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首页> 外文期刊>Journal of dual diagnosis >Does adolescents' readiness to change substance use behavior differ depending on profile of psychiatric comorbidity?
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Does adolescents' readiness to change substance use behavior differ depending on profile of psychiatric comorbidity?

机译：青少年是否准备改变物质使用行为的差异，具体取决于精神分子合并症的轮廓？

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Objectives: Certain psychiatric diagnoses, such as conduct disorder, typically predict more chronic course of substance use in adolescents. Little is known, however, regarding the extent to which an adolescent's profile of psychiatric comorbidity is associated with differences in readiness to change substance use behavior following admission to outpatient treatment. Methods: Adolescents (N = 169, 14-18 years old) recruited from addictions treatment completed a comprehensive assessment of substance use and other psychiatric disorders, and measures of readiness to change substance use. Latent class analysis was used to identify distinct profiles of comorbid psychopathology, which were then related to measures of readiness to change. Results: The most prevalent psychiatric disorders were conduct disorder (47%), major depression (29%), attention deficit-hyperactivity disorder (17%), and oppositional defiant disorder (11%). Latent class analysis identified 6 distinct profiles of psychiatric comorbidity. Allprofiles included conduct disorder symptoms, with varying severity. The most prevalent class consisted of teens primarily with conduct problems only (23%). Adolescents with low severity externalizing problems (15%) tended to have relatively high readiness to change alcohol use compared to other comorbidity profiles. Conclusions: Results indicate heterogeneity among youth presenting to addictions treatment, particularly with regard to profile of co-occurring psychiatric symptoms and readiness to change substance use. Youth with overall low severity of externalizing behaviors reported higher readiness to change alcohol use relative to teens with other comorbidity profiles, highlighting the potential importance of enhancing and maintaining teens' readiness to change substance use behavior during treatment, specifically in relation to the adolescent's profile of psychiatric comorbidity. 2005 by The Haworth Press, Inc. All rights reserved.
机译：目的：某些精神病诊断，如导尿，通常预测青少年在青少年中使用的更多慢性药物。然而，众所周知，关于青少年精神分子率的概况与准备内容差异有关的程度，以改变进入门诊治疗后的物质使用行为。方法：从上瘾治疗中招募青少年（n = 169,14-18岁）完成了对物质使用和其他精神病疾病的综合评估，以及愿意改变物质使用的措施。潜在阶级分析用于识别合并性能的明显曲线，然后与准备措施改变有关。结果：最普遍的精神病疾病是进行疾病（47％），重大抑郁症（29％），注意力缺陷多动障碍（17％），以及对立缺陷症（11％）。潜在阶级分析确定了6个精神审查合并症的不同曲线。 AllProfiles包括发生症状，严重程度不同。最普遍的班级主要由青少年组成，仅限于行为问题（23％）。具有低严重程度的青少年外化问题（15％）往往与其他合并症相比，改变醇类使用的含量相对较高。结论：结果表明，呈现成瘾治疗的青年之间的异质性，特别是关于共同发生的精神症状和改变物质使用的概况。具有整体低严重程度的外部性别行为报告说准备更加易于改变具有其他合并症的青少年的酒精使用，突出了加强和维持青少年准备就绪的潜在重要性，以便在治疗过程中改变物质使用行为，具体与青少年的概况相关精神病合并症。 2005年由Haworth Press，Inc。保留所有权利。

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