Intervenção breve para uso de substâncias psicoativas na adolescência : parentalidade e fatores associados à motivação para mudança de comportamento

• Autor(a) principal: Cerutti, Fernanda
• Data de Publicação: 2018
• Tipo de documento: Tese
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da PUC_RS
• Texto Completo: http://tede2.pucrs.br/tede2/handle/tede/7939
• topic: Psicoterapia Baseada em Evidências; Protocolos de Intervenção para Adolescentes; Parentalidade; Uso de Drogas na Adolescência; CIENCIAS HUMANAS::PSICOLOGIA

Although treatment for the harmful use of alcohol and/or other drugs during adolescence should be a priority, the availabilityof specialized and specific treatments for this public still presents limitations. Thus, it is important to highlight some characteristics from interventions for adolescents, which are receiving attention in the international literature, addressing the application of brief intervention protocols and the standardization of interventions created for the parents of drug-using adolescents. Therefore, this PhD thesis aimed at translating, adapting, and investigating the therapeutic effect of a Brief Intervention developed in the United States for drug-using adolescents, with parent sessions. Hence, it comprises two theoretical studies and four empirical studies.The first theoretical study is a Thematic Essay addressing parental attitudes towards the use of alcohol or other drugs in adolescence. The second theoretical study is a systematic review of the literature, which discusses the efficacy of treatment protocols for adolescent drug use and includes parental participation. The empirical studies have a longitudinal and retrospective design, three of them are descriptive and study 3 is analytical. The sample of adolescents was composed by males, and the relatives by parents, mothers and other family members. Study 1 is a simple pre- and post-test Clinical Trial that aimed at presenting the Brief Intervention translation and adaptation process for the Brazilian context and group format to treat adolescents who were involved with drugs which contains parent sessions. Eleven adolescents and 12 persons participated. Study 2 is a Case Study that which analyzes the applicability of the Brief Intervention protocol, after translating and adapting to the Brazilian context, in an adolescent with harmful use of alcohol, with the participation of his father and mother. Study 3 is a non-randomized Clinical Trial whose objective was to test the therapeutic effect of the Brief Intervention protocol, which was adapted to the Brazilian context and to group format. Therefore, 28 adolescents were divided into three groups for comparison: 1) experimental group with adolescents and parents (GAP); 2) group with adolescents only (GA); and a control group with treatment as usual (TAU). Finally, Study 4, a Case Study, proposes to longitudinally analyze some of the factors engendering change in the drug using behavior of adolescents, with the participation of both an adolescent and his family member receiving the Brief Intervention that was adapted to Brazilian context and group format. The empirical studies’ preliminary data indicate a good adaptation of the protocol to the Brazilian context and highlight the importance of parents/tutors’ participation in the brief intervention with adolescents. Subsequent studies with more participants and with a mixed sample are suggested, including female adolescents. Thus, it is considered that this instrument can be viable and effective for the treatment of Brazilian adolescents, which presents an availability to a larger number of patients, since it is a brief intervention.