La eficacia de los protocolos de intervención con enfoque familiar para el tratamiento de los adolescentes consumidores de drogas: una revisión sistemática
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Publicado
ago 1, 2018
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Fernanda Cerutti
http://orcid.org/0000-0001-5362-4202
Alan Saloum Bastos
Irani Iracema de Lima Argimon
http://orcid.org/0000-0001-5362-4202
Alan Saloum Bastos
Irani Iracema de Lima Argimon
Resumen
Este artÃculo tiene como objetivo evaluar la eficacia de los protocolos en los tratamientos para adolescentes consumidores de drogas que se centraron en el enfoque familiar. Los estudios fueron identificados en las bases de datos PsycInfo, PubMed, Cochrane Central Register of Controlled Trials y Scopus. Los artÃculos recuperados por palabras clave se seleccionaron leyendo primero el resumen y a los que se escogieron se les aplicaron los criterios de exclusión. En el proceso se identificaron seis modalidades de tratamiento. Los resultados de los estudios muestran la superioridad de los tratamientos de los adolescentes consumidores de drogas que consideran el enfoque familiar, en comparación con otras modalidades de tratamiento cuyo objetivo era sólo el adolescente. Esta revisión mostró evidencia de una mayor eficacia de los enfoques de la famÃlia en el tratamiento de adolescentes consumidores de drogas, lo que contribuye a una reflexión en el área.
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Palabras Clave
comportamiento adolescente, consumo de drogas, tratamientos con enfoque familia
Referencias
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Garner, B. R., Godley, S. H., Funk, R. R., Dennis, M. L., Smith, J. E., & Godley, M. D. (2009). Exposure to Adolescent Community Reinforcement Approach (A-CRA) treatment procedures as a mediator of the relationship between adolescent substance abuse treatment retention and outcome. Journal of Substance Abuse Treatment, 36(3), 252-264. doi:10.1016/j. jsat.2008.06.007
Guo, J., Hill, K. G., Hawkins, J. D., Catalano, R. F., & Abbott, R. D. (2002).A developmental analysis of sociodemographic, family, and peer effects on adolescent illicit drug initiation. Journal of the American Academy of Child & Adolescent Psychiatry, 41(7), 838–845. doi: 10.1097/00004583-200207000-00017
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Hogue, A., Dauber, S., Stambaugh, L. F., Cecero, J. J., & Liddle, H. A. (2006). Early therapeutic alliance and treatment outcome in individual and family therapy for adolescent behavior problems. Journal of Consulting and Clinical Psychology, 74(1), 121-129.doi: 10.1037/0022006X.74.1.121
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Koning, I. M., Vollebergh, W. A. M., Smit, F., Verdurmen, J. E. E., van den Eijnden, R. J. J. M., terBogt, T. F. M., . . . Engels, R. C. M. E. (2009). Preventing heavy alcohol use in adolescents (PAS): cluster randomized trial of a parent and student intervention offered separately and simultaneously. Addiction, 104, 1669– 1678. doi:10.1111/j.1360-0443.2009.02677.x
Liddle, H. A. (2004). Family-based therapies for adolescent alcohol and drug use: research contributions and future research needs. Addiction, 99(2), 76-92. doi: 10.1111/j.13600443.2004.00856.x
Liddle, H. A., Dakof, G. A., Turner, R. M., Henderson, C. E., & Greenbaum, P. E. (2008). Treating adolescent drug abuse: a randomized trial comparing multidimensional family therapy and cognitive behavior therapy. Addiction, 103, 1660–1670. doi: 10.1111/j.13600443.2008.02274.x
McDonough, M. H., Jose, P. E., & Stuart, J. (2015). Bi-directional Effects of Peer Relationships and Adolescent Substance Use: A Longitudinal Study. Journal of Youth and Adolescence, 1-12. doi: 10.1007/s10964-015-0355-4
Miller, W. R., Tonigan, J. S. (1996). Assessing drinkers' motivation for change: The Stages of Change Readiness and Treatment Eagerness Scale (SOCRATES). Psychology of Addictive Behaviors, 10(2), 81-89. doi: 10.1037/0893164X.10.2.81
Moher, D., Hopewell, S., Schulz, K. F., Montori, V., Gøtzsche, P. C., Devereaux, P. J., . . . Altman, D. G. (2010). CONSORT 2010 Explanation and Elaboration: updated guidelines for reporting parallel group randomised trials. BMJ, 340, 869
National Institute on Drug Abuse. (2014). Principles of adolescent substance use disorder treatment: a research-based guide. Retirado de https://www.drugabuse.gov/sites/default/ files/podata_1_17_14.pdf
Payá, R. & Figlie, N. B. (2010). Abordagem familiar em dependência quÃmica. In: N. F. Figlie, S. Bordin, & R. Laranjeira. (Orgs.). Aconselhamento em dependência quÃmica. São Paulo: Roca.
