Perceived barriers to quitting smoking among alcohol dependent patients in treatment
Perceived barriers to quitting smoking among alcohol dependent patients in treatment
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DOI：
10.1016/s0740-5472(02)00354-9
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发表时间：
2003-03-01
影响因子：
3.9
通讯作者：
Monti, PM
中科院分区：
文献类型：
--
作者：
Asher, MK;Martin, RA;Monti, PM
人们对酗酒者戒烟的障碍知之甚少。除了吸烟者通常感觉到的障碍外，酒精依赖吸烟者可能还有一些令人上瘾的生活方式特有的障碍。采用物质滥用治疗中的戒烟障碍量表(BQS-SAT)对96例住院物质滥用治疗中的酒精依赖吸烟者进行测试。BQS-SAT旨在评估酗酒者戒烟的感知障碍，使用11个真假项目。其中包括一个不限成员名额的项目，以收集关于潜在的额外障碍的信息。大多数受访者报告了与戒烟有关的障碍，如预期会感到易怒、焦虑、不安，约一半的受访者预计，如果他们像大多数吸烟者那样戒烟，就会有无法忍受的吸烟冲动。然而，对戒酒的影响以及需要吸烟来应对情绪低落的担忧也得到了近一半患者的支持。感知障碍的总数与吸烟史、吸烟的预期影响和吸烟诱惑显著相关，但与酒精使用的严重程度或对入院的依赖无关。在解决酗酒或依赖患者吸烟的问题时，提供关于这些障碍的纠正反馈可能会很有用。(C)2003 Elsevier Inc.保留所有权利。
Little is known about the perceived barriers to quitting smoking among alcohol abusers. In addition to the usual barriers perceived by smokers, alcohol dependent smokers may have a few barriers unique to their addictive lifestyle. The Barriers to Quitting Smoking in Substance Abuse Treatment (BQS-SAT) was administered to 96 alcohol dependent smokers in residential substance abuse treatment. The BQS-SAT is designed to assess perceived barriers to quitting smoking among alcohol abusers using eleven true-false items. One open-ended item was included to gather information about potential additional barriers. The majority of respondents reported withdrawal-related barriers such as expecting to feel irritable, anxious, restless, and about half expected intolerable urges to smoke if they were to quit smoking, as most smokers do. However, concerns about effects on sobriety and needing cigarettes to cope with feeling down were also endorsed by almost half of the patients. Total number of perceived barriers was significantly related to smoking history, expected effects from smoking, and smoking temptation but was not associated with severity of alcohol use or dependence on admission. Providing corrective feedback about these barriers could be useful when addressing smoking with patients who have alcohol abuse or dependence. (C) 2003 Elsevier Inc. All rights reserved.