。本提案旨在满足探索/发展赠款（R21）计划的目标，以鼓励新的探索性和发展性研究，从而导致更大，更密集的项目。为了实现这一目标，本提案的主要目的是制定一种方法，用于评估青少年在接受SUD治疗后面临过去情况时的认知。本探索性/开发性研究包括两个阶段。首先，我们建议开发一个实验程序，以评估在通常与复发相关的社会背景下治疗后返回物质使用的风险青年的认知。第二个是验证这一程序的样本物质使用障碍的青年治疗后的物质使用障碍和社区青年的样本没有物质使用障碍。虽然过去的研究已经确定了青少年在治疗SUD后重新使用药物的情境特征和背景（Brown，Vik & Creamer，1989;安德森，Frissell & Brown，在出版中），但没有实验范式来确定在这些情况下青少年体内存在哪些特定的认知。拟议的项目的第二个目的是研究认知功能之间的关系引起的实验任务，因为它们涉及到青少年物质使用复发的发展模型SUD和nondisordered青年。这种以发展为中心的青年复吸过程模型将传统的复吸认知行为模型（Marlatt & Gordon，1985）与社会信息处理理论（Crick & Dodge，1994）相结合，突出了同伴参与对青年复吸的影响。R 01应用程序计划从这个开发项目中进行。在公共卫生方面，制定适合青少年年龄的药物使用干预措施和预防复发计划必须通过研究这一人群的发展需求。这一调查路线的首要目标是帮助青年保持对物质的节制。

DESCRIPTION (provided by applicant): The long-term objectives of the proposed line of research are: 1.) to enhance the understanding of the cognitive features of the relapse process of youth with substance use disorder,(SUD), and 2.) evaluate the proposed developmental model of substance use relapse for adolescents with the eventual goal of developing more effective relapse prevention programs. The present proposal is designed to meet the objectives of the Exploratory/Developmental grants (R21) program to encourage new, exploratory and developmental research leading to larger, more intensive projects. In pursuit of that goal, the primary aim of this proposal is to develop a methodology for assessing the cognitions of adolescents when faced with elapse situations after treatment for SUDs. This exploratory/developmental study consists of two phases. First, we propose to develop an experimental procedure to assess the cognitions of youth at-risk for a return to substance use after treatment in social contexts typically associated with relapse. The second is to validate this procedure on a sample of substance use disordered youth after treatment for substance use disorders and a sample of community youth without substance use disorders. While past research has identified the situational features and contexts in which adolescents return to substance use after treatment for SUD (Brown, Vik & Creamer, 1989; Anderson, Frissell & Brown, in press), no experimental paradigms exist to identify what specific cognitions are present in vivo for youth within these situations. A secondary aim of the proposed project is to examine the relations between cognitive features elicited by the experimental task as they relate to the developmental model of adolescent substance use relapse for SUD and nondisordered youth. This developmentally-focused process model of youth relapse integrates the traditional Cognitive-Behavioral model of Relapse (Marlatt & Gordon, 1985) with Social-Information Processing theory (Crick & Dodge, 1994), highlighting the influence of peer involvement in youth return to substance use. An R01 application is planned to follow from this developmental project. In terms of public health, the development of age appropriate substance use interventions and relapse prevention programs for adolescents must be informed by research examining the devlopmental needs of this population. The overarching goal of this line of inquiry is to help youth maintain abstainence from substance invovlement.