Callaghan Russell, Taylor Lawren, Victor J Charles, Lentz Tim
Centre for Addiction and Mental Health, 33 Russell Street, Toronto, ON, Canada.
Addict Behav. 2007 Dec;32(12):3101-6. doi: 10.1016/j.addbeh.2007.06.007. Epub 2007 Jun 9.
In the United States and Canada, elevated patterns of methamphetamine-related treatment admissions among youth have triggered questions about appropriate substance-abuse treatment strategies for methamphetamine-using adolescents. This study aimed to provide a comparative examination of the readmission patterns of primary methamphetamine-using and primary cocaine-using adolescents to a cognitive behavioral therapy (CBT)-based alcohol-and-drug inpatient treatment program.
The current study employed a 5-year medical-chart review of all consecutive admissions to an inpatient, hospital-based substance-abuse treatment program for adolescents in northern British Columbia, Canada. After using a propensity-score-matching approach to construct a case-matched sample (n=202) of primary methamphetamine-using and primary cocaine-using adolescents, we employed a Kaplan-Meier survival analysis technique to test group differences in time-to-readmission.
The findings demonstrated that the methamphetamine group did not have a more severe time-to-readmission profile.
General CBT-based treatment-as-usual approaches appear to produce similar long-term readmission outcomes for these two groups of treatment-seeking adolescents.
在美国和加拿大，青少年中与甲基苯丙胺相关的治疗入院率上升引发了关于针对使用甲基苯丙胺的青少年的适当药物滥用治疗策略的问题。本研究旨在对主要使用甲基苯丙胺和主要使用可卡因的青少年重新入院模式进行比较，这些青少年参加了一个基于认知行为疗法（CBT）的酒精和药物住院治疗项目。
本研究对加拿大不列颠哥伦比亚省北部一家医院为青少年提供的住院药物滥用治疗项目的所有连续入院病例进行了为期5年的病历审查。在使用倾向得分匹配方法构建主要使用甲基苯丙胺和主要使用可卡因的青少年病例匹配样本（n = 202）后，我们采用Kaplan-Meier生存分析技术来测试重新入院时间的组间差异。
研究结果表明，甲基苯丙胺组的重新入院时间情况并不更严重。
对于这两组寻求治疗 的青少年，一般基于CBT的常规治疗方法似乎能产生相似的长期重新入院结果。
