Smoking among inpatients in treatment for substance use disorders: prevalence and effect on mental health and quality of life.

Smoking among inpatients in treatment for substance use disorders: prevalence and effect on mental health and quality of life.
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DOI:
10.1186/s12888-021-03252-9
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发表时间:
2021-05-11
期刊:
影响因子:
4.4
通讯作者:
Bramness JG
Bramness JG
中科院分区:
医学2区
文献类型:
--
作者:
Lien L;Bolstad I;Bramness JG

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吸烟在物质使用障碍患者中仍然很普遍。本研究的目的是调查物质使用障碍治疗患者的吸烟率,并分析基线和随访时吸烟对脱落、心理健康和生活质量的影响。一百二十八住院患者(26%的女性),主要是酒精使用障碍,住在三个不同的康复诊所在挪威东部,在入院时进行了采访,并在6周和6个月的后续行动。访谈内容包括与心理健康有关的问题、创伤、关于酒精和其他物质以及生活质量的问题。非参数检验用于检验组间差异,未校正和校正线性回归用于检验吸烟与主要结局变量之间的关联,而logistic回归用于检验吸烟与辍学之间的关联。入院时,75%的人每天吸烟。与基线时的非吸烟者相比,吸烟者的脱落率更高(37% vs. 13%),从基线到6个月随访,精神痛苦更多,生活质量更低。那些在住院期间戒烟的人在精神痛苦和生活质量方面的改善与非吸烟者相同。酒精相关因素在吸烟者和非吸烟者之间没有差异。吸烟与初级酒精使用障碍治疗患者的精神痛苦、生活质量和治疗脱落有关。结果表明,戒烟应建议作为一个组成部分,酒精使用治疗前和住院治疗期间,以减少辍学。
Smoking is still prevalent among people with substance use disorders. The objective of this study was to investigate the prevalence of smoking among patients in treatment for substance use disorders and to analyze the effect of smoking both at baseline and follow-up on drop-out, mental health and quality of life. One hundred and twenty-eight inpatients (26% female), mainly with alcohol use disorder, staying at three different rehabilitation clinics in Eastern Norway, were interviewed at admission, and at 6 weeks and 6 months follow-up. The interview contained mental health-related problems, trauma, questions on alcohol and other substances and quality of life. Non-parametric tests were used to test group differences and unadjusted and adjusted linear regression to test the associations between smoking and the main outcome variables, while logistic regression was used to test the association between smoking and drop-out. At admission, 75% were daily smokers. Compared to non-smokers at baseline, the smokers had higher drop-out rates (37% vs. 13%), more mental distress, and lower quality of life from baseline up to 6 months follow-up. Those quitting smoking while admitted improved in mental distress and quality of life at the same rate as non-smokers. Alcohol-related factors did not differ between smokers and non-smokers. Smoking was associated with mental distress, quality of life and treatment drop-out among patients in primary alcohol use disorder treatment. The results indicate that smoking cessation should be recommended as an integral part of alcohol use treatment both before and during inpatient treatment to reduce drop-out.
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