Latimer W W, Newcomb M, Winters K C, Stinchfield R D
Institute on Community Integration, University of Minnesota, USA.
J Consult Clin Psychol. 2000 Aug;68(4):684-96.
A structural equation model incorporating substance abuse problem severity, psychosocial risk and protection, and treatment variables examined adolescent drug abuse treatment outcome pathways across 6- and 12-month follow-up points. Findings on resiliency factors and an empirical method adapted from previous research were used to select and assign 10 psychosocial factors to either a multiple protective factor index or a risk factor index. Gender, substance abuse problem severity, treatment modality, treatment length, and aftercare participation were also examined as outcome predictors. The findings suggest that treatment intensity decisions may be better informed by pretreatment psychosocial risk level rather than by substance abuse problem severity. The present study also suggests that drug-abusing adolescents who receive sufficiently long treatment, participate in aftercare, and possess at least 1 individual or interpersonal protective factor during their recovery process have the best chance to maintain gains made during treatment.
一个纳入药物滥用问题严重程度、心理社会风险与保护因素以及治疗变量的结构方程模型，在6个月和12个月的随访点考察了青少年药物滥用治疗的结果路径。基于复原力因素的研究发现以及从先前研究中改编的一种实证方法，被用于选择10个心理社会因素并将其归入多重保护因素指数或风险因素指数。性别、药物滥用问题严重程度、治疗方式、治疗时长以及后续照护参与情况也作为结果预测因素进行了考察。研究结果表明，治疗强度的决策或许依据治疗前的心理社会风险水平会比依据药物滥用问题严重程度更为明智。本研究还表明，接受足够长时间治疗、参与后续照护并且在康复过程中至少拥有1个个人或人际保护因素的药物滥用青少年，最有可能维持治疗期间所取得的成效。
