Characteristics and smoking cessation outcomes of patients returning for repeat tobacco dependence treatment

被引:16
作者
Han, E. S. [1 ]
Foulds, J. [1 ]
Steinberg, M. B. [1 ]
Gandhi, K. K. [1 ]
West, B. [1 ]
Richardson, D. L. [1 ]
Zelenetz, S. [1 ]
Dasika, J. [1 ]
机构
[1] UMDNJ Sch Publ Hlth, Tobacco Dependence Program, New Brunswick, NJ 08901 USA
关键词
tobacco dependence; smoking cessation; repeat treatment;
D O I
10.1111/j.1742-1241.2006.01077.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Previous studies of tobacco dependence treatment have reported very low cessation rates among smokers who relapse and return to make a subsequent formal attempt to quit. This retrospective cohort study examined 1745 patients who attended a tobacco dependence clinic between 2001 and 2005, and the characteristics and outcomes of those who relapsed and returned for repeat treatment. Patients who returned for repeat treatment showed higher markers of nicotine dependence and were more likely to have a history of treatment for mental health problems than patients who attended the clinic for only one treatment episode. Among patients who relapsed and returned for repeat treatment, the 26-week abstinence rates were similar for each consecutive quit attempt (23%, 22% and 20%). Clinicians should encourage smokers who relapse after an initial treatment episode to return for treatment, and repeat treatment should focus on addressing high nicotine dependence and potentially co-occurring mental health problems in order to improve cessation outcomes.
引用
收藏
页码:1068 / 1074
页数:7
相关论文
共 18 条
[1]   The neurobiological basis for partial agonist treatment of nicotine dependence [J].
Aveyard, P .
INTERNATIONAL JOURNAL OF CLINICAL PRACTICE, 2006, 60 (05) :507-508
[2]  
Fiore MC., 2000, TREATING TOBACCO USE
[3]   Factors associated with quitting smoking at a tobacco dependence treatment clinic [J].
Foulds, J ;
Gandhi, KK ;
Steinberg, MB ;
Richardson, DL ;
Williams, JM ;
Burke, MV ;
Rhoads, GG .
AMERICAN JOURNAL OF HEALTH BEHAVIOR, 2006, 30 (04) :400-412
[4]   The neurobiological basis for partial agonist treatment of nicotine dependence: varenicline [J].
Foulds, J .
INTERNATIONAL JOURNAL OF CLINICAL PRACTICE, 2006, 60 (05) :571-576
[5]   Bupropion SR as an aid to smoking cessation in smokers treated previously with bupropion: A randomized placebo-controlled study [J].
Gonzales, DH ;
Nides, MA ;
Ferry, LH ;
Kustra, RP ;
Jamerson, BD ;
Segall, N ;
Herrero, LA ;
Krishen, A ;
Sweeney, A ;
Buaron, K ;
Metz, A .
CLINICAL PHARMACOLOGY & THERAPEUTICS, 2001, 69 (06) :438-444
[6]   DOUBLE-BLIND TRIAL OF REPEATED TREATMENT WITH TRANSDERMAL NICOTINE FOR RELAPSED SMOKERS [J].
GOURLAY, SG ;
FORBES, A ;
MARRINER, T ;
PETHICA, D ;
MCNEIL, JJ .
BRITISH MEDICAL JOURNAL, 1995, 311 (7001) :363-366
[7]   Treatment resistant smokers: A pilot study of nicotine nasal spray and inhaler [J].
Hughes, JR ;
Grass, JA ;
Pillitteri, JL .
JOURNAL OF ADDICTIVE DISEASES, 2000, 19 (01) :95-100
[8]  
HUNT WA, 1974, J CLIN PSYCHOL, V30, P431, DOI 10.1002/1097-4679(197410)30:4<431::AID-JCLP2270300402>3.0.CO
[9]  
2-5
[10]  
JEREMY P, 2002, TOBACCO ATLAS, P23