Tobacco use is associated with more severe alcohol dependence, as assessed by the number of DSM-IV criteria, in Swedish male type 1 alcoholics
Tobacco use is associated with more severe alcohol dependence, as assessed by the number of DSM-IV criteria, in Swedish male type 1 alcoholics
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DOI：
10.1093/alcalc/agm028
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发表时间：
2007-05-01
影响因子：
2.8
通讯作者：
Balldin, Jan
中科院分区：
文献类型：
--
作者：
Berggren, Ulf;Berglund, Kristina;Balldin, Jan
背景：据报道，在寻求治疗的酒精依赖者中有很高的吸烟率。也有人提出，吸烟的酒精依赖者可能会有更严重的病程和更严重的酒精中毒。方法：这项研究评估了108名瑞典男性I型酒精依赖者的吸烟影响，这些人是通过当地日报上的广告招募的。他们被分成吸烟者(N=50)、吸烟者(N=12)和不吸烟者(N=46)。酒精依赖诊断标准的数量被用来评估酒精依赖的严重程度。结果：与不吸烟组相比，吸烟者明显更年轻，并且在开始过度饮酒时也更年轻。吸烟者和吸烟者都比不吸烟者更符合DSM-IV酒精依赖标准。此外，吸烟者和吸烟者的比例明显更高，符合标准2(经历戒断综合症)和标准7(尽管有问题仍继续饮酒)。结论：这些发现表明，不仅吸烟，而且抽鼻烟与更严重的酒精依赖有关，DSM-IV标准的更多数量反映了这一点。
Background: A high smoking prevalence has been reported in treatment-seeking alcohol-dependent individuals. It has also been suggested that alcohol-dependent individuals who smoke may have a more severe course and greater severity of their alcoholism. Methods: This study evaluated the impact of tobacco use in 108 Swedish male type I alcohol-dependent individuals, recruited by advertisement in a local daily newspaper. They were sub-grouped into smokers (N = 50), snuffers (N = 12) and tobacco nonusers (N = 46). The number of criteria for the diagnosis of alcohol dependence was used to assess the severity of alcohol dependence. Results: The smokers were significantly younger compared to the tobacco non-using group, and also younger at their onset of excessive alcohol consumption. Both smokers and snuffers fulfilled significantly more DSM-IV criteria for alcohol dependence than tobacco nonusers. Furthermore, significantly higher proportions of smokers and snuffers fulfilled the criteria no 2 (experiencing withdrawal syndrome) and no 7 (continuing to use alcohol despite problems). Conclusions: These findings indicate that not only smoking, but also snuffing, is associated with greater severity of alcohol dependence, as reflected by the greater number of DSM-IV criteria.