Arnaud Nicolas, Banaschewski Tobias, Nees Frauke, Bucholz Verena Nadine, Klein Michael, Reis Olaf, Legenbauer Tanja, Zapf Antonia, Thomasius Rainer
Universitätsklinikum Hamburg-Eppendorf Deutsches Zentrum für Suchtfragen des Kindes- und Jugendalters (DZSKJ) Martinistr. 52 20246 Hamburg Deutschland.
Klinik für Psychiatrie und Psychotherapie des Kindes- und Jugendalters Zentralinstitut für Seelische Gesundheit Medizinische Fakultät Mannheim Universität Heidelberg Deutschland.
Prax Kinderpsychol Kinderpsychiatr. 2020 Jul;69(4):353-374. doi: 10.13109/prkk.2020.69.4.353.
Substance use disorders (SUD) are a major contributor to morbidity and mortality. They are typically initiated during adolescence and can have fatal implications for healthy development. Despite substantial scientific advances, there remains a need to prioritize research directed at reducing risks for SUD, particularly in vulnerable periods and populations from a developmental perspective. Research indicates that reward sensitivity, impulsivity, deficient self-regulation, and stress reactivity develop markedly in childhood and adolescence and play an important role in the initiation and maintenance of SUD. A growing number of research results suggest that these factors can be favorably influenced by mindfulness-based interventions and that mindfulness-based exercises can be successfully integrated into established prevention and treatment programs. In this paper we summarize the conceptual relationships between the development and maintenance of addiction disorders and mindfulness, discuss existing empirical findings with regard to childhood and adolescence, and present the aims, study designs and intervention models of the subprojects from the ongoing research network "IMAC-Mind: Improving Mental Health and Reducing Addiction in Childhood and Adolescence through Mindfulness: Mechanisms, Prevention and Treatment".
物质使用障碍(SUD)是导致发病和死亡的主要因素。它们通常始于青春期,可能对健康发展产生致命影响。尽管科学取得了重大进展,但仍需要优先开展旨在降低SUD风险的研究,特别是从发展角度针对脆弱时期和人群的研究。研究表明,奖励敏感性、冲动性、自我调节不足和应激反应在儿童期和青少年期显著发展,并在SUD的起始和维持中发挥重要作用。越来越多的研究结果表明,基于正念的干预可以对这些因素产生积极影响,并且基于正念的练习可以成功地融入既定的预防和治疗方案。在本文中,我们总结了成瘾障碍的发展与维持和正念之间的概念关系,讨论了关于儿童期和青少年期的现有实证研究结果,并介绍了正在进行的研究网络“IMAC-Mind:通过正念改善儿童和青少年的心理健康并减少成瘾:机制、预防和治疗”中各子项目的目标、研究设计和干预模型。