Robbins, M. S., Feaster, D. J., Horigian, V. E., Rohrbaugh, M., Shoham, V., Bachrach, K., . . . Szapocznik, J. (2011). Brief Strategic Family Therapy Versus Treatment as Usual: Results of a Multisite Randomized Trial for Substance Using Adolescents. Journal of Consulting and Clinical Psychology, 79(6), 713–727. doi: 10.1037/a0025477
Rounds-Bryant, J. L., Kristiansen, P. L., & Hubbard, R. L. (1999). Drug abuse treatment outcome study of adolescents: a comparison of client characteristics and pretreatment behaviors in three treatment modalities. The American Journal of Drug and Alcohol Abuse, 25(4), 573-591.
Settles, R. E., & Smith, G. T. (2015). Toward a developmentally centered approach to adolescent alcohol and substance use treatment [Abstract]. Current Drug Abuse Review, 8(2), 134151. doi: 10.2174/1874473708666150916114118
Slesnick, N., & Prestopnik, J. L. (2005). Ecologically based family therapy outcome with substance abusing runaway adolescents. Journal of Adolescence, 28, 277-298. doi: 10.1016/j.adolescence.2005.02.008
Silins, E., Horwood, L. J., Patton, G. C., Fergusson, D. M., Olsson, C. A., Hutchinson, D. M.,…. & Mattick, R. P. (2014) .Young adult sequelae of adolescent cannabis use: an integrative analysis. Lancet Psychiatry, 1, 286–293. doi: 10.1016/S2215-0366(14)70307-4
Stanger, C., Budney, A. J., Kamon, J. L., Thostensen, J. (2009). A randomized trial of contingency management for adolescent marijuana abuse and dependence. Drug and Alcohol Dependence, 105, 240–247. doi: 10.1016/j.drugalcdep.2009.07.009
Sobell, L. C., Sobell, M. B. (1996). Timeline Followback user's guide: A calendar method for assessing alcohol and drug use. Toronto, Ontario, Canada: Addiction Research Foundation.
Weissman, D. G., Schriber, R. A., Fassbender, C., Atherton, O., Krafft, C., Robins, R. W., & Guyer, A. E. (2015). Earlier adolescent substance use onset predicts stronger connectivity between
reward and cognitive control brain networks. Developmental Cognitive Neuroscience, 16, 121-129. doi: 10.1016/j.dcn.2015.07.002
Winters, K. C. (2008). Adolescent brain development and drug abuse. USA: The Mentor Foundation.
Winters, K. C., Fahnhorst, T., Botzet, A., Lee, S., & Lalone, B. (2012). Brief Intervention for Drug Abusing Adolescents in a School Setting: Outcomes and Mediating Factors. Journal of Substance Abuse Treatment, 42(3), 279–288. doi: 10.1016/j.jsat.2011.08.005
Winters, K. C., Lee, S., Botzet, A., Fahnhorst, T., & Nicholson, A. (2014). One-year outcomes and mediators of a brief intervention for drug abusing adolescents. Psychology of Addictive Behaviors, 28(2), 464-474. doi: 10.1037/ a0035041
Winters, K. C. & Leitten, W. (2007) Brief Intervention for Drug-Abusing Adolescents in a School Setting. Psychology of Addictive Behaviors, 21 (2), 249–254. doi: 10.1037/0893-164X.21.2.249
Winters, K. C., Leitten, W., Wagner, E., & Tevyaw, T. O. (2007). Use of brief interventions for drug abusing teenagers within a middle and high school setting. Journal of School Health, 77(4), 196-206. doi: 10.1111/j.17461561.2007.00191.x
Wood, L., Egger, M., Gluud, L. L., Schulz, K. F., Juni, P., Altman, D. G., & Sterne, J. A. C. (2008). Empirical evidence of bias in treatment effect estimates in controlled trials with different interventions and outcomes: meta-epidemiological study. BMJ, 336, 601-605.
