Hogue Aaron, Porter Nicole P, Henderson Craig E, Ozechowski Timothy J, Wenzel Kevin, Fishman Marc, Becker Sara J
FACTS, Partnership to End Addiction.
Department of Psychology, Sam Houston State University.
J Clin Child Adolesc Psychol. 2025 Aug 4:1-25. doi: 10.1080/15374416.2025.2521855.
This systematic review (1) updates the evidence base on outpatient behavioral treatments for adolescent substance use (ASU) since publication of the previous review completed for this journal by Hogue, Henderson, Becker, and Knight (2018); and (2) addresses public health concerns related to youth marijuana and opioid use.
We first summarize the earlier updates, along with those from recent literature reviews and meta-analytic studies, of ASU treatments. We then present study design and methods criteria used to identify five comparative studies subjected to JCCAP level of support evaluation. We detail these five studies in terms of their sample characteristics, quality of evidence, and substance use outcomes. Cumulative level of support designations are then made for each identified treatment approach.
These cumulative designations are identical to those of the previous review: ecological family-based treatment, individual cognitive-behavioral therapy, and group cognitive-behavioral therapy are Well-Established; behavioral family-based treatment and motivational interviewing are Probably Efficacious; drug counseling is Possibly Efficacious; and five multicomponent treatments (three of which include contingency management) are Well-Established or Probably Efficacious.
To address pressing issues in ASU treatment, we discuss best practices and promising research on behavioral and medication interventions for marijuana use and opioid use. We conclude with opportunities for advancing ASU treatment science in the areas of technology-based intervention, co-occurring disorders, addiction recovery, and access to and delivery of evidence-based approaches.
本系统评价（1）自霍格、亨德森、贝克尔和奈特（2018年）为本期刊完成上一次综述发表以来，更新青少年物质使用（ASU）门诊行为治疗的证据基础；（2）解决与青少年大麻和阿片类药物使用相关的公共卫生问题。
我们首先总结ASU治疗的早期更新内容，以及近期文献综述和荟萃分析研究的更新内容。然后，我们介绍用于确定五项接受JCCAP支持水平评估的比较研究的研究设计和方法标准。我们详细介绍这五项研究的样本特征、证据质量和物质使用结果。然后对每种确定的治疗方法进行累积支持水平指定。
这些累积指定与上一次综述相同：基于生态家庭的治疗、个体认知行为疗法和团体认知行为疗法已得到充分确立；基于行为家庭的治疗和动机访谈可能有效；药物咨询可能有效；五种多成分治疗（其中三种包括应急管理）已得到充分确立或可能有效。
为了解决ASU治疗中的紧迫问题，我们讨论了针对大麻使用和阿片类药物使用的行为和药物干预的最佳实践和有前景的研究。我们最后讨论了在基于技术的干预、共病、成瘾康复以及循证方法的获取和提供等领域推进ASU治疗科学的机会。
