Brown Richard A, Abrantes Ana M, Minami Haruka, Prince Mark A, Bloom Erika Litvin, Apodaca Timothy R, Strong David R, Picotte Dawn M, Monti Peter M, MacPherson Laura, Matsko Stephen V, Hunt Jeffrey I
Butler Hospital, Providence, RI; Alpert Medical School of Brown University, Providence, RI.
Butler Hospital, Providence, RI; Alpert Medical School of Brown University, Providence, RI.
J Subst Abuse Treat. 2015 Dec;59:20-9. doi: 10.1016/j.jsat.2015.06.016. Epub 2015 Jul 3.
Substance use among adolescents with one or more psychiatric disorders is a significant public health concern. In this study, 151 psychiatrically hospitalized adolescents, ages 13-17 with comorbid psychiatric and substance use disorders, were randomized to a two-session Motivational Interviewing intervention to reduce substance use plus treatment as usual (MI) vs. treatment as usual only (TAU). Results indicated that the MI group had a longer latency to first use of any substance following hospital discharge relative to TAU (36 days versus 11 days). Adolescents who received MI also reported less total use of substances and less use of marijuana during the first 6 months post-discharge, although this effect was not significant across 12 months. Finally, MI was associated with a significant reduction in rule-breaking behaviors at 6-month follow-up. Future directions are discussed, including means of extending effects beyond 6 months and dissemination of the intervention to community-based settings.
患有一种或多种精神疾病的青少年的物质使用是一个重大的公共卫生问题。在这项研究中，151名年龄在13 - 17岁、患有共病精神疾病和物质使用障碍的青少年精神科住院患者被随机分为两组，一组接受两阶段的动机性访谈干预以减少物质使用并结合常规治疗（MI），另一组仅接受常规治疗（TAU）。结果表明，与TAU组相比，MI组出院后首次使用任何物质的延迟时间更长（36天对11天）。接受MI治疗的青少年在出院后的前6个月内报告的物质总使用量和大麻使用量也较少，尽管在12个月内这种效果并不显著。最后，在6个月的随访中，MI与违规行为的显著减少有关。文中讨论了未来的方向，包括将效果延长至6个月以上的方法以及将该干预措施推广到社区环境中。