Bahr, S. J., Hoffmann, J. P., & Yang, X. (2005). Parental and peer influences on the risk of adolescent drug use. The Journal of Primary Prevention, 26(6), 529-551. doi: 10.1007/ s10935-005-0014-8
Beck, A.T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961) An inventory for measuring depression. Archives of General Psychiatry, 4, 561-571.
Berger, V. W., & Alperson, S. Y. (2009). A General Framework for the Evaluation of Clinical Trial Quality. Reviews on Recent Clinical Trials, 4(2), 79–88.
Bertrand, K., Richer, I., Brunelle, N., Beaudoin, I., Lemieux, A., & Ménard, J. M. (2013). Substance abuse treatment for adolescents: How are family factors related to substance abuse change? Journal of psychoactive Drugs, 45(1), 28-38. doi: 10.1080/02791072.2013.763560
Butterworth, P., Slade, T., & Degenhardt, L. (2014). Factors associated with the timing and onset of cannabis use and cannabis use disorder: results from the 2007 Australian National Survey of Mental Health and WellBeing. Drug and Alcohol Review, 33(5), 555564. doi: 10.1111/dar.12183
Chilcoat, H. D. & Anthony, J. C. (1996). Impact of parent monitoring on initiation of drug use through late childhood. Journal of the American Academy of Child & Adolescent Psychiatry, 35(1), 91-100.
Coëffec, A., Romo, L., Cheze, N., Riazuelo, H., Plantey, S., Kotbagi, G., & Kern, L. (2015). Early substance consumption and problematic use of video games in adolescence. Frontiers in Psychology, 6(501). doi: 10.3389/ fpsyg.2015.00501
Eysenbach, G. (2005). The Law of Attrition, Journal of Medical Internet Research: JMIR,1(7).
Fallu, J. S., Janosz, M., Brière, F. N., Descheneaux, A., Vitaro, F., & Tremblay, R. E. (2010). Preventing disruptive boys from becoming heavy substance users during adolescence: A longitudinal study of familial and peer-related protective factors. Addictive Behaviors, 35, 1074-1082. doi:10.1016/j.addbeh.2010.07.008
Garner, B. R., Godley, S. H., Funk, R. R., Dennis, M. L., Smith, J. E., & Godley, M. D. (2009). Exposure to Adolescent Community Reinforcement Approach (A-CRA) treatment procedures as a mediator of the relationship between adolescent substance abuse treatment retention and outcome. Journal of Substance Abuse Treatment, 36(3), 252-264. doi:10.1016/j. jsat.2008.06.007
Guo, J., Hill, K. G., Hawkins, J. D., Catalano, R. F., & Abbott, R. D. (2002).A developmental analysis of sociodemographic, family, and peer effects on adolescent illicit drug initiation. Journal of the American Academy of Child & Adolescent Psychiatry, 41(7), 838–845. doi: 10.1097/00004583-200207000-00017
Haug, S., Núñez, C. L., Becker, J., Gmel, G., & Schaub, M. P. (2014). Predictors of onset of cannabis and other drug use in male young adults: results from a longitudinal study. BMC Public Health, 14(1202). doi: 10.1186/14712458-14-1202
Hemovich, V., Lac, A., & Crano, W. D. (2011). Understanding early-onset drug and alcohol outcomes among youth: The role of family structure, social factors, and interpersonal perceptions of use. Psychology, health & medicine, 16(3), 249-267.doi: 10.1080/13548506.2010.532560
Hogue, A., Dauber, S., Stambaugh, L. F., Cecero, J. J., & Liddle, H. A. (2006). Early therapeutic alliance and treatment outcome in individual and family therapy for adolescent behavior problems. Journal of Consulting and Clinical Psychology, 74(1), 121-129.doi: 10.1037/0022006X.74.1.121
Jadad, A. R., Moore, R. A., Carroll D., Jenkinson, C., Reynolds, D. J., Gavaghan D. J., & McQuay, H. J. (1996). Assessing the quality of reports of randomized clinical trials: is blinding necessary? Controlled Clinical Trials, 17, 1-12.
