向患有多动症的青少年提供高强度与低强度行为疗法:对物质使用结果的潜在不良长期影响
Megan Kelley1, Margaret H Sibley2, Stefany J Coxe3
1University of Washington, Seattle, WA, USA.
Research on child and adolescent psychopathology
|October 14, 2024
概括
对注意力缺陷/多动障碍 (ADHD) 的高强度心理社会治疗意外地增加了青少年吸毒的开始,这表明在一些年轻人中可能存在潜在的阳效应. 需要进一步的研究来确定有风险的个体.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 青少年健康 青少年健康
背景情况:
- 注意缺陷/多动障碍 (ADHD) 增加了青少年吸毒的风险.
- 心理社会性ADHD治疗对物质使用的影响仍未得到充分研究.
- 从理论上讲,治疗的有益和有害 (催产素) 作用都是可能的.
研究的目的:
- 调查高强度与低强度心理社会ADHD治疗对青少年吸毒开始的影响.
- 探索治疗效果的潜在调解者和调节者.
主要方法:
- 一项随机对照试验,涉及106名具有多元种族多样性,患有多动症的青少年.
- 干预措施包括高强度 (夏季治疗计划,家长培训,学校咨询) 和低强度 (家长培训,组织技能,学校咨询) 的方法.
- 在四年内评估了物质使用情况.
主要成果:
- 强度更高的治疗与药物使用率显著增加 (37.5%与18.6%) 相关.
- 这表明高强度治疗对物质使用有阳性效应.
- 没有发现有意义的调解者,但高水平的创伤后应激障碍 (PTSD) 症状可能会减轻治疗效果.
结论:
- 高强度的心理社会ADHD治疗可能会无意中增加青少年吸毒风险.
- 临床医生应该意识到潜在的阳效应,并相应地监测青少年.
- 未来的研究应该集中在识别调节者,以个性化ADHD治疗和减轻风险.
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