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L’alcolismo giovanile e le terapie comportamentali e cognitive
Titolo Rivista: PSICOBIETTIVO 
Autori/Curatori: Pierluigi Graziani 
Anno di pubblicazione:  2015 Fascicolo: Lingua: Italiano 
Numero pagine:  20 P. 33-52 Dimensione file:  146 KB
DOI:  10.3280/PSOB2015-003003
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I dati sul consumo di alcool mettono in evidenza che i giovani hanno spesso un comportamento a rischio che può tradursi in dipendenza sopratutto all’età adulta. Le terapie comportamentali e cognitive considerano che il comportamento del bere è appreso in seguito a esperienze di piacere con l’alcol. L’utilizzo della bevanda è memorizzato col contesto in cui l’esperienza avviene. Si costruiscono cosi indici che attivano la voglia quando sono presenti. Inoltre, il piacere ottenuto alimenta la ricerca di ripetere quel piacere. Ciò che mantiene il consumo quando questo comincia a provocare conseguenze negative è che spesso permette di diminuire una sofferenza (rinforzo negativo). Inoltre, la presenza di idee facilitanti o scuse facilita la diminuzione del senso di colpa per quel consumo che sarebbe difficile difficile da realizzare date le conseguenze. un premessa alle terapie comportamentali e cognitive è la qualità e la quantità della motivazione. È quindi necessario che il giovane percepisca che gli inconvenienti del consumo e i vantaggi di cambiare sono superiori ai vantaggi del consumo e agli svantaggi del cambiare.


Keywords: Alcol; adolescenti; giovani; terapia cognitiva e comportamentale; uso problematico dell’alcol

