Hulvershorn Leslie A, Quinn Patrick D, Scott Eric L
Department of Psychiatry, Indiana University School of Medicine, 705 Riley Hospital Drive, Room 4300, Indianapolis, IN 46205, USA.
Curr Drug Abuse Rev. 2015;8(1):41-9. doi: 10.2174/1874473708666150514102745.
The past several decades have seen dramatic growth in empirically supported treatments for adolescent substance use disorders (SUDs), yet even the most well-established approaches struggle to produce large or long-lasting improvements. These difficulties may stem, in part, from the high rates of comorbidity between SUDs and other psychiatric disorders.
We critically reviewed the treatment outcome literature for adolescents with co-occurring SUDs and internalizing disorders.
Our review identified components of existing treatments that might be included in an integrated, evidence-based approach to the treatment of SUDs and internalizing disorders. An effective program may involve careful assessment, inclusion of parents or guardians, and tailoring of interventions via a modular strategy.
The existing literature guides the development of a conceptual evidence-based, modular treatment model targeting adolescents with co-occurring internalizing and SUDs. With empirical study, such a model may better address treatment outcomes for both disorder types in adolescents.
在过去几十年中，针对青少年物质使用障碍（SUDs）的实证支持治疗有了显著增长，但即使是最成熟的方法也难以产生显著或持久的改善。这些困难可能部分源于SUDs与其他精神疾病的高共病率。
我们严格审查了同时患有SUDs和内化障碍的青少年的治疗结果文献。
我们的审查确定了现有治疗方法的组成部分，这些部分可能包含在针对SUDs和内化障碍的综合循证治疗方法中。一个有效的项目可能包括仔细评估、纳入父母或监护人，以及通过模块化策略调整干预措施。
现有文献指导了一种基于概念证据的模块化治疗模型的开发，该模型针对同时患有内化障碍和SUDs的青少年。通过实证研究，这样的模型可能更好地解决青少年这两种障碍类型的治疗结果问题。
