Waldron H B, Slesnick N, Brody J L, Turner C W, Peterson T R
Center for Family and Adolescent Research and Department of Psychology, University of New Mexico, Albuquerque 87131, USA.
J Consult Clin Psychol. 2001 Oct;69(5):802-13.
This randomized clinical trial evaluated individual cognitive-behavioral therapy (CBT), family therapy, combined individual and family therapy, and a group intervention for 114 substance-abusing adolescents. Outcomes were percentage of days marijuana was used and percentage of youths achieving minimal use. Each intervention demonstrated some efficacy, although differences occurred for outcome measured, speed of change, and maintenance of change. From pretreatment to 4 months, significantly fewer days of use were found for the family therapy alone and the combined interventions. Significantly more youths had achieved minimal use levels in the family and combined conditions and in CBT. From pretreatment to 7 months, reductions in percentage of days of use were significant for the combined and group interventions, and changes in minimal use levels were significant for the family, combined, and group interventions.
这项随机临床试验评估了针对114名滥用药物青少年的个体认知行为疗法(CBT)、家庭疗法、个体与家庭联合疗法以及团体干预。结果指标为使用大麻的天数百分比以及达到最低使用量的青少年百分比。每种干预措施都显示出了一定疗效,不过在测量结果、变化速度和变化维持方面存在差异。从治疗前到4个月,仅家庭疗法和联合干预措施的使用天数显著减少。在家庭疗法、联合疗法以及CBT中,达到最低使用水平的青少年显著增多。从治疗前到7个月,联合干预和团体干预在使用天数百分比方面的降幅显著,而在家庭疗法、联合疗法和团体干预中,最低使用水平的变化显著。