You Yu-Han, Lu Shing-Fang, Tsai Chih-Pu, Chen Mei-Yen, Lin Chin-Yin, Chong Mian-Yoon, Chou Wen-Jiun, Chen Yi-Syuan, Wang Liang-Jen
1Department of Child and Adolescent Psychiatry, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, 123, Ta-Pei Road, Niao-Sung District, Kaohsiung City, 83301 Taiwan.
Taiwan Kaohsiung Juvenile and Family Court, Kaohsiung, Taiwan.
Ann Gen Psychiatry. 2020 Mar 10;19:17. doi: 10.1186/s12991-020-00269-4. eCollection 2020.
Substance abuse among young people has become a serious public health problem for years. The risk of relapse among illicit drug use is essential for developing adequate substance reuse prevention policies. The purpose of the current study is to investigate the potential predictor in long-term relapse rates among young patients that underwent a family-based treatment program.
To perform this study, 103 young patients with substance use (mean age: 16.2 years, 78.6% male) were referred to participate in a 10-week family-based treatment program. At the beginning and at the end of the treatment, the patients were required to fill out the Chinese Craving Beliefs Questionnaire (CCBQ), the Adolescents' Behavior-problem Scale (ABS), and the Family APGAR. Furthermore, the patients' caregivers had to fill out the Family APGAR, the 12-item version of the Chinese Health Questionnaire (CHQ), and the Parenting Stress Index (PSI). All patients were followed up for 5 years in order to observe their long-term outcomes regarding substance use relapse.
During the 10-week family-oriented programs, the CCBQ scores, the CHQ scores and the Child-domain of PSI significantly decreased. Better changes in patients' behavioral problems during the treatment program predicted a lesser likelihood of substance use relapse in the subsequent 5 years. Furthermore, methamphetamine or 3,4-methylenedioxy-methamphetamine use and living in single-parent families were two factors associated with higher relapse rates.
The changes in patients' behavioral problems during the treatment program may serve as a predictor of substance use relapse over the subsequent 5 years. This study's findings provide insight about substance use prevention and serve as a reference for policy-making.
多年来，年轻人药物滥用已成为一个严重的公共卫生问题。非法药物使用的复发风险对于制定适当的药物滥用预防政策至关重要。本研究的目的是调查接受家庭治疗方案的年轻患者长期复发率的潜在预测因素。
为开展本研究，103名有药物使用问题的年轻患者（平均年龄：16.2岁，78.6%为男性）被转介参加一个为期10周的家庭治疗方案。在治疗开始和结束时，要求患者填写中国渴望信念问卷（CCBQ）、青少年行为问题量表（ABS）和家庭APGAR问卷。此外，患者的照顾者必须填写家庭APGAR问卷、中文版健康问卷（CHQ）的12项版本和育儿压力指数（PSI）。所有患者均随访5年，以观察他们药物使用复发的长期结果。
在为期10周的家庭导向方案期间，CCBQ评分、CHQ评分和PSI的儿童领域评分显著下降。治疗方案期间患者行为问题的更好改善预示着在随后5年中药物使用复发的可能性较小。此外，使用甲基苯丙胺或3,4-亚甲基二氧基甲基苯丙胺以及生活在单亲家庭是与较高复发率相关的两个因素。
治疗方案期间患者行为问题的变化可能作为随后5年药物使用复发的预测指标。本研究结果为药物使用预防提供了见解，并为政策制定提供了参考。
