Sarani Yaztappeh Jafar, Bakhtiyari Maryam, Bakhshani Nour-Mohammad, Mousavi Seyedeh Elnaz, Masjedi-Arani Abbas, Saberi Esfeedvajani Mohsen
Department of Clinical Psychology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Children and Adolescent Health Research Center, Zahedan University of Medical Sciences, Zahedan, Iran.
J Educ Health Promot. 2024 Sep 28;13:361. doi: 10.4103/jehp.jehp_270_24. eCollection 2024.
Adolescents with a background in families affected by substance use exhibit an increased susceptibility to developing individual substance-related or other mental disorders. Consequently, they represent a crucial demographic for targeted preventive interventions. The current study examined the impact of selective prevention (SP) and family-based prevention (F-BP) measures on addiction susceptibility, affiliation with deviant peers (ADP), risk-taking, and risk and protective factors (RPFs) related to substance use among high-risk adolescents.
The study employed an experimental design incorporating pretest, posttest, and 6-month follow-up. A sample of 60 adolescents, meeting the study criteria, was selected and assigned to two intervention groups and one control group using a simple randomization method (with 20 individuals in each group). Measures encompassed the Risk and Protective Factors Inventory (RAPI), Addiction Susceptibility Questionnaire-Adolescents Version (ASQ-AV), Adolescent Affiliation with Deviant Peers Scale (AADPS), and Iranian Adolescents Risk-taking Scale (IARS). The data were analyzed with repeated measures analysis of variance (ANOVA) using Statistical Package for the Social Sciences (SPSS) version 24 software.
The results revealed significant differences only between the SP and F-BP groups in the variables of adolescent risk-taking and addiction susceptibility. However, for the other study variables, no significant differences were observed between the SP and F-BP groups. Furthermore, notable differences were identified between the control group and F-BP, as well as between the control group and SP, across all study variables ( value < 0.05).
The outcomes of our investigation reinforce the importance of adopting multifaceted approaches in substance abuse prevention, emphasizing the need to target various aspects of individuals' lives. Regarding data generalization, it is noteworthy that the sample comprised adolescents predominantly from middle- or low-income groups, suggesting caution in extending findings to the entire adolescent population. Finally, we recommend that future studies assess interventions that involve both adolescents and parents in sessions.
有物质使用问题家庭背景的青少年患个体物质相关或其他精神障碍的易感性增加。因此，他们是有针对性预防干预的关键人群。本研究考察了选择性预防（SP）和基于家庭的预防（F-BP）措施对高危青少年成瘾易感性、与不良同伴的交往（ADP）、冒险行为以及与物质使用相关的风险和保护因素（RPFs）的影响。
本研究采用了包含预测试、后测试和6个月随访的实验设计。选取了60名符合研究标准的青少年样本，采用简单随机化方法将其分为两个干预组和一个对照组（每组20人）。测量工具包括风险和保护因素量表（RAPI）、青少年成瘾易感性问卷（ASQ-AV）、青少年与不良同伴交往量表（AADPS）以及伊朗青少年冒险量表（IARS）。使用社会科学统计软件包（SPSS）24版软件对数据进行重复测量方差分析（ANOVA）。
结果显示，仅在青少年冒险行为和成瘾易感性变量上，SP组和F-BP组之间存在显著差异。然而，对于其他研究变量，SP组和F-BP组之间未观察到显著差异。此外，在所有研究变量上，对照组与F-BP组之间以及对照组与SP组之间均存在显著差异（P值<0.05）。
我们的调查结果强化了在药物滥用预防中采用多方面方法的重要性，强调需要针对个体生活的各个方面。关于数据的推广，值得注意的是，样本主要由中低收入群体的青少年组成，这表明在将研究结果推广到整个青少年群体时需谨慎。最后，我们建议未来的研究评估在干预过程中让青少年及其父母都参与的干预措施。
