Anderberg Mats, Dahlberg Mikael, Wennberg Peter
Linnaeus University, Växjö, Sweden.
Stockholm University, Stockholm, Sweden.
Nordisk Alkohol Nark. 2021 Oct;38(5):466-479. doi: 10.1177/1455072521995611. Epub 2021 Mar 17.
There is a lack of knowledge about how adolescents with substance abuse problems manage after taking part in treatment. It is also difficult to perform traditional follow-up studies with this group. This article presents the outcome of a prospective study of 455 adolescents who underwent outpatient treatment, based on data taken from official registers. It aims to describe and analyse indications of continued use of substance (CUS) and how various risk and protective factors predict outcomes after initiated treatment at a Maria clinic in Sweden.
The study is based on structured interviews at intake, and the data that indicated CUS were taken from several different national registers. The analyses included descriptive data and bivariate associations, logistic regressions and a CHAID analysis.
Almost two thirds of the adolescents have no indication of CUS at one-year follow-up. The ten studied risk factors independently were weak predictors of CUS and it was instead the accumulation of risk factors that were linked to a negative outcome.
The majority of adolescents who start outpatient treatment for substance abuse problems return to a lesser extent in registers that may indicate a continued problem with alcohol and drugs one year later. A concentration of more than five risk factors appears to be associated with a registration. The study also provides an example of an alternative method for following up adolescents with alcohol and drug abuse problems.
对于有药物滥用问题的青少年在接受治疗后的情况，我们了解不足。对这一群体进行传统的随访研究也很困难。本文基于官方登记数据，呈现了一项对455名接受门诊治疗的青少年进行的前瞻性研究的结果。其目的是描述和分析持续药物使用（CUS）的迹象，以及在瑞典一家玛丽亚诊所开始治疗后，各种风险和保护因素如何预测结果。
该研究基于入院时的结构化访谈，表明CUS的数据来自几个不同的国家登记处。分析包括描述性数据、双变量关联、逻辑回归和CHAID分析。
在一年的随访中，近三分之二的青少年没有CUS的迹象。单独研究的十个风险因素对CUS的预测作用较弱，相反，风险因素的累积与负面结果相关。
大多数开始接受药物滥用问题门诊治疗的青少年，在一年后，在可能表明存在酒精和药物持续问题的登记中显示复发程度较低。超过五个风险因素的集中似乎与登记相关。该研究还提供了一种跟踪有酒精和药物滥用问题青少年的替代方法的示例。
