Alcohol use disorders in adolescents: Epidemiology, diagnosis, psychosocial interventions, and pharmacological treatment

被引:27
作者
Clark D.B. [1 ]
Bukstein O. [1 ]
Cornelius J. [1 ]
机构
[1] Department of Psychiatry, University of Pittsburgh Medical Center, Pittsburgh, PA
关键词
Attention Deficit Hyperactivity Disorder; Alcohol Dependence; Naltrexone; Stimulant Medication; Conduct Disorder;
D O I
10.2165/00128072-200204080-00002
中图分类号
学科分类号
摘要
Alcohol (ethanol) abuse and dependence are the most common substance use disorders among adolescents. Binge drinking occurs in up to one-third of adolescents, and alcohol use disorders occur in about 6% of this age group. Adolescents with alcohol use disorders also typically have problems with other substances and comorbid mental disorders. Validated measures are available for the clinical detection and diagnosis of adolescent alcohol use disorders and related problems. Psychosocial interventions promoting abstinence are the most common treatments for alcohol use disorders, with empirical support particularly strong for family-based approaches. Pharmacological interventions may diminish the effects of alcohol withdrawal, prevent a return to alcohol consumption, or treat comorbid mental disorders. In this population, pharmacological interventions require further investigation and, where indicated, are generally considered to be supplementary to psychosocial approaches.
引用
收藏
页码:493 / 502
页数:9
相关论文
共 88 条
[51]  
Deas D., Thomas S.E., An overview of controlled studies of adolescent substance abuse treatment, Am J Addict, 10, 2, pp. 178-189, (2001)
[52]  
Brown S.A., Myers M.G., Mort M.A., Et al., Correlates of success following treatment for adolescent substance abuse, Applied Prevent Psychol, 3, pp. 61-73, (1994)
[53]  
Henggeler S.W., Schoenwald S.K., Borduin C.M., Et al., Multisystemic treatment of antisocial behavior in children and adolescents, (1998)
[54]  
Bukstein O.G., Kithas J., Pharmacological treatment of substance abuse disorders, Textbook of psychotherapy for child and adolescent psychiatric disorders. 2nd ed.
[55]  
Solhkhah R., Wilens T.E., Pharmacotherapy of adolescent AOD use disorders, Alcohol Health Res World, 22, pp. 122-126, (1998)
[56]  
Chang P.H., Steinberg M.B., Alcohol withdrawal, Med Clin North Am, 85, 5, pp. 1191-1212, (2001)
[57]  
Stewart D., Brown S.A., Withdrawal and dependency symptoms among adolescent alcohol and drug abusers, Addiction, 90, pp. 627-635, (1995)
[58]  
Garbutt J.C., West S.L., Carey T.S., Et al., Pharmacological treatment of alcohol dependence: A review of the evidence, JAMA, 281, 14, pp. 1318-1325, (1999)
[59]  
Myers W.C., Donahue J.E., Goldstein M.R., Disulfiram for alcohol use disorders in adolescents, J Am Acad Child Adolesc Psychiatr, 34, pp. 2-4, (1995)
[60]  
Flannery B.A., Roberts A.J., Cooney N., Et al., The role of craving in alcohol use, dependence, and treatment, Alcohol Clin Exper Res, 25, 2, pp. 299-308, (2001)