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Titre :
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The Cannabis Youth Treatment (CYT) Study : main findings from two randomized trials
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Titre original:
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(L'étude concernant la prise en charge de la consommation du cannabis chez les jeunes. Principaux résultats de deux essais randomisés)
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Auteurs :
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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.
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Type de document :
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Périodique
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Année de publication :
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2004
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Format :
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197-213 / graph. ; tabl.
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Note générale :
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Journal of Substance Abuse Treatment, 2004, 27, (3), 197-213
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Langues:
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Anglais
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Discipline :
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TRA (Traitement et prise en charge / Treatment and care)
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Mots-clés :
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Thésaurus TOXIBASE
CANNABIS
;
JEUNE
;
PRISE EN CHARGE
;
EVALUATION
;
COMPARAISON
;
EFFICACITE
;
MOTIVATION
;
ENTRETIEN
;
THERAPIE COGNITIVO-COMPORTEMENTALE
;
THERAPIE FAMILIALE
;
ACTION COMMUNAUTAIRE
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Résumé :
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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.
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Domaine :
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Drogues illicites / Illicit drugs
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Refs biblio. :
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97
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Affiliation :
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Chestnut Health Systems, Bloomington, IL, USA
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Numéro Toxibase :
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404640
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Centre Emetteur :
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04 CIRDD-51
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Accueil
