Background and Aims

Emerging adults (age 18–25) have the highest rate of substance use disorders (SUD) and often drop out of treatment earlier than those age twenty six or older. In order to increase treatment retention in emerging adults, there needs to be a better understanding of which SUD treatment interventions work best for this population. The purpose of this systematic review was to evaluate treatment interventions for emerging adults with SUD and identify which interventions show promise for retention in treatment.

Methods

Following the PRISMA guidelines, Medline, PsycInfo, CINAHL (all via EBSCO), and Embase were systematically searched for articles that evaluated treatment interventions for emerging adults with SUD. From here, the authors identified treatment interventions that showed promise for retention in treatment.

Results

Nine studies were included. The main findings indicate (1) behavioral therapy such as cognitive behavioral therapy and contingency management for cannabis and alcohol use disorders, or (2) cognitive behavioral therapy paired with opioid-agonist-therapy for opioid use disorder demonstrate the most promise for retention in treatment.

Conclusion

The interventions identified that show promise for emerging adults was similar to studies evaluating interventions for all ages. Given that retention rates are often lower in emerging adults despite the application of the full range of effective adult treatments, this review suggests they may require something different. While further studies are warranted to determine with more certainty what works best to keep emerging adults in treatment, some tentative suggestions are included.

中文翻译：

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调查导致新出现的物质使用障碍成年人最高治疗保留率的干预措施：系统评价

背景和目标

新兴成年人（18-25 岁）的物质使用障碍 (SUD) 发生率最高，并且通常比 26 岁或以上的人更早退出治疗。为了提高新兴成年人的治疗保留率，需要更好地了解哪些 SUD 治疗干预措施最适合该人群。本系统评价的目的是评估新出现的 SUD 成人的治疗干预措施，并确定哪些干预措施有望保留治疗。

方法

遵循 PRISMA 指南，Medline、PsycInfo、CINAHL（均通过 EBSCO）和 Embase 被系统地搜索了评估新兴 SUD 成人治疗干预的文章。从这里，作者确定了有希望保留治疗的治疗干预措施。

结果

包括九项研究。主要发现表明 (1) 行为疗法，例如大麻和酒精使用障碍的认知行为疗法和应急管理，或 (2) 认知行为疗法与阿片类药物使用障碍的阿片类药物激动剂疗法相结合，显示出最有希望保留治疗.

结论

确定的对新兴成年人有希望的干预措施类似于评估所有年龄段干预措施的研究。尽管应用了全方位有效的成人治疗，但新兴成人的保留率通常较低，因此本综述表明他们可能需要一些不同的东西。虽然有必要进行进一步的研究以更确定地确定什么最适合让新兴成年人接受治疗，但其中包括一些初步建议。