Effects of varenicline and bupropion sustained-release use plus intensive smoking cessation counseling on prolonged abstinence from smoking and on depression, negative affect, and other symptoms of nicotine withdrawal.

Effects of varenicline and bupropion sustained-release use plus intensive smoking cessation counseling on prolonged abstinence from smoking and on depression, negative affect, and other symptoms of nicotine withdrawal.
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DOI:
10.1001/jamapsychiatry.2013.678
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发表时间:
2013-05
期刊:
影响因子:
25.8
通讯作者:
Wetter, David W.
Wetter, David W.
中科院分区:
医学1区
文献类型:
--
作者:
Cinciripini, Paul M.;Robinson, Jason D.;Karam-Hage, Maher;Minnix, Jennifer A.;Lam, Cho;Versace, Francesco;Brown, Victoria L.;Engelmann, Jeffrey M.;Wetter, David W.

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Smoking cessation clinical trial Assess the relative efficacy of bupropion and varenicline on smoking cessation and emotional functioning. Placebo controlled randomized clinical trial University Medical Center 294 community volunteers who wanted to quit smoking 12 weeks of Varenicline, Bupropion-SR, or Placebo plus intensive smoking cessation counseling (10 sessions ~240 minutes). Prolonged abstinence from smoking, and weekly measures of depression, negative affect and other symptoms of nicotine withdrawal Significant differences were found in abstinence at the end of treatment and through the 3-month post-quit follow-up favoring both active medications vs. placebo At the 6 month follow-up only the varenicline vs. placebo comparison remained significant. Varenicline was also associated with a generalized suppression of depression and reduced smoking reward compared to the other treatments, while both medications improved concentration, reduced craving, and decreased negative affect and sadness compared to placebo, while having little impact (increase or decrease) on anxiety and anger. No differences were noted in self-reported rates of neuropsychiatric adverse events. Varenicline exerts a robust and favorable impact on smoking cessation relative to placebo and may have a favorable (suppressive effect) on symptoms of depression and other affective measures with no clear unfavorable impact on neuropsychiatric adverse events in a community sample
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