|Titre :||Brief, personality-targeted coping skills interventions and survival as a non-drug user over a 2-year period during adolescence (2010)|
|Auteurs :||P. J. CONROD ; N. CASTELLANOS-RYAN ; J. STRANG|
|Type de document :||Article : Périodique|
|Dans :||Archives of General Psychiatry (Vol.67, n°1, January 2010)|
|Article en page(s) :||85-93|
|Discipline :||PRE (Prévention / Prevention)|
Thésaurus TOXIBASEETUDE RANDOMISEE ; INTERVENTION ; EVALUATION ; PRODUIT ILLICITE ; ADOLESCENT ; STRATEGIE ACTIVE D'ADAPTATION ; PERSONNALITE ; CANNABIS
CONTEXT: Selective interventions targeting personality risk are showing promise in the prevention of problematic drinking behavior, but their effect on illicit drug use has yet to be evaluated.
OBJECTIVE: To investigate the efficacy of targeted coping skills interventions on illicit drug use in adolescents with personality risk factors for substance misuse.
DESIGN: Randomized controlled trial.
SETTING: Secondary schools in London, United Kingdom.
PARTICIPANTS: A total of 5302 students were screened to identify 2028 students aged 13 to 16 years with elevated scores on self-report measures of hopelessness, anxiety sensitivity, impulsivity, and sensation seeking. Seven hundred thirty-two students provided parental consent to participate in this trial.
INTERVENTION: Participants were randomly assigned to a control no-intervention condition or a 2-session group coping skills intervention targeting 1 of 4 personality profiles.
MAIN OUTCOME MEASURES: The trial was designed and powered to primarily evaluate the effect of the intervention on the onset, prevalence, and frequency of illicit drug use over a 2-year period.
RESULTS: Intent-to-treat repeated-measures analyses on continuous measures of drug use revealed time x intervention effects on the number of drugs used (P CONCLUSION: This study extends the evidence that brief, personality-targeted interventions can prevent the onset and escalation of substance misuse in high-risk adolescents.
TRIAL REGISTRATION: clinicaltrials.gov Identifier: NCT00344474.
|Domaine :||Drogues illicites / Illicit drugs|
|Refs biblio. :||37|
|Affiliation :||Addictions Department, Institute of Psychiatry, King's College London and South London and Maudsley NHS Foundation Trust, London, UK|