文章基本信息

标题：Evidence-based treatments for adolescents with cannabis use disorders in the Spanish Public Health System
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作者：Sergio Fernández-Artamendi ; José Ramón Fernández-Hermida ; Mark D. Godley 等
期刊名称：International Journal of Clinical and Health Psychology
电子版ISSN：1697-2600
出版年度：2014
卷号：14
期号：3
页码：1-9
DOI：10.1016/j.ijchp.2014.04.001
出版社：Elsevier B.V.
摘要：The goal of the present study is to describe the implementation of two Evidence-based treatments (EBT) for adolescent Cannabis Use Disorders (CUD) in the Spanish Public Health System, and its main clinical outcomes. Adolescent Community Reinforcement Approach (A-CRA) and Contingency Management (CM) were chosen as the most efficacious treatment programs for this population. A total of 26 adolescent cannabis users entered the study (91.7% male; age = 16.50) at two outpatient clinical facilities in Spain. A quasi-experimental design was utilized, with one group receiving A-CRA only and the other A-CRA CM. Implementation of both EBTs resulted feasible, with positive clinical outcomes. Results indicated that A-CRA has positive retention (81.3%) and abstinence rates (68.8%). Results for the group receiving A-CRA CM were not significantly better than A-CRA in retention (100%) or abstinence (75.5%), although sample is too small to establish firm conclusions. Cannabis-related problems and depressive symptomatology also decreased during treatment. Several limitations prevent us from determining the clinical efficacy of A-CRA in this study. The process of translating EBT's to clinical contexts presented with many difficulties that need to be overcome. Recommendations are made for further attempts to implement EBTs in these contexts.
关键词：Adolescents ; Cannabis ; Contingency Management ; Community Reinforcement Approach ; Quasi-experimental study