Deas D, Thomas S E
Alcohol Research Center, Institute of Psychiatry, 67 President St., Medical University of South Carolina, Charleston, SC 29425, USA.
Am J Addict. 2001 Spring;10(2):178-89. doi: 10.1080/105504901750227822.
Although several treatments for adolescents with substance use disorders are available, there are few well-controlled studies in the extant literature that compare these treatments for efficacy. This paper provides an overview of controlled treatment studies for adolescents with substance use disorders. It focuses specifically on five main treatment modalities: family-based and multi-systemic interventions, behavioral therapy, cognitive behavioral therapy, pharmacotherapy, and twelve step approaches. Examples of adolescent-specific standardized assessment instruments are also provided, the inclusion of which may improve future treatment comparison studies. While the results look especially promising for cognitive behavioral therapy and family-based/multi-systemic therapies for adolescents with SUDs, most of the relevant studies fail to utilize validated outcome measures, making it difficult to conclude that one treatment approach is more effective than another.
虽然有几种针对患有物质使用障碍的青少年的治疗方法，但现有文献中很少有对照充分的研究来比较这些治疗方法的疗效。本文概述了针对患有物质使用障碍的青少年的对照治疗研究。它特别关注五种主要治疗方式：基于家庭和多系统干预、行为疗法、认知行为疗法、药物疗法和十二步方法。还提供了针对青少年的标准化评估工具的示例，纳入这些工具可能会改善未来的治疗比较研究。虽然认知行为疗法以及针对患有物质使用障碍的青少年的基于家庭/多系统疗法的结果看起来特别有前景，但大多数相关研究未能使用经过验证的结果指标，因此很难得出一种治疗方法比另一种更有效的结论。
