青少年内化障碍的家庭支持协议:治疗前后定量发展研究协议
Aaron Hogue1, Molly Bobek1, Nicole P Porter1
1Family and Adolescent Clinical Technology & Science, Partnership to End Addiction, New York, NY, United States.
JMIR research protocols
|September 16, 2024
概括
这项研究引入了Fam-AID,这是一种新的模块化治疗方法,用于同时出现内化障碍和物质使用障碍的青少年. Fam-AID集成了家庭参与,CBT和精神教育,以改善治疗结果.
科学领域:
- 青少年心理健康 青少年心理健康
- 临床心理学 临床心理学
- 药物中毒药物 药物中毒药物
背景情况:
- 抑郁症和焦虑症等内化障碍 (ID) 在患有物质使用障碍 (SUD) 的青少年中很常见.
- 不同时处理SUD和ID的治疗对这些青少年来说效果较差.
- 接受社区SUD治疗的青少年通常具有需要综合护理的同时发生的ID.
研究的目的:
- 开发和试验一个模块化的辅助协议,青少年内化障碍的家庭支持协议 (Fam-AID),用于同时出现SUD和ID的青少年.
- Fam-AID旨在补充现有的SUD治疗,而不需要对基本做法进行重大改变.
- 该协议以家庭参与,跨诊断性认知行为疗法 (CBT),家庭心理教育和安全规划为基础.
主要方法:
- 一个准实验性的两阶段研究,涉及快速循环原型设计和中断时间序列设计.
- 试点阶段包括利益相关者的意见和认知面试,以完善协议交付和可靠性.
- 第二阶段将通常治疗 (TAU) 与TAU加Fam-AID在两个地点的60名青少年中进行比较,评估基线和3个月和6个月的随访结果.
主要成果:
- 研究招聘计划于2025年4月开始.
- 该研究将通过治疗师和客户访谈以及忠诚度数据来评估Fam-AID协议的可接受性和忠诚度.
- 将在TAU和TAU+Fam-AID组之间对家庭治疗出席率和青少年ID和SUD症状进行比较.
结论:
- 预计Fam-AID将包括五个模块:家庭参与,关系重构,功能分析,针对ID症状的认知治疗,以及心理教育/安全规划.
- 这些模块可以顺序排列,以满足个体青少年的需求.
- 如果证明可行和有效,Fam-AID将为临床医生提供实用干预措施,用于治疗青少年SUD患者同时出现的ID.
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