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青少年精神活性物质使用管理的第三代疗法:范围综述

Third-Generation Therapies for the Management of Psychoactive Substance Use in Young People: Scoping Review.

作者信息

Sequeda Gabriela, Acosta-López Johan E, Diaz-Camargo Edgar, Torres-Santos Eduardo-Andrés, López-Ramírez Valentina, Rivera-Porras Diego

机构信息

Grupo de Investigación en Modelamiento Científico e Innovación Empresarial, Facultad de Ciencias Jurídicas y Sociales, Universidad Simón Bolívar, Cúcuta 540001, Colombia.

Centro de Investigaciones en Ciencias de la Vida, Facultad de Ciencias Jurídicas y Sociales, Universidad Simón Bolívar, Barranquilla 080005, Colombia.

出版信息

Behav Sci (Basel). 2024 Dec 13;14(12):1192. doi: 10.3390/bs14121192.

Abstract

INTRODUCTION

Third-generation therapies (TGTs) have been shown to be effective in the treatment of substance use behaviors in college-aged adolescents. These therapies are based on acceptance, mindfulness and psychological flexibility, which enable young people to change their Psychoactive Substance Use (PSU)-related behaviours, develop coping skills to manage difficult emotions and thoughts, reduce experiential avoidance and maintain long-term abstinence.

OBJECTIVE

To explore the implementation and potential benefits of third-generation therapies, Acceptance and Commitment Therapy (ACT), Dialectical Behaviour Therapy (DBT) and Mindfulness, for the treatment of PSU in college youth. This review includes articles within a 5-year window.

METHOD

A scoping, observational and retrospective review was conducted using the PRISMA method in SCOPUS, PUBMED and Web of Science.

RESULTS

eight studies were found, six based on mindfulness, one on dialectical behaviour therapy and one on acceptance and commitment therapy. The results of the studies are promising and emerging for the intervention of the problem.

CONCLUSION

The interventions used show evidence of reducing PSU and other mental health problems such as anxiety, depression and post-traumatic stress. In addition, they allowed patients to increase their well-being and mindfulness.

摘要

引言

第三代疗法(TGTs)已被证明在治疗大学年龄段青少年的物质使用行为方面有效。这些疗法基于接纳、正念和心理灵活性,使年轻人能够改变与精神活性物质使用(PSU)相关的行为,培养应对困难情绪和想法的技能,减少经验性回避并保持长期戒断。

目的

探讨第三代疗法,即接纳与承诺疗法(ACT)、辩证行为疗法(DBT)和正念,在治疗大学生PSU方面的实施情况和潜在益处。本综述纳入了5年内发表的文章。

方法

采用PRISMA方法在SCOPUS、PUBMED和科学网进行了一项范围界定、观察性和回顾性综述。

结果

共找到8项研究,其中6项基于正念,1项基于辩证行为疗法,1项基于接纳与承诺疗法。这些研究的结果对于该问题的干预很有前景且不断涌现。

结论

所采用的干预措施显示出有证据减少PSU以及其他心理健康问题,如焦虑、抑郁和创伤后应激障碍。此外,它们还能让患者提高幸福感和正念水平。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f893/11673247/1846ae746ab9/behavsci-14-01192-g001.jpg

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