医学
无烟烟草
烟草使用
禁欲
尼古丁替代疗法
精神科
戒烟
药物治疗
叙述性评论
酒精使用障碍
环境卫生
尼古丁
重症监护医学
人口
生物化学
化学
酒
病理
作者
Symen K. Spoelstra,Robert C. van de Graaf,Arie Dijkstra
出处
期刊:Journal of Addiction Medicine
[Ovid Technologies (Wolters Kluwer)]
日期:2023-10-17
卷期号:18 (1): 33-41
被引量:1
标识
DOI:10.1097/adm.0000000000001234
摘要
Introduction Tobacco use disorder is a major public health issue, and novel smoking cessation approaches are urgently needed. Residential treatment programs have been suggested as a potentially effective treatment for tobacco use disorder. However, there is limited literature on residential treatment programs for patients who are exclusively dependent on nicotine. Aim The aim of this study is to review the literature on residential treatment programs for patients admitted exclusively for tobacco use disorder. Methods A literature search was conducted in PubMed with the aim of identifying relevant articles on residential treatment exclusively for tobacco use disorder from inception until February 2023. References in retrieved articles were screened for additional relevant articles. Results Fourteen studies on residential treatment programs for tobacco use disorder were identified. The duration of the residential cessation programs ranged from 3 days to 3 weeks. Individualized or group cognitive behavioral therapy and tailored pharmacotherapy were the key components of the programs. Eligibility criteria for the programs included moderate to severe tobacco use disorder as measured by Fagerström or Diagnostic and Statistical Manual of Mental Disorders (DSM), consistent relapses, smoking-related comorbidities (eg, cardiovascular or pulmonary diseases), and daily use of (smokeless) tobacco. The 6- and 12-month 7-day point prevalence rate ranged from 58% to 26%, whereas the 6- and 12-month continuous abstinence rate ranged from 52% to 29%. Conclusions Based on the literature we reviewed, residential smoking cessation programs targeted exclusively at individuals with tobacco use disorder have shown effectiveness, particularly for those who are highly dependent on tobacco and have a history of relapse. However, more research is needed to further explore the effectiveness of these programs and to determine the optimal program components and duration.
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