针对患有酒精使用障碍的青少年和青年的心理社会治疗方案：系统评价与荟萃分析。

Psychosocial treatment options for adolescents and young adults with alcohol use disorder: systematic review and meta-analysis.

作者信息

Belay Getaneh Mulualem, Mak Yim Wah, Wong Frances Kam Yuet, Lam Katherine Ka Wai, Liu Qi, Yang Funa, Mao Ting, Wu Cynthia Sau Ting, Ho Ka Yan

机构信息

School of Nursing, Hong Kong Polytechnic University, HKSAR, Kowloon, Hong Kong SAR, China.

出版信息

Front Public Health. 2024 Jul 23;12:1371497. doi: 10.3389/fpubh.2024.1371497. eCollection 2024.

DOI:10.3389/fpubh.2024.1371497

PMID:39114525

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11303970/

Abstract

INTRODUCTION

Psychosocial intervention is imperative for treating alcohol use disorder (AUD), but there is no comprehensive evidence regarding its effectiveness. Therefore, this study aimed to determine the effectiveness of psychosocial interventions in treating AUD amongadolescents and young adults.

METHODS

In this systematic review and meta-analysis, articles were searched from EMBASE, PubMed, Medline, CINAHL, Web of Science, PsycINFO, and Scopus. Also, articles were retrieved from gray literature. The quality of articles has been assessed using the Cochrane risk of bias assessment.

RESULTS

A total of 12 randomized controlled trials were included. Integrated family and CBT, CBT, guided self-change, and ecologically based family therapy had a mild effect in reducing alcohol use frequency. On the other hand, integrated motivational enhancement therapy and CBT (-0.71 [95% CI: -0.97, -0.45]) and common elements treatment approaches (4.5 [95% CI: 6.9, 2.2]) had the highest effect size for reducing alcohol use frequency and amount, respectively. In conclusion, most of the interventions had no significant effect on different drinking outcomes. Nonetheless, the effectiveness of combined interventions surpassed that of the single interventions. The effect of psychosocial interventions on abstinence was inconclusive. Therefore, future studies will explore alternative, newly emerged third-wave therapeutic approaches.

SYSTEMATIC REVIEW REGISTRATION

PROSPERO, CRD42023435011, https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=435011.

摘要

引言

心理社会干预对于治疗酒精使用障碍（AUD）至关重要，但关于其有效性尚无全面证据。因此，本研究旨在确定心理社会干预在治疗青少年和青年酒精使用障碍中的有效性。

方法

在这项系统评价和荟萃分析中，从EMBASE、PubMed、Medline、CINAHL、科学网、PsycINFO和Scopus中检索文章。此外，还从灰色文献中检索文章。已使用Cochrane偏倚风险评估对文章质量进行评估。

结果

共纳入12项随机对照试验。综合家庭与认知行为疗法（CBT）、CBT、引导式自我改变和生态家庭疗法在降低饮酒频率方面有轻微效果。另一方面，综合动机增强疗法和CBT（-0.71 [95%置信区间：-0.97，-0.45]）以及共同要素治疗方法（4.5 [95%置信区间：6.9，2.2]）在降低饮酒频率和饮酒量方面分别具有最高的效应量。总之，大多数干预措施对不同的饮酒结果没有显著影响。尽管如此，联合干预的有效性超过了单一干预。心理社会干预对戒酒的效果尚无定论。因此，未来的研究将探索替代性的、新出现的第三波治疗方法。