Titre : | On the learning curve: the emerging evidence supporting cognitive-behavioral therapies for adolescent substance abuse |
Titre traduit : | (Sur la courbe de l'apprentissage : l'évidence émergente en faveur des thérapies cognitivo-comportementales pour les adolescents usagers de drogues.) |
Auteurs : | H. B. WALDRON ; Y. KAMINER |
Type de document : | Périodique |
Année de publication : | 2004 |
Format : | 93-105 |
Note générale : |
Addiction, 2004, 99, (supp. 2), 93-105 |
Langues: | Anglais |
Discipline : | TRA (Traitement et prise en charge / Treatment and care) |
Mots-clés : |
Thésaurus mots-clés ADOLESCENT ; INTERVENTION BREVE ; THERAPIE COGNITIVO-COMPORTEMENTALE ; EFFICACITE |
Résumé : |
FRANÇAIS : Une revue des essais cliniques randomisés montre que les thérapies cognitivo-comportementales sont associées avec une diminution significative de lusage de drogues chez les adolescents. Notamment, lefficacité des thérapies de groupe est importante, contredisant lassertion selon laquelle le fait de rassembler des jeunes à problèmes introduit des effets iatrogènes. ENGLISH : Aims: Cognitive-behavioral therapy (CBT) approaches to intervention for adolescent substance use disorders has been limited and formal controlled clinical efficacy trials have been rare. Moreover, the early literature on the efficacy of CBT for adolescent substance abuse has been characterized by significant methodological limitations. Recent innovations in the treatment of adolescent substance abuse and the recent completion of several randomized clinical trials has brightened the picture with respect to establishing the empirical support for CBT. The aim of this review is to integrate the findings from controlled trials of CBT for adolescent substance abuse. Method: Studies representing randomized clinical trials were reviewed using criteria provided by Lonigan et al. and Nathan & Gorman as a guide. Findings and conclusions: Despite some prominent differences in design and methodology, the studies reviewed provide consistent empirical evidence that group and individual CBT are associated with significant and clinically meaningful reductions in adolescent substance use. The evidence for the efficacy of group therapy is particularly important, countering the assertion that aggregating problem youths into group treatment settings is associated with iatrogenic effects. The findings from the randomized trials reviewed represent significant developments in treatment outcome research and lay the foundation for validating CBT for adolescent substance use disorders. Future research directions include improving short- and long-term outcomes, enhancing treatment motivation and engagement, and identifying mechanisms and processes associated with positive change, especially for youths with comorbid conditions. (Author' s abstract) |
Domaine : | Plusieurs produits / Several products |
Sous-type de document : | Revue de la littérature / Literature review |
Refs biblio. : | 102 |
Affiliation : |
Oregon Research Institute, 1715 Franklin Blvd, Eugene, Oregon 97403. Email : hollyori.org Etats-Unis. United States. |
Numéro Toxibase : | 207989 |
Centre Emetteur : | 02 Coordonnateur |
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