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探讨情绪和行为问题在针对智障青少年和年轻成人物质使用的人格定向预防计划中的作用。

Exploring the role of emotional and behavioral problems in a personality-targeted prevention program for substance use in adolescents and young adults with intellectual disability.

机构信息

Behavioural Science Institute, Radboud University, Nijmegen, the Netherlands; Pluryn Research & Development, Nijmegen, the Netherlands.

Behavioural Science Institute, Radboud University, Nijmegen, the Netherlands; Pluryn Research & Development, Nijmegen, the Netherlands; The REACH Institute, Department of Psychology, Arizona State University, Phoenix, USA.

出版信息

Res Dev Disabil. 2021 Feb;109:103832. doi: 10.1016/j.ridd.2020.103832. Epub 2020 Dec 25.

DOI:10.1016/j.ridd.2020.103832
PMID:33360962
Abstract

BACKGROUND

Adolescents and young adults with a mild intellectual disability or borderline intellectual functioning (MID-BIF) are at risk for problematic substance use and are more likely to have emotional and behavioral problems than peers without MID-BIF. A personality-targeted prevention program called Take it Personal! effectively reduces substance use in adolescents and young adults with MID-BIF.

AIMS

The program's effectiveness was examined on its secondary goal: reducing emotional and behavioral problems. The potentially moderating role of these problems on the program's effectiveness with substance use was also explored.

METHODS AND PROCEDURES

Substance use and emotional and behavioral problems were compared between participants in Take it Personal! (n = 34) and those in the control condition (n = 32) in a quasi-experimental pre-posttest study with a three-month follow-up. Effectiveness and moderation were assessed with multilevel models.

OUTCOMES AND RESULTS

Take it Personal! seems to reduce rule breaking. There were no significant effects on anxiety, withdrawal, and aggression. None of the problem domains moderated the program's effectiveness on substance use frequency.

CONCLUSIONS AND IMPLICATIONS

Take it Personal! may effectively reduce rule breaking. Moreover, adolescent and young adults with different levels of emotional and behavioral problems benefit equally in terms of reduced substance use.

摘要

背景

轻度智力障碍或边缘智力功能(MID-BIF)的青少年和年轻人存在滥用药物的风险,并且比没有 MID-BIF 的同龄人更容易出现情绪和行为问题。一个名为“Take it Personal!”的针对个性的预防计划有效地减少了 MID-BIF 青少年和年轻人的药物使用。

目的

该计划的效果是基于其次要目标进行检查的:减少情绪和行为问题。还探讨了这些问题对该计划在药物使用方面的有效性的潜在调节作用。

方法和程序

在一项具有三个月随访的准实验前后测试研究中,将“Take it Personal!”(n = 34)和对照组(n = 32)参与者的药物使用和情绪及行为问题进行了比较。使用多层模型评估了有效性和调节作用。

结果

“Take it Personal!”似乎可以减少违规行为。在焦虑、退缩和攻击方面没有显著效果。在药物使用频率方面,没有任何问题领域调节了该计划的有效性。

结论和意义

“Take it Personal!”可能有效地减少违规行为。此外,情绪和行为问题程度不同的青少年和年轻人在减少药物使用方面同样受益。

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