在住院的年轻精神病患者中戒烟动机访谈对精神活性药物使用情况的影响
2009/05/18
本研究在住院的年轻精神病患者中比较针对戒烟的动机性访谈（MI）和简短忠告（BA）对精神活性药物使用的影响。191名年轻吸烟者（62.3％女性；平均年龄15.4岁）随机分为MI组（n=116）和BA组（n=75）。对所有患者在入院前、入院后即刻，以及随访1，3，6，9，12个月后进行评价。在MI组，精神活性药物使用率在随访期从8.2％（SD=18.5）增加到15.4％（SD=30.0）。而在BA组，使用率从8.4％（SD=18.5）增加到21.4％（SD=35.2）。
本研究结果显示，与BA相比，住院的年轻精神病患者中，住院治疗前6个月内，针对戒烟的MI与精神活性药物使用结果较好有关，该结果与之前的研究相一致，即戒烟对年轻人群的药物滥用治疗不会产生不利影响。
（刘国梁 卫生部中日友好医院呼吸内科 100029 摘译）
（ Brown RA, et al. Addict Behav. 2009 Mar 11. [Epub ahead of print]）
Brown RA, et al. Addict Behav. 2009 Mar 11. [Epub ahead of print]
Effects on substance use outcomes in adolescents receiving motivational interviewing for smoking cessation during psychiatric hospitalization.
The purpose of this study was to compare substance involvement among psychiatrically hospitalized adolescent smokers who had received motivational interviewing (MI) versus brief advice (BA) for smoking cessation. One hundred and ninety-one (191) adolescent smokers (62.3% female; 15.4 years of age) were randomly assigned to MI (n=116) or BA (n=75). All patients were assessed at baseline, immediately after hospitalization, and at 1-, 3-, 6-, 9-, and 12-month follow-ups. Rates of substance use in the MI condition during follow-up increased from a low of 8.2% (SD=18.5) to a high of 15.4% (SD=30.0) substance use days, whereas in BA, substance use days increased from a low of 8.4% (SD=20.8) to a high of 21.4% (SD=35.2). The results of this study suggest that MI, relative to BA, for smoking cessation was associated with better substance use outcomes during the first 6 months following psychiatric hospitalization among adolescents. This finding is consistent with previous studies that have shown that smoking cessation does not have a detrimental effect on substance abuse treatment outcomes among youth.
本研究结果显示，与BA相比，住院的年轻精神病患者中，住院治疗前6个月内，针对戒烟的MI与精神活性药物使用结果较好有关，该结果与之前的研究相一致，即戒烟对年轻人群的药物滥用治疗不会产生不利影响。
（刘国梁 卫生部中日友好医院呼吸内科 100029 摘译）
（ Brown RA, et al. Addict Behav. 2009 Mar 11. [Epub ahead of print]）
Brown RA, et al. Addict Behav. 2009 Mar 11. [Epub ahead of print]
Effects on substance use outcomes in adolescents receiving motivational interviewing for smoking cessation during psychiatric hospitalization.
The purpose of this study was to compare substance involvement among psychiatrically hospitalized adolescent smokers who had received motivational interviewing (MI) versus brief advice (BA) for smoking cessation. One hundred and ninety-one (191) adolescent smokers (62.3% female; 15.4 years of age) were randomly assigned to MI (n=116) or BA (n=75). All patients were assessed at baseline, immediately after hospitalization, and at 1-, 3-, 6-, 9-, and 12-month follow-ups. Rates of substance use in the MI condition during follow-up increased from a low of 8.2% (SD=18.5) to a high of 15.4% (SD=30.0) substance use days, whereas in BA, substance use days increased from a low of 8.4% (SD=20.8) to a high of 21.4% (SD=35.2). The results of this study suggest that MI, relative to BA, for smoking cessation was associated with better substance use outcomes during the first 6 months following psychiatric hospitalization among adolescents. This finding is consistent with previous studies that have shown that smoking cessation does not have a detrimental effect on substance abuse treatment outcomes among youth.
