针对抑郁且滥用药物青少年的认知行为干预：开发与初步测试
Cognitive-behavioral intervention for depressed, substance-abusing adolescents: development and pilot testing.
作者信息
Curry John F, Wells Karen C, Lochman John E, Craighead W Edward, Nagy Paul D
机构信息
Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, USA.
出版信息
J Am Acad Child Adolesc Psychiatry. 2003 Jun;42(6):656-65. doi: 10.1097/01.CHI.0000046861.56865.6C.
OBJECTIVES
To develop a cognitive-behavioral treatment for depressed, substance-abusing adolescents, determine its feasibility, and test its association with symptomatic improvement.
METHOD
Based on the efficacy of cognitive-behavioral interventions for either adolescent depression or substance abuse, an integrated group and family therapy intervention was developed for adolescents with both problems. The developers treated a group of six adolescents and families, and then trained experienced therapists to deliver the treatment to a second group of seven. Adolescents were 14 to 18 years of age. Measures of depression and substance abuse were collected before, during, and after treatment.
RESULTS
High retention in treatment and attendance at sessions supported feasibility. Parent interviews demonstrated significant improvement in adolescent substance abuse, and adolescent measures demonstrated significant improvement in both domains.
CONCLUSIONS
Integrated outpatient cognitive-behavioral intervention is feasible and associated with improvement for depressed, substance-abusing adolescents. Controlled efficacy studies are needed. Additional treatment modalities will be required for a proportion of these adolescents.
目的
为患有抑郁症且滥用药物的青少年开发一种认知行为疗法，确定其可行性，并测试其与症状改善之间的关联。
方法
基于认知行为干预对青少年抑郁症或药物滥用的疗效，为同时存在这两种问题的青少年开发了一种综合的团体和家庭治疗干预方法。开发者对一组六名青少年及其家庭进行了治疗，然后培训经验丰富的治疗师为另一组七名青少年提供该治疗。青少年年龄在14至18岁之间。在治疗前、治疗期间和治疗后收集了抑郁症和药物滥用的测量数据。
结果
治疗的高保留率和 sessions 的出勤率支持了可行性。家长访谈表明青少年药物滥用有显著改善，青少年测量数据表明在两个领域都有显著改善。
结论
综合门诊认知行为干预对患有抑郁症且滥用药物的青少年是可行的，且与改善相关。需要进行对照疗效研究。这些青少年中的一部分将需要额外的治疗方式。
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