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From assessment reactivity to aftercare for adolescent substance abuse: are we there yet?

机译:从评估反应性到青少年滥用药物的善后处理:我们到了吗?

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摘要

This article addresses less developed areas of clinical research that are of great importance for better understanding the therapeutic process along the continuum of care in youth with alcohol and other substance use disorders (AOSUD). These include the rationale, design, mechanisms of behavior change (MBCs), implementation, monitoring, and outcome-based modification of treatment continuum for youth with AOSUD. The specific objectives are: (1) present current knowledge pertaining to the pretreatment phase including the effect of baseline assessment on treatment outcome; (2) address potential MBCs in treatment; (3) discuss the importance of aftercare, also known as continued care, to prevent postintervention relapse; (4) consider how reconceptualization of therapeutic paradigms might advance the field, in particular treatment algorithm or adaptive treatment strategies addressing poor response to treatment.
机译:本文介绍了临床研究中欠发达的领域,这些领域对于更好地理解患有酒精和其他药物滥用疾病(AOSUD)的年轻人的持续护理过程具有重要意义。这些内容包括AOSUD青年的基本原理,设计,行为改变机制(MBC),实施,监测和基于结果的治疗连续性修改。具体目标是:(1)当前关于预处理阶段的知识,包括基线评估对治疗结果的影响; (2)处理潜在的MBC; (3)讨论后期护理(也称为持续护理)对预防干预后复发的重要性; (4)考虑治疗范式的重新概念化可能如何推动该领域的发展,特别是针对对治疗反应较差的治疗算法或适应性治疗策略。

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