Application of environmental sensitivity theories in personalized prevention for youth substance abuse: a transdisciplinary translational perspective

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6 Scopus citations

Abstract

Preventive interventions that target high-risk youth, via one-size-fits-all approaches, have demonstrated modest effects in reducing rates of substance use. Recently, substance use researchers have recommended personalized intervention strategies. Central to these approaches is matching preventatives to characteristics of an individual that have been shown to predict outcomes. One compelling body of literature on person × environment interactions is that of environmental sensitivity theories, including differential susceptibility theory and vantage sensitivity. Recent experimental evidence has demonstrated that environmental sensitivity (ES) factors moderate substance abuse outcomes. We propose that ES factors may augment current personalization strategies such as matching based on risk factors/severity of problem behaviors (risk severity (RS)). Specifically, individuals most sensitive to environmental influence may be those most responsive to intervention in general and thus need only a brief-type or lower-intensity program to show gains, while those least sensitive may require more comprehensive or intensive programming for optimal responsiveness. We provide an example from ongoing research to illustrate how ES factors can be incorporated into prevention trials aimed at high-risk adolescents.

Original languageEnglish (US)
Pages (from-to)81-89
Number of pages9
JournalTranslational behavioral medicine
Volume6
Issue number1
DOIs
StatePublished - Mar 1 2016

Bibliographical note

Funding Information:
The research described in this manuscript is a product an on ongoing research project conducted by Eric Thibodeau, a pre-doctoral training fellow in a T32 Training Program in Translational Prevention Science sponsored by the National Institute of Mental Health, T32 MH010026 (awarded to Gerald August, Ph.D.). We wish to acknowledge Michael Pluess, Marinus van IJzendoorn, and Geertjan Overbeek for their helpful comments as this concept was being developed.

Funding Information:
The research described in this manuscript is a product an on ongoing research project conducted by Eric Thibodeau, a pre-doctoral training fellow in a T32 Training Program in Translational Prevention Science sponsored by the National Institute of Mental Health, T32 MH010026 (awarded to Gerald August, Ph.D.). We wish to acknowledge Michael Pluess, Marinus van IJzendoorn, and?Geertjan Overbeek for their helpful comments as this concept was being developed.

Keywords

  • Differential susceptibility
  • Environmental sensitivity
  • Personalization
  • Prevention
  • Risk severity
  • Substance use

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