ATTACHMENT & RELAPSE IN ADOLESCENT ALCOHOL USE DISORDERS

依恋

• 批准号: 2389933
• 负责人: BRYAN D NEIGHBORS
• 金额: $ 1.51万
• 依托单位: UNIVERSITY OF PITTSBURGH AT PITTSBURGH
• 依托单位国家: 美国
• 财政年份: 1996
• 资助国家: 美国
• 起止时间: 1996-04-01 至 1999-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2389933
• 关键词: adolescence (12-20); alcoholic beverage consumption; alcoholism /alcohol abuse; behavior prediction; behavioral /social science research tag; clinical research; disease /disorder proneness /risk; drug abuse; emotions; friendships; human subject; interpersonal relations; locus of control; longitudinal human study; mental disorder diagnosis; parent offspring interaction; peer group; relapse /recurrence; social conformity

Despite preventative and treatment efforts, alcohol use disorders remain prevalent among adolescents, and available treatment outcome research among this group indicates that relapse rates are high. In this study, subjects will be adolescents diagnosed with an alcohol use disorder (n=100) who are participants in the Pittsburgh Adolescent Alcohol Research Center (PAARC) and their therapists. Subjects' attachment to parents and peers will be assessed and used to predict relapse following treatment. The extent to which adolescents are susceptible to peer influence, their ability to regulate negative affect, and the strength of the therapeutic alliance formed during treatment are each proposed as potential mediators in the relationship between attachment and relapse. A baseline evaluation, including structured interview for DSM-IV diagnoses and a measure of security of attachment to parents and peers, will be conducted within two weeks of outpatient treatment initiation. Adolescents' susceptibility to peer influence, their ability to regulate negative affect, and their therapeutic alliance formed with an outpatient therapist will be assessed after one month of outpatient treatment. Monthly telephone interviews assessing alcohol and drug use will then be conducted for one year post-baseline in order to create relapse event histories. Attachment security will be used to predict the time to lapse (return to alcohol use) and relapse (alcohol use-related consequences) in event history analyses using Cox proportional hazard model. Multiple regression analyses will be used to test the ability of attachment security to predict adolescents' use-related consequences and the frequency of their alcohol consumption. Finally, multiple regression analyses will be used to test the proposed mediators. If the mediational model is supported, mechanisms of influence will have been identified which can be targeted in order to enhance treatment strategies and reduce relapse rates among adolescents.

尽管进行了预防和治疗工作，但饮酒障碍仍然 青少年和可用的治疗结果研究中普遍存在 该组中表明复发率很高。 在这项研究中， 受试者将是被诊断患有酒精疾病的青少年 （n = 100）是匹兹堡青少年酒精研究的参与者 中心（PAARC）及其治疗师。 受试者对父母的依恋和 将评估同龄人并用于预测治疗后的复发。 青少年容易受到同伴影响的程度 调节负面影响的能力和治疗的强度 在治疗过程中形成的联盟都被提出为潜在的介体 在依恋与复发之间的关系中。 基线 评估，包括用于DSM-IV诊断的结构化访谈和 将进行对父母和同伴的依恋安全性的衡量标准 在门诊治疗开始的两周内。 青少年 对同伴影响的敏感性，调节负面影响的能力 情感及其治疗联盟由门诊治疗师组成 将在门诊治疗一个月后进行评估。 每月 然后将进行评估酒精和吸毒的电话采访 在基线后一年，以创建复发事件历史。 依恋安全性将用于预测失误的时间（返回到 饮酒）和复发（与酒精使用相关的后果） 使用COX比例危害模型进行历史分析。 多重回归 分析将用于测试附件安全性的能力 预测青少年与使用相关的后果及其频率 饮酒。 最后，将使用多个回归分析 测试拟议的调解人。 如果支持中介模型， 将确定影响力的机制，可以针对 为了增强治疗策略并降低复发率 青少年。