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青少年饮酒及酒精使用障碍的干预措施。

Interventions for alcohol use and alcohol use disorders in youth.

出版信息

Alcohol Res Health. 2004;28(3):163-74.

PMID:19093690
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6601658/
Abstract

Designing effective interventions for adolescents with alcohol use disorders (AUDs) presents several challenges, not the least of which is the accurate diagnosis of these disorders. Diagnostic criteria for AUDs have been derived largely from clinical and research experience with adults. When these criteria were tested among adolescents, numerous developmental differences were found that may affect the applicability of AUD criteria to this age group. Despite the absence of clear diagnostic criteria for use with adolescents, research has identified interventions that show promise for use with youth. This article examines both environmental- and individual-level approaches to underage drinking prevention, including school- and family-based programs, and macroenvironmental and multicomponent comprehensive interventions. Finally, it describes brief and complex treatment interventions.

摘要

为患有酒精使用障碍(AUDs)的青少年设计有效的干预措施面临着诸多挑战,其中最主要的挑战之一是对这些障碍的准确诊断。AUDs的诊断标准很大程度上源自对成年人的临床和研究经验。当在青少年中测试这些标准时,发现了许多可能影响AUD标准适用于该年龄组的发育差异。尽管缺乏适用于青少年的明确诊断标准,但研究已经确定了一些有望用于青少年的干预措施。本文探讨了预防未成年人饮酒的环境层面和个人层面的方法,包括基于学校和家庭的项目,以及宏观环境和多成分综合干预措施。最后,它描述了简短和复杂的治疗干预措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c967/6601658/b9a4719b9292/163-174f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c967/6601658/b9a4719b9292/163-174f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c967/6601658/b9a4719b9292/163-174f1.jpg

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Addict Behav. 2005 Oct;30(9):1797-810. doi: 10.1016/j.addbeh.2005.07.003. Epub 2005 Aug 18.
3
What were they thinking? Adolescents' interpretations of DSM-IV alcohol dependence symptom queries and implications for diagnostic validity.他们在想什么?青少年对《精神疾病诊断与统计手册》第四版酒精依赖症状询问的解读及其对诊断效度的影响。
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Fluoxetine in adolescents with comorbid major depression and an alcohol use disorder: a 3-year follow-up study.氟西汀治疗合并重度抑郁症和酒精使用障碍的青少年:一项3年随访研究。
Addict Behav. 2005 May;30(4):807-14. doi: 10.1016/j.addbeh.2004.08.025.
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Evidence-based cognitive-behavioral and family therapies for adolescent alcohol and other substance use disorders.针对青少年酒精及其他物质使用障碍的循证认知行为疗法和家庭疗法
Recent Dev Alcohol. 2005;17:383-405. doi: 10.1007/0-306-48626-1_18.
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Treatment of adolescent alcohol-related problems. A translational perspective.青少年酒精相关问题的治疗:一种转化医学视角
Recent Dev Alcohol. 2005;17:327-48. doi: 10.1007/0-306-48626-1_15.
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On the learning curve: the emerging evidence supporting cognitive-behavioral therapies for adolescent substance abuse.处于学习曲线阶段:支持认知行为疗法治疗青少年药物滥用的新证据
Addiction. 2004 Nov;99 Suppl 2(Suppl 2):93-105. doi: 10.1111/j.1360-0443.2004.00857.x.