在儿科MOUD诊所的创伤,弹性和治疗结果
Spencer M Gardner1,2, Erin R McKnight1,3, Isaac S Kistler3,4,5
1College of Medicine, The Ohio State University, Columbus, OH, USA.
Substance use & misuse
|November 22, 2024
概括
童年不良经历 (ACE) 与接受阿片类药物使用障碍布普伦诺芬治疗的青少年不坚持治疗的更高率有关. 性在本研究中没有显著影响治疗结果.
科学领域:
- 成 药物 药物 药物 药物
- 儿童心理学 儿童心理学
- 公共卫生 公共卫生
背景情况:
- 青少年的阿片类药物使用障碍 (OUD) 存在重大治疗挑战.
- 基于布普伦诺芬的药物是青年OUD的关键治疗方法.
- 了解影响治疗坚持的因素对于改善治疗结果至关重要.
研究的目的:
- 调查儿童不良经历 (ACE) 和适应能力与接受布普伦诺芬治疗OUD的青少年治疗结果之间的关联.
- 检查ACE和弹性对治疗坚持,不坚持和在六个月内复发的影响.
主要方法:
- 一项观察性研究涉及42名青少年参与者,他们正在接受布普伦诺芬治疗OUD.
- 使用了修改后的不良童年经历问卷和南肯尼贝克健康开始弹性调查.
- 采用Cox的比例危险模型来分析治疗结果,包括不坚持和复发.
主要成果:
- 与全国平均水平相比,参与者报告了高水平的ACE.
- 较高的ACE得分与布普伦诺芬治疗不坚持的风险增加有显著的关联.
- 弹性得分与任何研究的治疗结果都没有显著的关联.
结论:
- 较高的ACE分数是OUD青少年不坚持布普伦诺芬治疗的重要危险因素.
- 研究结果强调,在这个脆弱人群中,急需进行常规的ACE查和创伤信息化的护理方法.
- 需要进一步的研究来探索减轻ACEs对OUD治疗坚持的影响的干预措施.
相关概念视频
Modeling in Therapy
49
Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
49
Post-traumatic Stress Disorder
29
Post-traumatic stress disorder (PTSD) is a psychiatric condition that arises following exposure to traumatic events such as natural disasters, forced displacement, or severe accidents. It significantly impairs individuals' ability to cope with daily activities and disrupts their emotional and psychological equilibrium.
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
29
Ethnic Identity within a Larger Culture
30
Adolescents from ethnic minority backgrounds face a multifaceted journey in forming their identities, shaped by the intersections of cultural expectations and personal exploration. For these adolescents, identity formation involves not only typical developmental challenges but also navigating the perceptions and attitudes of the majority culture. As they grow, adolescents in ethnic minority groups often become increasingly aware of stereotypes, social biases, and discrimination, all of which...
30
Elements Crucial for Effective Psychotherapy
34
Research has highlighted several critical factors that influence the effectiveness of psychotherapy, such as the therapeutic alliance, the therapist, and the client.
The Therapeutic Alliance
The therapeutic alliance refers to the relationship between the therapist and the client. The alliance strengthens when the therapist and the client engage in a nurturing, supportive, trusting, empathetic, and respectful relationship, improving therapeutic outcomes. Therapists must monitor this relationship...
The Therapeutic Alliance
The therapeutic alliance refers to the relationship between the therapist and the client. The alliance strengthens when the therapist and the client engage in a nurturing, supportive, trusting, empathetic, and respectful relationship, improving therapeutic outcomes. Therapists must monitor this relationship...
34
Fractures: Bone Repair
2.9K
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
2.9K
Traumatic Memory
72
Emotionally traumatic events often lead to memories that are exceptionally vivid and enduring, sometimes persisting with remarkable clarity throughout an individual's life. A classic example of this phenomenon is a person who survives a car accident. Even years later, they may recall every detail of the event with startling accuracy — the screeching of the tires, the jarring impact, and the acrid smell of burning rubber. Such vividness contrasts sharply with how an individual...
72


