Spear S F, Ciesla J R, Skala S Y
School of Allied Health Professions, Northern Illinois University, DeKalb 60115, USA.
Subst Use Misuse. 1999 Nov;34(13):1795-815. doi: 10.3109/10826089909039427.
This study examined levels, timing, and patterns of posttreatment alcohol and drug use in adolescents (n = 113) during the 12 months following completion of primary treatment. Data were collected from clinical records, random urine screens, and interviews with the adolescents and their parents. In all, 61.1% relapsed to pretreatment levels of use during the 12 months after treatment, 79.6% of the males and 59.3% of the females. Of those with alcohol as the drug of dependence, 45.9% relapsed to pretreatment levels of use in 12 months. Likewise, 75.0% marijuana users, 70.6% combined alcohol and marijuana users, and 50.2% other drug users relapsed to pretreatment levels of use in the 12 months. Relapse curves are presented to demonstrate the specific timing and patterns of relapse. Implications for primary treatment and aftercare are discussed.
本研究调查了113名青少年在完成初级治疗后的12个月内治疗后酒精和药物使用的水平、时间及模式。数据收集自临床记录、随机尿样筛查以及对青少年及其父母的访谈。总体而言，61.1%的人在治疗后的12个月内复发至治疗前的使用水平，其中男性为79.6%，女性为59.3%。以酒精为依赖药物的人群中，45.9%在12个月内复发至治疗前的使用水平。同样，75.0%的大麻使用者、70.6%的酒精和大麻混合使用者以及50.2%的其他药物使用者在12个月内复发至治疗前的使用水平。文中呈现了复发曲线以展示复发的具体时间和模式。并讨论了对初级治疗和后续护理的启示。
