Stationäre Kinder- und Jugendpsychiatrie sowie Psychotherapie bei substanzabhängigen Jungen und Mädchen

Wartberg, Lutz; Sack, Peter‐Michael; Thoms, Edelhard; Möller, Christoph; Stolle, Martin; Thomasius, Rainer

doi:10.1007/s00278-009-0666-6

Cited by 4 publications

(1 citation statement)

References 16 publications

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“…Relapse rates range between 50% and 81% across various delivery modes, such as highly structured outpatient settings [8], inpatient settings [9], and combined psychotherapeutic and pharmacological treatments [10]. Specific research on SUD patients who are minors is scarce [11], but would be greatly desirable [7].…”

Section: Introductionmentioning

confidence: 99%

Treatment effectiveness of a mindfulness-based inpatient group psychotherapy in adolescent substance use disorder - study protocol for a randomized controlled trial

Baldus

Mokros

Daubmann

et al. 2018

Trials

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BackgroundCurrent treatments for adolescents with substance use disorder (SUD) have had only limited success. In recent years, research has underlined the role of self-regulatory processes and impulsivity in the development and maintenance of SUD in adolescents. Mindfulness has gained much attention due to its capacity to influence self-regulatory processes, particularly in adult populations. Initial studies have shown the potential of mindfulness-based approaches in younger SUD patients. The aim of the present clinical trial is to evaluate the added treatment effect of a mindfulness-based group psychotherapy (“Mind it!”) for adolescents with SUD in comparison to the current standard treatment. Moreover, we seek to explore the feasibility of the intervention and possible mediators of treatment effects.Methods/designThere will be N = 340 participants aged between 13 and 19 years who are receiving child or adolescent psychiatric or psychotherapeutic inpatient or day treatment targeting their SUD and who have reported substance use 30 days before detoxification and do not show acute psychotic or suicidal symptoms at baseline. The study is a prospective randomized controlled multi-center trial in which patients are assessed: (1) after completing a prior detoxification phase (t0), (2) at 4 weeks (t1), (3) at 8 weeks (t2), and (4) at 6 months after t2 (t3). Participants in the intervention group will receive mindfulness-based group psychotherapy in addition to their existing treatment regime. The primary outcome is substance use in the past 30 days at follow-up based on the Timeline Followback self-report. Secondary outcomes include craving, severity of dependence, and abstinence motivation. Mindfulness, impulsivity, and emotion regulation will be analyzed as possible mediators of treatment effects.DiscussionThis trial is expected to provide evidence of the added effect of a novel, safe, and feasible treatment option for adolescents with SUD.Trial registrationGerman Register of Clinical Studies, DRKS00014041. Registered on 17 April 2018.

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Section: Introductionmentioning

confidence: 99%

Treatment effectiveness of a mindfulness-based inpatient group psychotherapy in adolescent substance use disorder - study protocol for a randomized controlled trial

Baldus

Mokros

Daubmann

et al. 2018

Trials

Self Cite

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Polytoxikomanie im Jugendalter

Bilke-Hentsch

2018

Monatsschr Kinderheilkd

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Cannabisbezogene Störungen bei Jugendlichen und jungen Erwachsenen

Aden

Stolle

Thomasius

2011

SUCHT

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Umfang des Problems: Die Zahlen für Lebenszeitprävalenzen von Cannabis sowie regelmäßige Konsummuster unter Jugendlichen zeigen nach starkem Anstieg der Vorjahre in den Jahren 2007 und 2008 erstmals einen leichten Rückgang. Die Behandlungsnachfrage scheint dagegen weiter anzusteigen, die Prävalenzen cannabisbezogener Störungen bei Jugendlichen und jungen Erwachsenen sind bereits sehr hoch. Ätiologie: Individuelle Vulnerabilität und Risikofaktoren prägen in einer Interaktion von psychosozialen, substanzbezogenen, intra- und interpersonellen (familiären) Variablen die Initiation sowie die Progression zu regelmäßigem Konsum, zum Teil resultieren cannabisbezogene Störungen. Behandlung: Die Behandlung dieser Klientel erfordert ein hohes Maß an störungs- und altersspezifischer Orientierung. Besondere psychosoziale und suchtmedizinische Umstände sowie die Auswirkungen des Cannabiskonsums müssen ebenso berücksichtigt werden wie die entwicklungspsychologischen und –psychopathologischen Besonderheiten des Kindes-, Jugend- und jungen Erwachsenenalters. Aufgrund oft gering ausgeprägter Eigenmotivation zu Verhaltensänderung und Behandlung kommt motivationsfördernden Ansätzen eine wichtige Bedeutung zu.

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Stationäre Kinder- und Jugendpsychiatrie sowie Psychotherapie bei substanzabhängigen Jungen und Mädchen

Cited by 4 publications

References 16 publications

Treatment effectiveness of a mindfulness-based inpatient group psychotherapy in adolescent substance use disorder - study protocol for a randomized controlled trial

Treatment effectiveness of a mindfulness-based inpatient group psychotherapy in adolescent substance use disorder - study protocol for a randomized controlled trial

Polytoxikomanie im Jugendalter

Cannabisbezogene Störungen bei Jugendlichen und jungen Erwachsenen

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