Substance Use Disorders in Adolescents: A Qualitative Systematic Review

IF 3.4 3区医学 Q1 NURSING Journal of Advanced Nursing Pub Date : 2025-04-19 DOI:10.1111/jan.16967

Hilal Kara, Dudu Karakaya

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Abstract

Introduction

It is important for the treatment and care of adolescents using substances to bring out their life experiences relating to substance use.

Aim

To analyse and synthesise qualitative evidence on substance use-related life experiences of adolescents with substance use disorder.

Design

A systematic review of qualitative studies.

Methods

Systematic searches on the databases PubMed, Science Direct, Scopus, EBSCO CINAHL Complete and Web of Science were conducted between December 2023 and February 2024 and supplemented by manual search strategies. As a result of the search, 1271 articles were accessed and 11 articles were included in the study. In order to assess quality, the critical appraisal skills programme was used. Synthesis of the data was performed using the thematic analysis method recommended by Thomas and Harden (2008). In study reporting, the preferred reporting items for systematic reviews and meta-analyses (PRISMA) 2020 checklist and enhancing transparency in reporting the synthesis of qualitative research (ENTREQ) guidelines were used.

Results

From 11 included publications, four main themes emerged: starting and continuing substance use, duration of dependence and related factors, the results of substance use and experiences of the treatment process.

Conclusions

Substance use disorder had serious negative effects on the adolescents themselves, their families and their environments. In line with these negative experiences, adolescents made suggestions regarding the substance use disorder treatment process.

Implications for the Profession and/or Patient Care

Professionals working with adolescents can plan their interventions in line with the experiences and suggestions of adolescents who use substances. In addition, governments can take into account the experiences and suggestions of adolescents with substance use disorder when structuring health policies.

Patient or Public Contribution

No patient or public contribution.

Registration

This meta-synthesis was registered with PROSPERO (CRD42022298218).

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青少年物质使用障碍：质性系统回顾

目的对患有药物使用障碍的青少年与药物使用相关的生活经历的定性证据进行分析和归纳。方法在 2023 年 12 月至 2024 年 2 月期间对 PubMed、Science Direct、Scopus、EBSCO CINAHL Complete 和 Web of Science 等数据库进行系统检索，并辅以人工检索策略。经过检索，共获取了 1271 篇文章，其中 11 篇文章被纳入本研究。为了评估质量，使用了批判性评价技能程序。采用托马斯和哈登（Thomas and Harden，2008 年）推荐的专题分析方法对数据进行了综合。在研究报告方面，采用了系统综述和荟萃分析首选报告项目（PRISMA）2020清单和提高定性研究综述报告透明度（ENTREQ）指南。结果从纳入的11篇出版物中，我们发现了四个主要的主题：开始和持续使用药物、药物依赖持续时间及相关因素、药物使用的结果以及治疗过程的体验。对行业和/或患者护理的启示从事青少年工作的专业人员可以根据使用药物的青少年的经验和建议来规划干预措施。此外，政府在制定卫生政策时，也可以考虑患有药物使用障碍的青少年的经验和建议。

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来源期刊

Journal of Advanced Nursing 医学-护理

CiteScore

6.40

自引率

7.90%

发文量

369

审稿时长

3 months

期刊介绍： The Journal of Advanced Nursing (JAN) contributes to the advancement of evidence-based nursing, midwifery and healthcare by disseminating high quality research and scholarship of contemporary relevance and with potential to advance knowledge for practice, education, management or policy. All JAN papers are required to have a sound scientific, evidential, theoretical or philosophical base and to be critical, questioning and scholarly in approach. As an international journal, JAN promotes diversity of research and scholarship in terms of culture, paradigm and healthcare context. For JAN’s worldwide readership, authors are expected to make clear the wider international relevance of their work and to demonstrate sensitivity to cultural considerations and differences.