Current perspectives on smoking cessation among substance abusers.
Current perspectives on smoking cessation among substance abusers.
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DOI：
10.1007/s11920-002-0087-5
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发表时间：
2002-10-01
影响因子：
6.7
通讯作者：
Covey, Lirio S
中科院分区：
文献类型：
--
作者：
Sullivan, Maria A;Covey, Lirio S
尼古丁依赖在酒精或其他物质滥用者中的流行率非常高，调查显示，许多参加药物或酒精治疗计划的患者对戒烟感兴趣。然而，戒烟并不是这一人群临床干预的传统重点。最近在滥用酒精、大麻、可卡因或阿片类药物的个人中进行的临床试验的证据表明：1)有酒精依赖史但目前没有酒精依赖史的吸烟者与非酒精吸烟者的戒烟率相似；2)烟草戒断不会增加酒精复发；3)继续吸烟对大麻依赖的治疗产生不利影响；4)可卡因和尼古丁的使用模式是相互关联的；5)阿片类药物依赖者的戒烟率比普通美国人低好几倍。戒烟适用于已在康复中的药物依赖者，并可防止再次滥用这种非法药物。
The prevalence of nicotine dependence among alcohol or other substance abusers is extremely high, and surveys have revealed that many patients in drug or alcohol treatment programs are interested in smoking cessation. However, smoking cessation has not been a traditional focus in clinical interventions for this population. Recent evidence from clinical trials among individuals abusing alcohol, marijuana, cocaine, or opioids have shown the following: 1) smokers with a past but not current history of alcohol dependence have a similar rate of success compared with non-alcoholic smokers; 2) tobacco abstinence does not increase alcohol relapse; 3) continued smoking adversely affects treatment for marijuana dependence; 4) patterns of cocaine and nicotine use are interrelated; 5) smoking cessation rates among opioid-dependent individuals are several times lower than in the general US population. Smoking cessation is indicated for substance dependent persons already in recovery and may protect against relapse to the illicit drug of abuse.