Department of Human and Organizational Development, Vanderbilt University, Nashville, Tennessee.
Alcohol Res. 2020 Dec 17;40(3):06. doi: 10.35946/arcr.v40.3.06. eCollection 2020.
Although rates of alcohol and other substance use disorders in adolescents have been estimated for decades, little is known about the prevalence, pathways, and predictors of remission and long-term recovery among adolescents. This article provides an integrative review of the literature on youth recovery. A final selection of 39 relevant articles was grouped into five sections: treatment outcomes, special emphasis populations, recovery-oriented systems of care, families, and non-abstinence-based approaches. The review recommends more adolescent research in three basic areas: more research about medication-assisted treatment and recovery as well as harm reduction approaches for adolescents; expansion of research on recovery practices for youth who do not receive treatment due to personal choice or societal disparities; and more life course research, which may begin with adolescent participants and extend across the life span. Additionally, the authors suggest the recovery capital model for adolescents and the neuroscience of addiction may provide additional precision and direction for the study of youth recovery.
尽管几十年来一直在估算青少年的酒精和其他物质使用障碍的发生率,但对于青少年的缓解率、长期康复率及其相关途径和预测因素却知之甚少。本文对青少年康复的文献进行了综合回顾。最后选择了 39 篇相关文章,将其分为五个部分:治疗结果、特殊强调人群、以康复为导向的护理系统、家庭以及非禁欲方法。该综述建议在三个基本领域开展更多的青少年研究:更多关于青少年接受药物辅助治疗和康复以及减少伤害的研究,以及扩大对因个人选择或社会差异而不接受治疗的青少年康复实践的研究;更多的生命历程研究,这可能从青少年参与者开始,并延伸到整个生命周期。此外,作者还建议针对青少年建立康复资本模型,以及成瘾的神经科学可能为青少年康复研究提供更多的精确性和方向。