Johnson, L. D., O’Malley, P. M., Miech, R. A., Bachman, J. G., & Schulenberg, J. E. (2016). Monitoring the future national survey results on drug use: 2015 overview key findings on adolescent drug use. Institute for Social Research, The University of Michigan, Ann Arbor.
Koob G. F., Buck, C. L., Cohen, A., Edwards, S., Park, P. E., Schlosburg, J. E., ...& George, O. (2014). Addiction as a stress surfeit disorder. Neuropharmacology, 76, 370-382. doi:10.1016/j.neuropharm.2013.05.024
Koning, I. M., van der Eijnden, R. J. J. M., Verdurmen, J. E. E., Engels, R. C. M. E., & Vollebergh, W. A. M. (2013). A cluster randomized trial on the effects of a parent and student intervention on alcohol use in adolescents four years after baseline; no evidence of catching-up behavior. Addictive Behaviors, 38, 2032-2039. doi: 10.1016/j. addbeh.2012.12.013
Koning, I. M., Vollebergh, W. A. M., Smit, F., Verdurmen, J. E. E., van den Eijnden, R. J. J. M., terBogt, T. F. M., . . . Engels, R. C. M. E. (2009). Preventing heavy alcohol use in adolescents (PAS): cluster randomized trial of a parent and student intervention offered separately and simultaneously. Addiction, 104, 1669– 1678. doi:10.1111/j.1360-0443.2009.02677.x
Liddle, H. A. (2004). Family-based therapies for adolescent alcohol and drug use: research contributions and future research needs. Addiction, 99(2), 76-92. doi: 10.1111/j.13600443.2004.00856.x
Liddle, H. A., Dakof, G. A., Turner, R. M., Henderson, C. E., & Greenbaum, P. E. (2008). Treating adolescent drug abuse: a randomized trial comparing multidimensional family therapy and cognitive behavior therapy. Addiction, 103, 1660–1670. doi: 10.1111/j.13600443.2008.02274.x
McDonough, M. H., Jose, P. E., & Stuart, J. (2015). Bi-directional Effects of Peer Relationships and Adolescent Substance Use: A Longitudinal Study. Journal of Youth and Adolescence, 1-12. doi: 10.1007/s10964-015-0355-4
Miller, W. R., Tonigan, J. S. (1996). Assessing drinkers' motivation for change: The Stages of Change Readiness and Treatment Eagerness Scale (SOCRATES). Psychology of Addictive Behaviors, 10(2), 81-89. doi: 10.1037/0893164X.10.2.81
Moher, D., Hopewell, S., Schulz, K. F., Montori, V., Gøtzsche, P. C., Devereaux, P. J., . . . Altman, D. G. (2010). CONSORT 2010 Explanation and Elaboration: updated guidelines for reporting parallel group randomised trials. BMJ, 340, 869
National Institute on Drug Abuse. (2014). Principles of adolescent substance use disorder treatment: a research-based guide. Retirado de https://www.drugabuse.gov/sites/default/ files/podata_1_17_14.pdf
Payá, R. & Figlie, N. B. (2010). Abordagem familiar em dependência quÃmica. In: N. F. Figlie, S. Bordin, & R. Laranjeira. (Orgs.). Aconselhamento em dependência quÃmica. São Paulo: Roca.
