青少年物质使用和物质使用障碍的基于正念的干预措施:系统性审查
Christopher J Hammond1,2,3, Lindsey Webb4, Chae Young Lee5
1Division of Child & Adolescent Psychiatry, Psychiatry Department, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Pediatrics
|January 21, 2026
概括
基于正念的干预措施 (MBI) 在减少青少年的酒精和毒品使用方面表现有前途. 这些干预措施还可以改善使用物质的年轻人 (YWUS) 的冲动性和压力反应性.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 青少年吸毒对治疗提出了重大挑战.
- 对使用物质的年轻人 (YWUS) 的传统治疗方法已经显示出适度的疗效.
- 基于正念的干预 (MBI) 正在成为这一群体的潜在治疗方法.
研究的目的:
- 系统地审查MBI在减少药物使用和改善YWUS中心理功能方面的有效性.
- 遵守PRISMA系统审查指南.
主要方法:
- 在主要数据库 (PubMed,EMBASE,Cochrane图书馆,PsycINFO,Web of Science) 进行了系统的文献搜索.
- 包括随机对照试验 (RCT),比较MBI与YWUS (12-21岁) 的控制干预.
- 提取了关于研究设计,参与者特征,MBI/控制条件和结果的数据.
主要成果:
- 分析了21项试验中的23项符合条件的研究,涉及2297名参与者.
- 在研究设计,干预和人群中发现了显著的异质性.
- 超过三分之二的研究报告了有利于MBI减少物质使用的积极结果.
结论:
- MBIs显示了年轻人中酒精和毒品使用的小到中度减少的潜力.
- 初步证据表明,MBI可能会改善冲动性和应激反应性.
- 由于异质性和对非法物质的关注有限,需要进一步研究.
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