Piehler Timothy F, Winters Ken C
Department of Family Social Science.
Department of Psychiatry, University of Minnesota Medical School.
Psychol Addict Behav. 2015 Sep;29(3):512-21. doi: 10.1037/adb0000106.
Adolescents (aged 12-18 years) identified in a school setting as abusing marijuana and other drugs were randomly assigned to complete 1 of 2 brief interventions (BIs). Adolescents and their parent (N = 259) were randomly assigned to receive either a 2-session adolescent only (BI-A) or a 2-session adolescent and additional parent session (BI-AP). Interventions were manualized and delivered in a school setting by trained counselors. Adolescents were assessed at intake and at 6 months following the completion of the intervention. Using a latent construct representing 6-month marijuana use outcomes, current findings supported previous research that BI-AP resulted in superior outcomes when compared to BI-A. The presence of a marijuana dependence diagnosis at baseline predicted poorer outcomes when compared to youth without a diagnosis. Both baseline diagnostic status and co-occurring conduct problems interacted with intervention condition in predicting marijuana use outcomes. A marijuana dependence diagnosis resulted in poorer marijuana use outcomes within the BI-A condition when compared to BI-AP. Co-occurring conduct problems were associated with poorer marijuana use outcomes within the BI-AP intervention when compared to BI-A. Implications for implementing BIs given diagnostic status, parent involvement, and co-occurring conduct problems are discussed.
在学校环境中被认定滥用大麻和其他毒品的青少年(年龄在12至18岁之间)被随机分配以完成两种简短干预措施(BI)中的一种。青少年及其父母(N = 259)被随机分配接受仅针对青少年的两阶段干预(BI-A)或针对青少年的两阶段干预以及额外的家长阶段干预(BI-AP)。干预措施按照手册进行,并由经过培训的咨询师在学校环境中实施。在干预开始时以及干预结束后的6个月对青少年进行评估。使用一个代表6个月大麻使用结果的潜在结构,当前研究结果支持了先前的研究,即与BI-A相比,BI-AP能产生更好的结果。与未诊断出问题的青少年相比,基线时存在大麻依赖诊断预示着结果更差。在预测大麻使用结果时,基线诊断状态和同时出现的行为问题都与干预条件相互作用。与BI-AP相比,在BI-A条件下,大麻依赖诊断导致更差的大麻使用结果。与BI-A相比,在BI-AP干预中,同时出现的行为问题与更差的大麻使用结果相关。本文讨论了根据诊断状态、家长参与情况和同时出现的行为问题实施简短干预措施的意义。