SMOKING AND TREATMENT OUTCOME FOR ALCOHOLICS - EFFECTS ON COPING SKILLS, URGE TO DRINK, AND DRINKING RATES
SMOKING AND TREATMENT OUTCOME FOR ALCOHOLICS - EFFECTS ON COPING SKILLS, URGE TO DRINK, AND DRINKING RATES
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DOI：
10.1016/s0005-7894(05)80386-7
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发表时间：
1992-03-01
期刊：
影响因子：
3.7
通讯作者：
MONTI, PM
中科院分区：
文献类型：
--
作者：
ABRAMS, DB;ROHSENOW, DJ;MONTI, PM
酒精和烟草成瘾之间的相互关系开始受到更多的关注，因为它对理解和治疗成瘾障碍具有概念和实际意义。本研究的重点是吸烟对酒精中毒治疗后复发风险的影响。研究了吸烟与酒精治疗效果的关系：(1)酒精治疗前的饮酒率和酒精依赖性，(2)应对酒精复发高风险角色扮演的反应，以及(3)酒精治疗结果。这些关系首先在VA男性酗酒者样本中进行了研究（n= 45），然后在私立医院的不同样本中进行了重复和扩展（n= 53女性，110男性）。前处理时吸烟和饮酒率、吸烟和酒精依赖显著相关。对香烟依赖程度较高的吸烟者。Fagerstrom容忍度问卷得分较高；较短的潜伏期吸烟的第一支烟)有明显更大的饮酒冲动，吸烟冲动，困难和焦虑在酒精高风险情况下的角色扮演，独立于他们的预处理饮酒率或酒精依赖。在6个月的随访中，吸烟依赖并不能预测平均每天饮酒的数量或饮酒的频率。在私立医院的样本中，在随访期间喝酒的酗酒者中，依赖程度越高的吸烟者在饮酒日喝的酒比依赖程度越低的吸烟者喝的酒多。对成瘾障碍的理论和治疗意义进行了讨论。
The interrelationship between alcohol and tobacco addiction is beginning to receive more attention because it has conceptual and practical significance for understanding and treating addictive disorders. This investigation focuses on the effects of smoking on risk for relapse after alcoholism treatment. The relationships between smoking and: (1) alcohol consumption rate and dependence at pretreatment, (2) reactions to coping with alcohol high-risk-for-relapse role plays, and (3) alcohol treatment outcome were investigated. These relationships were studied first in a sample of male VA alcoholics (n = 45) and then replicated and extended in a different sample from a private hospital (n= 53 females, 110 males). Smoking and drinking rate, and smoking and alcohol dependence, were significantly correlated at pretreatment. Smokers with greater dependence on cigarettes (ie., higher Fagerstrom Tolerance Questionnaire scores; shorter latency to smoking first cigarette of the day) experienced significantly greater urge to drink, urge to smoke, difficulty, and anxiety in role plays of alcohol high-risk situations, independent of their pretreatment drinking rate or alcohol dependence. Smoking dependence did not predict mean number of drinks per day or frequency of drinking days during 6-month follow-up. In the private hospital sample, among alcoholics who drank at all during follow-up, the more dependent smokers drank more alcohol on drinking days than did the less dependent smokers. Implications for theory and treatment of addictive disorders are discussed.