Effectiveness of a smoking cessation intervention for methadone-maintained women: a comparison of pregnant and parenting women.
Effectiveness of a smoking cessation intervention for methadone-maintained women: a comparison of pregnant and parenting women.
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DOI：
10.1155/2011/567056
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发表时间：
2011
影响因子：
2.1
通讯作者：
Kaltenbach KA
中科院分区：
文献类型：
--
作者：
Holbrook AM;Kaltenbach KA
参加药物滥用项目的妇女吸烟率很高。怀孕是一个独特的干预机会，但很少有数据可以指导有效的干预措施。在这项研究中，44名怀孕和47名非怀孕的阿片类药物依赖妇女参加了综合药物滥用治疗，接受了为期6周的戒烟干预的基础上，5A的咨询模式。在3个月的随访中，妊娠患者的每日吸烟量减少了49%，非妊娠患者减少了32%。药物滥用治疗的时间长度与戒烟或减少吸烟无关。孕妇与非孕妇吸烟减少的预测因素不同。对于怀孕患者，干预前尼古丁使用水平较低和自我报告的吸烟渴望预测成功减少吸烟。对于未怀孕的患者，较低的从属依恋香烟，依赖香烟的认知增强，更大的控制感预测更成功的结果。
Women in substance abuse programs have high rates of smoking. Pregnancy represents a unique opportunity for intervention, but few data exist to guide tailoring of effective interventions. In this study, 44 pregnant and 47 nonpregnant opioid-dependent women enrolled in comprehensive substance abuse treatment received a 6-week smoking cessation intervention based on the 5A's counseling model. The number of daily cigarettes decreased by 49% for pregnant patients and 32% for nonpregnant patients at the 3-month followup. Length of time in substance abuse treatment did not correlate with smoking cessation or reduction for either group. Factors predicting reduction of cigarette smoking differed for pregnant versus nonpregnant patients. For pregnant patients, lower levels of nicotine use prior to intervention and self-reported cigarette cravings predicted successful reduction in smoking. For nonpregnant patients, lower affiliative attachment to cigarettes, reliance on cigarettes for cognitive enhancement, and greater sense of control predicted more successful outcomes.