Cognitions in youth substance use relapse contexts

简介(申请人提供)：建议研究方向的长远目标为：1.2.加强对物质使用障碍青少年复吸过程的认知特征的了解。评估提议的青少年药物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性/发展性赠款(R21)计划的目标，该计划旨在鼓励新的探索性和发展性研究，从而产生更大、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评估青少年在接受肥胖症治疗后面临逝去情况时的认知能力的方法。这项探索性/发展性研究包括两个阶段。首先，我们建议开发一种实验程序，以评估高危青年在通常与复发有关的社会背景下接受治疗后重返药物使用的认知情况。第二项研究是在接受药物使用障碍治疗后的物质使用障碍青少年样本和没有药物使用障碍的社区青少年样本上验证这一程序。虽然过去的研究已经确定了青少年在接受SUD治疗后重返物质使用的情景特征和背景(Brown，Vik&Creamer，1989；Anderson，Frissell&Brown，正在出版)，但没有实验范式来确定在这些情景下青少年体内存在哪些特定认知。这项提议的项目的第二个目标是检查由实验任务引起的认知特征之间的关系，因为它们与SUD和非障碍青少年的青少年物质使用复发的发展模式有关。这一以发展为中心的青少年复吸过程模型结合了传统的复吸认知-行为模型(Marlatt&Gordon，1985)和社会信息加工理论(Crick&Dodge，1994)，强调了同伴参与对青少年复吸的影响。R01应用程序计划在该开发项目之后进行。在公共卫生方面，针对青少年的适龄药物使用干预措施和复发预防方案的制定必须通过研究这一人群的发展需求来提供信息。这条调查路线的首要目标是帮助年轻人保持节制，不参与实质性的活动。

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.