McKowen James, Berger Amy, Towbin Joshua, Yule Amy M, Woodward Diana, Nowinski Lisa, Forchelli Gina, Meyers Robert J, Joshi Gagan, Wilens Timothy E
Clinical and Research Programs in Pediatric Psychopharmacology and Adult ADHD, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA.
Department of Psychiatry, Boston University School of Medicine, Boston Medical Center, 720 Harrison Avenue, Suite 915, Boston, MA 02118, USA.
Case Rep Psychiatry. 2023 Apr 1;2023:8998160. doi: 10.1155/2023/8998160. eCollection 2023.
Research highlights the increasing overlap of autism spectrum disorder and substance use disorders in young people. However, no behavioral treatments exist addressing this comorbidity despite great need. A team of clinicians developed an integrated behavioral protocol addressing substance use in youth with autism spectrum disorder. The multidisciplinary team developed 12 youth, 7 parent, and 3 joint modules based on established evidence-based therapies shown to have effectiveness separately addressing autism spectrum and substance use. Two cases are discussed to illuminate this integrated intervention. Adaptations to the protocol were made during feedback from patients and their parents. Further research is needed to determine the effectiveness of this preliminary protocol.
研究突出表明，年轻人中自闭症谱系障碍与物质使用障碍的重叠情况日益增加。然而，尽管对此合并症有巨大需求，但目前尚无针对此情况的行为治疗方法。一组临床医生制定了一种综合行为方案，用于解决患有自闭症谱系障碍的青少年的物质使用问题。这个多学科团队基于已证实的循证疗法，分别针对自闭症谱系障碍和物质使用开发了12个青少年模块、7个家长模块和3个联合模块，这些疗法已被证明各自有效。文中讨论了两个案例以阐明这种综合干预措施。在患者及其家长的反馈过程中对方案进行了调整。需要进一步研究以确定这一初步方案的有效性。
