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首页> 外文期刊>Journal of the American Academy of Child and Adolescent Psychiatry >A contingency management intervention for adolescent marijuana abuse and conduct problems.
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A contingency management intervention for adolescent marijuana abuse and conduct problems.

机译：针对青少年大麻滥用和行为问题的应急管理干预措施。

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OBJECTIVE:: To describe an innovative treatment for adolescent marijuana abuse and provide initial information about its feasibility, acceptability, and potential efficacy. METHOD:: Provided an intervention composed of (1) a clinic-administered, abstinence-based incentive program; (2) parent-directed contingency management targeting substance use and conduct problems; (3) a clinic-administered incentive program for parent participation; and (4) individual cognitive-behavioral therapy for adolescents. Data are presented for 19 adolescents, age 15-18 years. Measures of substance use, psychopathology, and parenting were collected before and after the 14-week treatment. Substance use measures were also collected 1 month post-treatment. Substance use was monitored by twice-weekly urine and breath testing. An intent-to-treat model was used. RESULTS:: Adolescents and parents attended an average of 10.3 and 10.6 of 14 sessions, respectively. Substance use, externalizing behaviors, and negative parenting behaviors decreased by treatment end. Urine testing indicated that abstinence increased from 37% at intake to 74% at treatment end (z value = 2.28, p = .02) and that 53% of adolescents were abstinent 30 days post-treatment. CONCLUSIONS:: Preliminary data provide support for the feasibility and acceptability of a family-based, contingency management model to treat adolescent substance use and conduct problems. Controlled efficacy studies with larger samples are needed.
机译：目的：描述一种用于青少年大麻滥用的创新治疗方法，并提供有关其可行性，可接受性和潜在功效的初步信息。方法：提供了一种干预措施，该干预措施包括：（1）由诊所管理的基于禁欲的激励计划; （2）针对物质使用和行为问题的家长指导的应急管理; （3）由诊所管理的家长参与奖励计划; （4）针对青少年的个体认知行为疗法。列出了19至15岁至18岁的青少年的数据。在治疗14周之前和之后，收集了药物使用，心理病理学和育儿方面的指标。治疗后1个月也收集了物质使用措施。通过每周两次尿液和呼气测试监测药物使用情况。使用意向治疗模型。结果：青少年和父母平均分别参加了14节课的10.3和10.6。治疗结束后，物质使用，外在行为和负性养育行为减少。尿液测试表明，戒酒从摄入时的37％上升到治疗结束时的74％（z值= 2.28，p = .02），治疗后30天戒断的青少年为53％。结论：初步数据为基于家庭的应急管理模型治疗青少年物质使用和行为问题的可行性和可接受性提供了支持。需要对较大样本进行对照功效研究。

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