A practical clinical approach to the treatment of nicotine dependence in adolescents.
A practical clinical approach to the treatment of nicotine dependence in adolescents.
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治疗青少年尼古丁依赖的实用临床方法。
DOI：
10.1097/01.chi.0000170881.94451.14
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发表时间：
2005
期刊：
影响因子：
--
通讯作者：
Brady,Kathleen
中科院分区：
文献类型：
--
作者：
Upadhyaya,Himanshu;Deas,Deborah;Brady,Kathleen
本文讨论了一种实用的临床方法来治疗青少年尼古丁依赖。至少在美国，吸烟主要是儿科疾病，并导致显著的发病率和死亡率;在美国，烟草与每年超过40万例死亡有关。青少年吸烟会影响肺功能和骨骼生长，并可能导致抑郁症风险增加。尼古丁戒断可能成为一个重要的问题，青少年承认锁定住院精神科单位，因为他们不允许吸烟。许多患有精神疾病的青少年吸烟，儿童和青少年精神科医生在帮助青少年吸烟者戒烟方面处于独特的地位，因为我们的许多患者吸烟。尼古丁戒断症状，特别是在禁止吸烟的青少年住院环境中，可以模仿精神症状（例如焦虑，易怒）。经皮尼古丁贴片（TNP）的使用可能有助于在这些住院设置尼古丁戒断。TNP和安非他酮缓释剂，沿着行为疗法，可能是有用的青少年尼古丁依赖的治疗。（PsycINFO数据库记录（c）2019阿帕，保留所有权利）
The article discusses a practical clinical approach to the treatment of nicotine dependence in adolescents. Cigarette smoking, at least in the United States, is predominantly a pediatric disorder and causes significant morbidity and mortality; tobacco is related to more than 400,000 deaths in the United States annually. Cigarette smoking in adolescence affects lung function and bone growth and may cause increased risk of depressive disorder. Nicotine withdrawal can become a significant issue among adolescents admitted to locked inpatient psychiatric units because they are not allowed to smoke. Many adolescents with psychiatric disorders smoke cigarettes and child and adolescent psychiatrists are in a unique position to help adolescent smokers quit smoking because many of our patients smoke cigarettes. Nicotine withdrawal symptoms, particularly in locked adolescent inpatient settings where smoking is banned, can mimic psychiatric symptoms (eg, anxiety, irritability). The transdermal nicotine patch (TNP) use may aid in nicotine withdrawal in those inpatient settings. The TNP and bupropion SR, along with behavior therapy, may be useful for the treatment of adolescent nicotine dependence.(PsycINFO Database Record (c) 2019 APA, all rights reserved)