Burleson Joseph A, Kaminer Yifrah
Alcohol Research Center, University of Connecticut Health Center, Farmington, Connecticut, USA.
Addict Behav. 2005 Oct;30(9):1751-64. doi: 10.1016/j.addbeh.2005.07.006. Epub 2005 Aug 10.
Youth substance abuse relapse prevention was examined as a function of patients' situational self-efficacy (SE), their confidence to abstain from substance use in high-risk situations. An increase in SE has been shown to be enhanced by cognitive behavioral therapy (CBT) in adults. Eighty-eight adolescent substance abusers were randomly assigned to either CBT or psycho-education (PET) group therapy. Substance use and SE were assessed at end of treatment, 3- and 9-months after the end of planned treatment. Increased SE predicted subsequent abstinence independently from drug urinalysis and treatment condition only during treatment, while previous substance use predicted subsequent self-efficacy. CBT was not differentially effective than PET in promoting SE. It is recommended that potential mediators and moderators of SE in the treatment of adolescent substance abuse should be further explored.
青少年药物滥用复发预防被视为患者情境自我效能（SE）的一项功能，即他们在高风险情境中戒除药物使用的信心。在成年人中，认知行为疗法（CBT）已被证明能增强自我效能的提升。88名青少年药物滥用者被随机分配到CBT或心理教育（PET）团体治疗组。在治疗结束时、计划治疗结束后3个月和9个月评估药物使用情况和自我效能。仅在治疗期间，自我效能的提高独立于药物尿液分析和治疗条件预测后续的戒除情况，而之前的药物使用情况预测后续的自我效能。在促进自我效能方面，CBT与PET的效果没有差异。建议进一步探索青少年药物滥用治疗中自我效能的潜在中介因素和调节因素。
