Department of Psychiatry, Medical University of South Carolina, Charleston, South Carolina.
Alcohol Res Health. 2009;32(1):76-82.
Over the past decade, treatment programs have been developed specifically for adolescents with alcohol and other drug (AOD) use disorders. The vast majority of these programs use psychosocial approaches, which can be further classified into family-based interventions and multisystemic therapy, motivational enhancement therapy, behavioral therapy, and cognitive-behavioral therapy. Outcome studies have evaluated the effectiveness of the different approaches. The results indicate that all of these strategies can improve an adolescent's outcome on a variety of measures. Pharmacotherapy rarely is used in the treatment of adolescents with AOD use disorders, and existing studies only have assessed the effectiveness of agents aimed at treating coexisting psychiatric conditions. Future studies should use more consistent, state-of-the-art assessment instruments developed specifically for adolescents and also pay greater attention to an adolescent's developmental status and its impact on treatment outcome.
在过去的十年中，已经专门针对患有酒精和其他药物（AOD）使用障碍的青少年制定了治疗方案。这些方案绝大多数都采用心理社会方法，可以进一步分为基于家庭的干预和多系统治疗、动机增强治疗、行为治疗和认知行为治疗。结果研究评估了不同方法的有效性。结果表明，所有这些策略都可以改善青少年在各种措施上的结果。在治疗患有 AOD 使用障碍的青少年时很少使用药物治疗，而且现有的研究仅评估了针对治疗共存精神疾病的药物的有效性。未来的研究应该使用更一致、专为青少年开发的最先进的评估工具，并且更加关注青少年的发展状况及其对治疗结果的影响。
