Cognitions in youth substance use relapse contexts

青少年药物滥用复发背景下的认知

• 批准号: 7089696
• 负责人: KRISTEN G ANDERSON
• 金额: $ 22.97万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN DIEGO
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-07-01 至 2007-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7089696
• 关键词: clinical research; cognition; model; prevention

DESCRIPTION (provided by applicant): The long-term objectives of the proposed line of research are: 1.) to enhance the understanding of the cognitive features of the relapse process of youth with substance use disorder,(SUD), and 2.) evaluate the proposed developmental model of substance use relapse for adolescents with the eventual goal of developing more effective relapse prevention programs. The present proposal is designed to meet the objectives of the Exploratory/Developmental grants (R21) program to encourage new, exploratory and developmental research leading to larger, more intensive projects. In pursuit of that goal, the primary aim of this proposal is to develop a methodology for assessing the cognitions of adolescents when faced with elapse situations after treatment for SUDs. This exploratory/developmental study consists of two phases. First, we propose to develop an experimental procedure to assess the cognitions of youth at-risk for a return to substance use after treatment in social contexts typically associated with relapse. The second is to validate this procedure on a sample of substance use disordered youth after treatment for substance use disorders and a sample of community youth without substance use disorders. While past research has identified the situational features and contexts in which adolescents return to substance use after treatment for SUD (Brown, Vik & Creamer, 1989; Anderson, Frissell & Brown, in press), no experimental paradigms exist to identify what specific cognitions are present in vivo for youth within these situations. A secondary aim of the proposed project is to examine the relations between cognitive features elicited by the experimental task as they relate to the developmental model of adolescent substance use relapse for SUD and nondisordered youth. This developmentally-focused process model of youth relapse integrates the traditional Cognitive-Behavioral model of Relapse (Marlatt & Gordon, 1985) with Social-Information Processing theory (Crick & Dodge, 1994), highlighting the influence of peer involvement in youth return to substance use. An R01 application is planned to follow from this developmental project. In terms of public health, the development of age appropriate substance use interventions and relapse prevention programs for adolescents must be informed by research examining the devlopmental needs of this population. The overarching goal of this line of inquiry is to help youth maintain abstainence from substance invovlement.

描述（由申请人提供）：拟议的研究线的长期目标是：1。）增强对具有药物使用障碍青年复发过程（SUD）和2的认知过程的理解。评估针对青少年的物质使用复发的发展发展模型，其最终目标是开发更有效的预防复发计划。本提案旨在满足探索性/发展赠款（R21）计划的目标，以鼓励新的，探索性和发展性研究，从而实现更大，更密集的项目。为了实现这一目标，该提案的主要目的是开发一种方法，以评估青少年在接受SUD治疗后面临经过的情况时。这项探索性/发展研究包括两个阶段。首先，我们建议制定一种实验程序，以评估青年处于危险中的认知，以便在通常与复发有关的社会环境中恢复治疗后的药物使用。第二个是在治疗药物使用障碍后的药物使用障碍青年样本和没有药物使用障碍的社区青年样本中验证该程序。虽然过去的研究已经确定了在SUD治疗后青少年重返药物使用的情况和环境（Brown，Vik＆Creamer，1989; Anderson，Frissell＆Brown，印刷中），但没有实验性的范式来确定哪些特定的认知是在这些情况下为年轻人提供体内。拟议项目的次要目的是检查实验任务引起的认知特征之间的关系，因为它们与青少年物质使用的SUD和非疾病青年的发展模型相关。这种以发展为中心的青年复发过程模型将传统的认知行为复发模型（Marlatt＆Gordon，1985）与社会信息处理理论（Crick＆Dodge，1994年）结合在一起，突出了同伴参与青年对实质的影响使用。计划从此开发项目中遵循R01申请。在公共卫生方面，必须通过研究该人群的开发需求来告知适当年龄的适当药物使用干预措施和针对青少年的复发计划。这种探究线的总体目标是帮助青年保持对实质的禁欲。