Alcohol abusers who want to quit smoking: Implications for clinical treatment
Alcohol abusers who want to quit smoking: Implications for clinical treatment
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DOI：
10.1016/s0376-8716(98)00180-x
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发表时间：
1999-05-03
影响因子：
4.2
通讯作者：
Agrawal, S
中科院分区：
文献类型：
--
作者：
Ellingstad, TP;Sobell, LC;Agrawal, S
虽然大多数酒精滥用者都依赖尼古丁，但对这些人的研究很少。因此，几乎没有信息可以为希望考虑解决这两个问题的客户提供建议。进入门诊酒精治疗计划的客户也是目前的吸烟者，被问及他们对改变酒精和香烟使用的时间偏好。超过四分之三的酗酒者同时也是吸烟者，当被问及他们愿意在治疗酒精问题期间或之后考虑戒烟时，他们表示愿意考虑戒烟。在治疗酒精问题时有兴趣戒烟的人与那些不想戒烟的人不同，这种差异可能会影响他们成功解决这两个问题的能力。与那些倾向于先改变饮酒习惯再解决吸烟问题的人相比，那些表示愿意在治疗中同时解决这两个问题（即吸烟和饮酒）的人不仅更有可能认为戒烟会影响戒烟，而且更有可能计划在未来六个月内戒烟。这些结果表明，一些酒精问题不严重的人，也吸烟的人，比其他人更容易接受双重康复方法。在没有研究结果的情况下，遇到酗酒和吸烟的人的医疗保健从业人员至少应该与他们的客户探讨双重戒烟的选择。本研究结果的临床和研究意义进行了讨论。(C)1999爱思唯尔科学爱尔兰有限公司保留所有权利。
Although most alcohol abusers are dependent on nicotine, studies of such individuals have been scarce. Consequently, little information is available for advising clients who wish to consider resolving both problems. Clients entering an outpatient alcohol treatment program who were also current smokers were asked about their temporal preferences for changing their alcohol and cigarette use. Over three-quarters of alcohol abusers who were also smokers when asked said they would be willing to consider stopping smoking during or after treatment for an alcohol problem. Individuals who were interested in quitting smoking cigarettes while in treatment for an alcohol problem were different from those who did not want to stop smoking, and such differences may influence their ability to successfully address both problems together. Compared to those who preferred to change their drinking first then address their smoking, those who said they would be willing to address both problems (i.e. smoking and drinking) together in treatment were not only considerably more likely to think that quitting smoking would affect quitting drinking, but also more likely to be planning to quit smoking in the next six months. These results suggest that some individuals whose alcohol problems are not severe and who also smoke cigarettes will be more receptive to a dual recovery approach than others. In the absence of research findings, health care practitioners who encounter individuals who drink heavily and smoke cigarettes should at a minimum explore the option of dual cessation with their clients. The clinical and research implications of the present results are discussed. (C) 1999 Elsevier Science Ireland Ltd. All rights reserved.