Vignau Jean, Karila Laurent
Service d'addictologie CHRU-clinique de la Charité-59037 Lille.
Rev Prat. 2003 Jun 15;53(12):1315-9.
During adolescence, addition per se is not a major issue. Drug use is either a physiological experience or a symptom related to psychopathological condition and other forms of psychic suffering. The most relevant parameters predictive of poor outcome are the precocity of the first experiences, the auto-therapeutic use, the repetition of drug intake, and the various types of individual and social vulnerability. Assimilated to addiction, some inappropriate and compulsive ways to modify body shape (dieting, and anabolic steroid abuse) are seen in teenagers although they are difficult to identify. Prevention and treatment in youths requires a pragmatic attitude from the adults, avoiding minimisation or dramatization of drug use and its consequences. Particular attention has to be paid on the detection of underlying psychiatric disorders. Treatment of problematic drug abuse in adolescents is based on both contextual interventions including systematic support of the families and a multidisciplinary approach.
在青春期，成瘾本身并非主要问题。药物使用要么是一种生理体验，要么是与精神病理状况及其他形式的精神痛苦相关的症状。预测不良后果的最相关参数包括首次体验的早熟、自我治疗性使用、药物摄入的重复以及各种个人和社会脆弱性类型。与成瘾类似，青少年中存在一些不适当且强迫性的改变体型的方式（节食和滥用合成代谢类固醇），尽管这些方式难以识别。青少年的预防和治疗需要成年人采取务实的态度，避免对药物使用及其后果进行淡化或夸大。必须特别关注潜在精神障碍的检测。青少年问题药物滥用的治疗基于包括对家庭的系统支持在内的情境干预和多学科方法。
