Titre : | The Cannabis Youth Treatment (CYT) Study : main findings from two randomized trials |
Titre traduit : | (L'étude concernant la prise en charge de la consommation du cannabis chez les jeunes. Principaux résultats de deux essais randomisés) |
Auteurs : | M. DENNIS ; S. H. GODLEY ; DIAMOND G. ; F. M. TIMS ; T. F. BABOR ; J. DONALDSON ; H. LIDDLE ; J. C. TITUS ; Y. KAMINER ; C. WEBB ; N. HAMILTON ; FUNK R. |
Type de document : | Périodique |
Année de publication : | 2004 |
Format : | 197-213 / graph. ; tabl. |
Note générale : | Journal of Substance Abuse Treatment, 2004, 27, (3), 197-213 |
Langues: | Anglais |
Discipline : | TRA (Traitement et prise en charge / Treatment and care) |
Mots-clés : |
Thésaurus mots-clés CANNABIS ; JEUNE ; PRISE EN CHARGE ; EVALUATION ; COMPARAISON ; EFFICACITE ; MOTIVATION ; ENTRETIEN ; THERAPIE COGNITIVO-COMPORTEMENTALE ; THERAPIE FAMILIALE ; ACTION COMMUNAUTAIRE |
Résumé : | This article presents the main outcome findings from two inter-related randomized trials conducted at four sites to evaluate the effectiveness and cost-effectiveness of five short-term outpatient interventions for adolescents with cannabis use disorders. Trial 1 compared five sessions of Motivational Enhancement Therapy plus Cognitive Behavioral Therapy (MET/CBT) with a 12-session regimen of MET and CBT (MET/CBT12) and another that included family education and therapy components (Family Support Network [FSN]). Trial II compared the five-session MET/CBT with the Adolescent Community Reinforcement Approach (ACRA) and Multidimensional Family Therapy (MDFT). The 600 cannabis users were predominately white males, aged 1516. All five CYT interventions demonstrated significant pre-post treatment during the 12 months after random assignment to a treatment intervention in the two main outcomes: days of abstinence and the percent of adolescents in recovery (no use or abuse/dependence problems and living in the community). Overall, the clinical outcomes were very similar across sites and conditions; however, after controlling for initial severity, the most cost-effective interventions were MET/CBT5 and MET/CBT12 in Trial 1 and ACRA and MET/CBT5 in Trial 2. It is possible that the similar results occurred because outcomes were driven more by general factors beyond the treatment approaches tested in this study; or because of shared, general helping factors across therapies that help these teens attend to and decrease their connection to cannabis and alcohol. |
Domaine : | Drogues illicites / Illicit drugs |
Refs biblio. : | 97 |
Affiliation : | Chestnut Health Systems, Bloomington, IL, USA |
Numéro Toxibase : | 404640 |
Centre Emetteur : | 04 CIRDD-51 |
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