National Centre for Youth Substance Use Research, The University of Queensland, Brisbane 4072, Australia.
School of Psychology, The University of Queensland, Brisbane 4072, Australia.
Int J Environ Res Public Health. 2022 Oct 24;19(21):13835. doi: 10.3390/ijerph192113835.
This cohort-controlled trial examined whether the 12-session Grit Wellbeing and Self-regulation Program enhanced the treatment outcomes of young people accessing residential alcohol and other drug (AOD) treatment. Grit focuses on increasing wellbeing and reducing substance use and mental health problems by building self-regulation skills, strengths, social connections, and health behaviours. Participants were 194 (66% male, Mage 27.40) young people (aged 18-35 years) accessing a six-week residential treatment program for substance use. Participants received standard treatment, or standard treatment plus Grit (two sessions/week for six weeks). The primary outcome was substance use, measured as: (i) global substance use and (ii) alcohol, methamphetamine, and cannabis use involvement. Secondary outcomes included wellbeing, depression, anxiety, and vocational engagement. Participants were assessed at baseline, and 6-weeks (secondary outcomes only), 3-months, 6-months, and 12-months post-program enrolment. Results revealed that both groups showed a significant improvement in all outcomes at three months, and improvements were maintained at 6- and 12-month follow-ups. The Grit group had a larger reduction in methamphetamine and cannabis use involvement compared to the control group. This study presents promising evidence that a six-week residential program can achieve improvements in AOD use, depression, anxiety, wellbeing and vocational engagement. Further, targeting self-regulation may enhance such programs.
本队列对照试验研究了为期 12 节的坚韧幸福与自我调节课程是否能增强接受住院酒精和其他药物（AOD）治疗的年轻人的治疗效果。坚韧课程专注于通过建立自我调节技能、优势、社会联系和健康行为来提高幸福感、减少物质使用和精神健康问题。参与者为 194 名（66%为男性，平均年龄 27.40 岁）年轻人（年龄 18-35 岁），他们正在接受为期六周的住院治疗药物滥用项目。参与者接受标准治疗或标准治疗加坚韧课程（每周两次，持续六周）。主要结果是物质使用，包括：（i）总体物质使用和（ii）酒精、冰毒和大麻使用情况。次要结果包括幸福感、抑郁、焦虑和职业参与度。参与者在基线时、治疗六周时（仅评估次要结果）、三个月、六个月和十二个月时进行评估。结果表明，两组在三个月时所有结果都有显著改善，并且在六个月和十二个月的随访中仍保持改善。坚韧组在减少冰毒和大麻使用情况方面比对照组有更大的改善。这项研究提供了有希望的证据，表明为期六周的住院治疗计划可以改善 AOD 使用、抑郁、焦虑、幸福感和职业参与度。此外，针对自我调节可能会增强这些项目。
