Concurrent brief versus intensive smoking intervention during alcohol dependence treatment
Concurrent brief versus intensive smoking intervention during alcohol dependence treatment
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DOI：
10.1037/0893-164x.21.4.570
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发表时间：
2007-12-01
影响因子：
3.4
通讯作者：
Steinberg, Howard R.
中科院分区：
文献类型：
--
作者：
Cooney, Ned L.;Litt, Mark D.;Steinberg, Howard R.
参加强化门诊药物滥用治疗计划的酒精依赖吸烟者 (N = 118) 被随机分配接受短期或强化戒烟干预。简短的治疗包括 15 分钟的咨询和 5 分钟的随访。强化干预包括 3 次 1 小时的咨询课程以及 8 周的尼古丁贴片治疗。通过呼吸一氧化碳验证的戒烟率，在戒烟日期后 1 个月时，强化治疗组 (27.5%) 显着高于短期治疗组 (6.6%)，但在 6 个月时则不然，当时强化治疗组的戒烟率降至 9. 1%，短期治疗组为 2. 1%。吸烟治疗分配并没有显着影响酒精结果。尽管强化吸烟治疗与较高的短期戒烟率相关，但仍需要其他可能更强化的吸烟干预措施，以实现酒精依赖吸烟者的持久戒烟。
Alcohol dependent smokers (N = 118) enrolled in an intensive outpatient substance abuse treatment program were randomized to a concurrent brief or intensive smoking cessation intervention. Brief treatment consisted of a 15-min counseling session with 5 min of follow-up. Intensive intervention consisted of three 1-hr counseling sessions plus 8 weeks of nicotine patch therapy. The cigarette abstinence rate, verified by breath carbon monoxide, was significantly higher for the intensive treatment group (27.5%) versus the rate for the brief treatment group (6.6%) at 1 month after the quit date but not at 6 months, when abstinence rates fell to 9. 1 % for the intensive treatment group and 2. 1% for the brief treatment group. Smoking treatment assignment did not significantly impact alcohol outcomes. Although intensive smoking treatment was associated with higher rates of short-term tobacco abstinence, other, perhaps more intensive, smoking interventions are needed to produce lasting smoking cessation in alcohol dependent smokers.