针对同时存在的药物滥用和重度抑郁症的综合认知行为疗法：来自青少年心理健康服务机构的经验教训。
Integrated cognitive behaviour therapy for co-occurring substance misuse and major depression: lessons from a youth mental health service.
作者信息
Carroll Steve, Hides Leanne, Catania Lisa, Mathias Steve, Greenwood-Smith Catherine, Lubman Dan
机构信息
Orygen Youth Health, Melbourne, VIC, Australia.
出版信息
Australas Psychiatry. 2009;17(5):365-70. doi: 10.1080/10398560902912544.
OBJECTIVE
The aim of this paper is to describe a 20-week integrated cognitive behavioural therapy (CBT) program addressing co-occurring substance misuse and major depression in young people.
METHOD
Participants were aged between 15 and 25 years, met DSM-IV criteria for major depressive disorder and had at least weekly illicit drug use and/or weekly alcohol use exceeding the Australian national guidelines on alcohol.
RESULTS
Between December 2004 and January 2007, an integrated CBT program was offered to 60 young people with co-occurring depression and substance misuse who presented to a youth-specific mental health service. Young people attended for a median of 10.5 sessions.
CONCLUSIONS
We describe the components of a 20-week integrated CBT program for young people with co-occurring depression and comorbid substance misuse, as well as the challenges associated with providing such treatment. While integrated treatment approaches are recommended as best practice for this population, further evaluation is necessary to determine their effectiveness within routine clinical settings.
目的
本文旨在描述一个为期20周的综合认知行为疗法（CBT）项目，该项目针对年轻人中同时存在的药物滥用和重度抑郁问题。
方法
参与者年龄在15至25岁之间，符合重度抑郁症的DSM-IV标准，且至少每周有非法药物使用和/或每周饮酒量超过澳大利亚国家酒精使用指南。
结果
在2004年12月至2007年1月期间，一个综合CBT项目被提供给60名同时患有抑郁症和药物滥用问题的年轻人，他们前往一家针对青少年的心理健康服务机构就诊。年轻人参加治疗的中位数为10.5次疗程。
结论
我们描述了一个为期20周的综合CBT项目的组成部分，该项目针对同时患有抑郁症和共病药物滥用问题的年轻人，以及提供此类治疗所面临的挑战。虽然综合治疗方法被推荐为该人群的最佳实践，但需要进一步评估以确定其在常规临床环境中的有效性。
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