Robbins, M. S., Feaster, D. J., Horigian, V. E., Rohrbaugh, M., Shoham, V., Bachrach, K., . . . Szapocznik, J. (2011). Brief Strategic Family Therapy Versus Treatment as Usual: Results of a Multisite Randomized Trial for Substance Using Adolescents. Journal of Consulting and Clinical Psychology, 79(6), 713–727. doi: 10.1037/a0025477
Rounds-Bryant, J. L., Kristiansen, P. L., & Hubbard, R. L. (1999). Drug abuse treatment outcome study of adolescents: a comparison of client characteristics and pretreatment behaviors in three treatment modalities. The American Journal of Drug and Alcohol Abuse, 25(4), 573-591.
Settles, R. E., & Smith, G. T. (2015). Toward a developmentally centered approach to adolescent alcohol and substance use treatment [Abstract]. Current Drug Abuse Review, 8(2), 134151. doi: 10.2174/1874473708666150916114118
Slesnick, N., & Prestopnik, J. L. (2005). Ecologically based family therapy outcome with substance abusing runaway adolescents. Journal of Adolescence, 28, 277-298. doi: 10.1016/j.adolescence.2005.02.008
Silins, E., Horwood, L. J., Patton, G. C., Fergusson, D. M., Olsson, C. A., Hutchinson, D. M.,…. & Mattick, R. P. (2014) .Young adult sequelae of adolescent cannabis use: an integrative analysis. Lancet Psychiatry, 1, 286–293. doi: 10.1016/S2215-0366(14)70307-4
Stanger, C., Budney, A. J., Kamon, J. L., Thostensen, J. (2009). A randomized trial of contingency management for adolescent marijuana abuse and dependence. Drug and Alcohol Dependence, 105, 240–247. doi: 10.1016/j.drugalcdep.2009.07.009
Sobell, L. C., Sobell, M. B. (1996). Timeline Followback user's guide: A calendar method for assessing alcohol and drug use. Toronto, Ontario, Canada: Addiction Research Foundation.
Weissman, D. G., Schriber, R. A., Fassbender, C., Atherton, O., Krafft, C., Robins, R. W., & Guyer, A. E. (2015). Earlier adolescent substance use onset predicts stronger connectivity between
reward and cognitive control brain networks. Developmental Cognitive Neuroscience, 16, 121-129. doi: 10.1016/j.dcn.2015.07.002
Winters, K. C. (2008). Adolescent brain development and drug abuse. USA: The Mentor Foundation.
Winters, K. C., Fahnhorst, T., Botzet, A., Lee, S., & Lalone, B. (2012). Brief Intervention for Drug Abusing Adolescents in a School Setting: Outcomes and Mediating Factors. Journal of Substance Abuse Treatment, 42(3), 279–288. doi: 10.1016/j.jsat.2011.08.005
Winters, K. C., Lee, S., Botzet, A., Fahnhorst, T., & Nicholson, A. (2014). One-year outcomes and mediators of a brief intervention for drug abusing adolescents. Psychology of Addictive Behaviors, 28(2), 464-474. doi: 10.1037/ a0035041
Winters, K. C. & Leitten, W. (2007) Brief Intervention for Drug-Abusing Adolescents in a School Setting. Psychology of Addictive Behaviors, 21 (2), 249–254. doi: 10.1037/0893-164X.21.2.249
Winters, K. C., Leitten, W., Wagner, E., & Tevyaw, T. O. (2007). Use of brief interventions for drug abusing teenagers within a middle and high school setting. Journal of School Health, 77(4), 196-206. doi: 10.1111/j.17461561.2007.00191.x
Wood, L., Egger, M., Gluud, L. L., Schulz, K. F., Juni, P., Altman, D. G., & Sterne, J. A. C. (2008). Empirical evidence of bias in treatment effect estimates in controlled trials with different interventions and outcomes: meta-epidemiological study. BMJ, 336, 601-605.
Cómo citar
Cerutti, F., Saloum Bastos, A., & de Lima Argimon, I. I. (2018). La eficacia de los protocolos de intervención con enfoque familiar para el tratamiento de los adolescentes consumidores de drogas: una revisión sistemática. Diversitas, 14(1), 41-53. https://doi.org/10.15332/s1794-9998.2018.0001.03
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