  1. Alcol in Italia, la prima Relazione del Ministro della Salute al Parlamento (29 January 2004) http://www.ministerosalute.it/dettaglio/pdPrimoPiano.jsp?id_204&sub_1&lang_itAry D., Tildesley E., Hops H., Andrews J. (1993) “The influence of parent, sibling and peer modeling and attitudes on adolescent use of alcohol”, International Journal of the Addictions, 28: 853-880 Assanangkornchai S., Srisurapanont M. (2007) “The treatment of alcohol dependence”, Current Opinion in Psychiatry, 20: 222-227., DOI: 10.1097/YCO.0b013e3280fa837
  2. Bartholow B.D., Dickter C.L., Sestir M.A. (2006) “Stereotype activation and control of race bias: Cognitive control of inhibition and its impairment by alcohol”, Journal of Personality and Social Psychology, 90, 2: 272-287, 272-287., DOI: 10.1037/0022-3514.90.2.27
  3. Beccaria F., Prina F. (2010) “Young people and alcohol in Italy: An evolving relationship”, Drugs: Education, Prevention and Policy, 17(2): 99-122., DOI: 10.3109/0968763080229170
  4. Beck T.A., Wright F.D., Newman C.F., Liese B.S. (1993) Cognitive therapy of substance abuse, Oxford Press, New York
  5. Berglund M., Thelander S., Salaspuro M., Franck J., Andreasson S., Ojehagen A. (2003) “Treatment of alcohol abuse: An evidence-based review. Proceedings of a symposium at the 2002 RSA meeting”, Alcoholism: Clinical and Experimental Research, 27: 1645-1656
  6. Berridge K.C., Robinson T.E., Aldridge J.W. (2009) “Dissecting components of reward: “liking”, “wanting”, and learning”, Current Opinion in Pharmacology, 9(1): 65-73., DOI: 10.1016/j.coph.2008.12.01
  7. Brody G., Ge X., Katz J., Arias I. (2000) “A longitudinal analysis of internalization of parental alcohol-use norms and adolescent alcohol use”, Applied Developmental Science, 4: 71-79., DOI: 10.1037/a001299
  8. Cipriani F. (ed.) (2006) “Ascesa e declino del consumo di alcol: alcune ipotesi interpretative”, in Allaman A., Cipriani F., Prina F. (a cura di), “I cambiamenti nei consumi di bevande alcoliche in Italia. Uno studio esplorativo sul decremento dei consumi negli anni 1970-2000”, Quaderno n. 17 Osservatorio Permanente sui Giovani e l’Alcool, Casa editrice Litos, Roma
  9. Connor J.P., Young R.M.D., Williams R.J., Ricciardelli L.A. (2000) “Drinking restraint vs alcohol expectancies: Which is the better indicator of alcohol problems?”, Journal of Studies on Alcohol, 61: 352-359
  10. Cooper M.L. (2006) “Does Drinking Promote Risky Sexual Behavior?: A Complex Answer to a Simple Question”, Current directions in psychological science: a journal of the American Psychological Society, 15(1): 19-23
  11. ESPAD – The ESPAD Report (2003) Alcohol and other drug use among students in 35 European countries (Summary available at: http://www.espad.org/)
  12. Freeman N., Friedman R.S. Bartholow B.D., Wulfert E. (2010) “Effects of Alcohol Priming on Social Disinhibition”, Experimental and Clinical Psychopharmacology, 18, 2: 135-144., DOI: 10.1037/a001887
  13. Giancola P.R. (2000) “Executive functioning: A conceptual framework for alcohol-related aggression”, Experimental and Clinical Psychopharmacology, 8:
  14. 576-597., DOI: 10.1037/1064-1297.8.4.57
  15. Gierski F., Naasila M. (2014) “Conduite d’alcoolisation et de binge drinking chez l’adolescent et le jeune adulte”, in Battaglie N., Gierski F., L’addiction chez l’adolescent, De Boeck Solal, Paris
  16. Goldman M.S., Brown S.A., Christiansen B.A. (1987) “Expectancy theory: Thinking about drinking”, in Blane H.T., Leonard (eds.), Psychological theories of drinking and alcoholism, Guilford Press, New York
  17. Hibell B., Andersson B., Bjarnasson T., Ahlström S., Balakireva O., Kokkevi A., Morgan M. (2004) The ESPAD report 2003: Alcohol and other drug use among students in 35 European countries, CAN, Stockholm
  18. Hingson R.W., Heeren T., Winter M.R. (2006) “Age at drinking onset and alcohol dependence: Age at onset, duration, and severity”, Archives of Pediatrics & Adolescent Medicine, 160: 739-746., DOI: 10.1001/archpedi.160.7.73
  19. Krank T.H., Engels R.C.M., Pieters S., Burk W.J., Mares S.H.W. (2013) “The mediating role of alcohol-related memory associations on the relation between perceived parental drinking and the onset of adolescents’ alcohol use”, Addiction, 108(3): 526-533
  20. Leigh B.C., Stacy A.W. (2004) “Alcohol expectancies and drinking in different age groups”, Addiction, 99: 215-227., DOI: 10.1111/j.1360-0443.2003.00641.
  21. Newton-Howes G., Boden J.M. (under press) “Relation between age of first drinking and mental health and alcohol and drug disorders in adulthood: Evidence from a 35-year cohort study”, Addiction
  22. Oei T.P.S., Foley J., Young R.M.D. (1990) “The in-vivo manipulation of alcohol-related beliefs in male social drinkers in a naturalistic setting”, The British Journal of Medical Psychology, 63: 279-286
  23. Pelc I. (1985) “Questionnaire des habitudes de prise de boisson alcoolisées”, in Cottraux J., Légeron P., Bouvard M. (eds.), Méthodes et échelles d’évaluation des comportements, Paris, EAP, pp. 232-235
  24. Pelc I. (1989) “Thérapies cognitivo-comportementales de l’alcoolisme”, Actualité Psychiatrique, 19(7): 11-6
  25. Pitkänen T., Lyyra A.L., Pulkkinen L. (2004) “Age of onset of drinking and the use of alcohol in adulthood: A follow-up study from age 8-42 for females and males”, Addiction, 100: 652-661., DOI: 10.1111/j.1360-0443.2005.01053.
  26. Prochaska J., Di Clemente C. (1988) “Toward a comprehensive model of change”, in Miller W., Heaster N. (eds.) Treating addictive behavior, Plenum Press, New York, pp. 3-28
  27. Prochaska J., Norcross J.C., Fowler J.L., Abrams D.B. (1992) “Attendance and outcome in a work site weight control program: processes and stages of change as process and predictor variables”, Addictive Behaviors, 17: 35-45
  28. Robinson T.E., Berridge K.C. (1993) “The neural basis of drug craving: An incentive-sensitization theory of addiction”, Brain Research Reviews, 18(3): 247-291., DOI: 10.1016/0165-0173(93)90013-
  29. Roland S., Beccaria F., Tigerstedt C., Törrönen J. (2012) “First drink: What does it mean? The alcohol socialization process in different drinking cultures”, Drugs: Education, Prevention and Policy, 19(3): 201-212
  30. Spilka S., Le Nézet O., Beck F., Ehlinger V., Godeau E. (2012) “Alcool, tabac et cannabis durant les ‘années collège’”, Tendances, 80: 6
  31. Spilka S., Le Nézet O., Tovar M.L. (2012) “Les drogues à 17 ans: premiers resultats de l’étude ESCAPAD 2011”, Tendances, 79: 1-4
  32. Van der Vorst H., Beck A.T., Wright F. W., Newman C. F., Liese B. (1993) Cognitive therapy of substance abuse, Guilford, New York
  33. Van der Vorst H. et al. (2006) “Pathways to Alcohol Use Among Dutch Students in Regular Education and Education for Adolescents With Behavioral Problems: The Role of Parental Alcohol Use, General Parenting Practices, and Alcohol-Specific Parenting Practices”, Journal of Family Psychology, 20(3): 456-467., DOI: 10.1037/0893-3200.20.3.45
  34. Van der Vorst H. (2014) “Children’s responses towards alcohol in virtual reality: Associations between parental alcohol use, drinking selections and intentions to drink”, Journal of Substance Use, 19(6): 429-435., DOI: 10.3109/14659891.2013.85225
  35. Wiers R.W., Bartholow B.D., Van den Wildenberg E., Trush C., Engels R.C., Sher K.J. et al. (2007) “Automatic and controlled processes and the development of addictive behaviors in adolescents: A review and a model”, Pharmacology Biochemistry and Behavior, 86(2): 263-283
  36. Young R.M.D., Oei T.P.S. (1993) “Grape expectations: The role of alcohol expectancies in the understanding and treatment of problem drinking”, International Journal of Psychology, 28: 337-364
  37. Young R.M.D., Knight R.G. (1989) “The Drinking Expectancy Questionnaire: A revised measure of alcohol related beliefs”, Journal of Psychopathology and Behavioral Assessment, 11: 99-112

Pierluigi Graziani, in "PSICOBIETTIVO" 3/2015, pp. 33-52, DOI:10.3280/PSOB2015-003003

   

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