Mechanisms of Behavior Change in Adolescent Substance Use Treatment: A Systematic Review of Treatment Mediators and Recommendations for Advancing Future Research.

IF 4.7 2区 心理学 Q1 PSYCHOLOGY, CLINICAL
Clinical Psychology-science and Practice Pub Date : 2024-06-01 Epub Date: 2022-05-12 DOI:10.1037/cps0000089
Samuel N Meisel, Melissa Pielech, Molly Magill, Kelsey Sawyer, Robert Miranda
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引用次数: 0

Abstract

Substance use disorders commonly onset during adolescence, yet the best available treatments yield only modest and transient effects. Elucidating treatment mediators is essential for improving treatment options. This review summarizes over 20 years of research on mediators of adolescent substance use treatment; k = 17 studies assessing both treatment or treatment ingredient to mediator (a path) and mediator to treatment outcome (b path) paths were included. Mediators were categorized using the Science of Behavior Change target class framework. Overall, mediation tests supported four of eight self-regulation, two of 10 stress resilience and reactivity, six of 19 interpersonal and social process, and two of four treatment engagement and adherence mediators. To enhance the capacity of this work to inform clinical practice, we recommend future research examine theoretically informed mechanisms using temporally sequenced data among other methodological guidelines.

青少年药物使用治疗中的行为改变机制:治疗中介因素的系统性回顾及推进未来研究的建议》(A Systematic Review of Treatment Mediators and Recommendations for Advancing Future Research)。
药物使用障碍通常在青少年时期发病,但现有的最佳治疗方法只能产生微弱和短暂的效果。阐明治疗介导因素对于改进治疗方案至关重要。本综述总结了20多年来有关青少年药物使用治疗中介因素的研究;K = 17项研究同时评估了治疗或治疗成分到中介因素(a路径)和中介因素到治疗结果(b路径)的路径。使用 "行为改变科学 "目标类别框架对中介因素进行了分类。总体而言,中介测试支持八种自我调节中介中的四种、十种压力恢复和反应中介中的两种、十九种人际和社会过程中介中的六种以及四种治疗参与和坚持中介中的两种。为了提高这项工作为临床实践提供信息的能力,我们建议未来的研究使用时间序列数据和其他方法指南来检查理论机制。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
5.70
自引率
3.40%
发文量
78
期刊介绍: Clinical Psychology: Science and Practice presents cutting-edge developments in the science and practice of clinical psychology and related mental health fields by publishing scholarly articles, primarily involving narrative and systematic reviews as well as meta-analyses related to assessment, intervention, and service delivery.
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