BACKGROUND Motivational Interviewing plus Cognitive Behavior Therapy (MI/CBT) has been used to reduce adolescent substance use, but has rarely been applied in youth correctional settings. This trial compared MI/CBT against Relaxation Training plus Substance-Education/12-Steps (RT/SET) to reduce substance use and crime among incarcerated youth. METHODS Participants (N = 199) were incarcerated juveniles (64.8 % non-White, 10.1 % girls, mean age of 17.1 years). Two individual sessions of MI (or RT) were followed by 10 group sessions of CBT (or SET). Youth were randomized to condition with follow-ups at 3- and 6-months after release. Major outcomes included alcohol, marijuana and crimes involving aggression. RESULTS A marginal treatment by time interaction was found for percent heavy drinking days, with follow-up tests indicating less alcohol use in RT/SET than MI/CBT at 6 months, and increased use within MI/CBT from 3 to 6 months. A significant treatment by time interaction was found for alcohol-related predatory aggression, with follow-up tests indicating fewer youth engaged in this behavior from 3 to 6 months within RT/SET, and weak evidence favoring MI/CBT over RT/SET at 3 months. General predatory aggression decreased from 3 to 6-months for both treatments. CONCLUSIONS Although weak evidence was found favoring MI/CBT with respect to alcohol-related predatory aggression, results generally support RT/SET in reducing percent heavy drinking days.

中文翻译：

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动机面试加技能培训与放松加教育的随机临床试验，以及使用监禁青年的12个步骤的实质性步骤：对酒精，大麻和侵略罪的影响。

背景技术动机访谈和认知行为疗法（MI / CBT）已被用于减少青少年物质的使用，但很少用于青少年矫正环境。该试验将MI / CBT与放松训练加物质教育/ 12步骤（RT / SET）进行了比较，以减少被监禁青年中的药物使用和犯罪。方法参与者（N = 199）为被监禁的少年（非白人为64.8％，女孩为10.1％，平均年龄为17.1岁）。MI（或RT）的两个单独会议，然后是CBT（或SET）的10个小组会议。在释放后的3个月和6个月内，青年被随机分配接受随访。主要成果包括酗酒，大麻和涉及侵略的犯罪。结果发现长时间饮酒的百分比是通过时间相互作用进行的边际治疗，后续测试表明，在6个月时，RT / SET中的酒精使用量比MI / CBT少，并且在3/6个月内在MI / CBT中使用量增加。发现与酒精有关的掠食性侵害是通过时间相互作用的一种重要治疗方法，后续测试表明，在RT / SET的3到6个月内，从事这种行为的年轻人较少，而在3点时，MI / CBT优于RT / SET的证据较弱。个月。两种疗法的总掠食性攻击从3个月减少到6个月。结论尽管在酒精相关的掠食性侵略方面发现MI / CBT偏少，但结果普遍支持RT / SET减少重度饮酒天数。随访测试表明，在RT / SET的3到6个月内，从事这种行为的年轻人较少，而有证据表明，在3个月时，MI / CBT优于RT / SET。两种疗法的总掠食性攻击从3个月减少到6个月。结论尽管在酒精相关的掠食性侵略方面发现MI / CBT偏少，但结果普遍支持RT / SET减少重度饮酒天数。随访测试表明，在RT / SET的3到6个月内，从事这种行为的年轻人较少，而有证据表明，在3个月时，MI / CBT优于RT / SET。两种疗法的总掠食性攻击均从3个月减少至6个月。结论尽管在酒精相关的掠食性侵略方面发现MI / CBT偏少，但结果普遍支持RT / SET减少重度饮酒天数。