Ramchand Rajeev, Griffin Beth Ann, Slaughter Mary Ellen, Almirall Daniel, McCaffrey Daniel F
RAND, 1200 South Hayes Street, Arlington, VA 22202.
RAND, 1200 South Hayes Street, Arlington, VA 22202.
J Subst Abuse Treat. 2014 Nov-Dec;47(5):339-46. doi: 10.1016/j.jsat.2014.06.012. Epub 2014 Jul 12.
Providers who treat adolescents with co-occurring substance use and mental health issues may prioritize treatment of one set of symptoms believing that improvements in one domain will result in improvements of the other. However, limited empirical data for adolescents provide evidence of such "spillover effects." Using data from 2900 youth in an outpatient treatment, we examined whether during-treatment changes in substance use or mental health symptoms predicted 12-month outcomes in the analogous and opposite domains. There was very little evidence of spillover effects, only that youth with no internal distress at 0 and 3 months reported lower levels of substance use problems at 12-months relative to youth with internal distress that stayed the same from 0 to 3 months. These findings suggest that providers treat both sets of substance use and mental health symptoms in an integrated manner given that these symptoms commonly co-occur among youth with either set.
治疗同时存在物质使用和心理健康问题的青少年的提供者可能会优先治疗一组症状，认为一个领域的改善会导致另一个领域的改善。然而，针对青少年的有限实证数据并未提供这种“溢出效应”的证据。利用来自2900名门诊治疗青少年的数据，我们研究了物质使用或心理健康症状在治疗期间的变化是否能预测12个月后类似和相反领域的结果。几乎没有溢出效应的证据，只有在0个月和3个月时没有内心困扰的青少年在12个月时报告的物质使用问题水平低于在0到3个月期间内心困扰情况保持不变的青少年。这些发现表明，鉴于这些症状在患有其中任何一组症状的青少年中普遍同时出现，提供者应以综合方式治疗物质使用和心理健康这两组症状。
