Yu Jennifer W, Buka Stephen L, Fitzmaurice Garrett M, McCormick Marie C
Institute for Health Policy Studies, University of California, San Francisco, 3333 California St., Ste. 265, San Francisco, CA 94143, USA.
J Behav Health Serv Res. 2006 Jul;33(3):275-86. doi: 10.1007/s11414-006-9023-5.
This paper assesses whether chemically dependent adolescents with comorbid learning disorders (LDs) derived less effective treatment results when compared to chemically dependent adolescents without LD and examines the moderating effects of prior treatments, treatment length, and treatment completion. Two hundred one adolescents were recruited between 1992 and 1993 from Massachusetts residential treatment centers and subsequently followed up 6 months after enrollment. Compared to chemically dependent teenagers without LD, those with LD were twice as likely to re-use substances at least once by follow-up. LD teenagers were more likely to attend Alcoholics/Narcotics Anonymous if they had prior admissions to treatment programs and longer treatment length. LD teenagers who completed treatment also experienced a greater decrease in current depression compared to LD teenagers not completing the treatment. This study is the first to consider outcomes of substance abuse treatment for adolescents with LD and contributes to the growing literature on comorbidity and substance abuse treatment.
本文评估了患有共病学习障碍（LD）的化学成瘾青少年与未患LD的化学成瘾青少年相比，治疗效果是否较差，并研究了先前治疗、治疗时长和治疗完成情况的调节作用。1992年至1993年间，从马萨诸塞州的住院治疗中心招募了201名青少年，入组后6个月进行随访。与未患LD的化学成瘾青少年相比，患LD的青少年在随访时至少再次使用一次物质的可能性是前者的两倍。如果LD青少年曾有过治疗项目入院经历且治疗时长较长，他们更有可能参加戒酒互助会/匿名戒毒会。与未完成治疗的LD青少年相比，完成治疗的LD青少年当前的抑郁症状也有更大程度的减轻。本研究首次考虑了患有LD的青少年药物滥用治疗的结果，为关于共病和药物滥用治疗的不断增多的文献做出了贡献。
