物质使用障碍治疗的退伍军人的戒烟心理干预评估
2010/01/07
目的：本研究评价了在物质使用障碍治疗过程中进行1次激发性戒烟心理教育干预对后续的戒烟服务使用的影响。
方法：89名正在进行物质使用障碍治疗的退伍军人受试者参加了戒烟指导小组。受试者参加了相关教育及寻求后续戒烟服务的动机的多媒体心理教育课程。观测受试者的人口学信息、物质使用、精神健康、烟草使用与戒烟以及对戒烟服务的使用情况。
结果：结果显示86.5%的受试者使用过烟草且一般都是重度尼古丁依赖者。57%的烟草使用者接受了后续的戒烟服务。Logistic回归显示接受戒烟服务与否与出于健康目的和个人选择的戒烟愿望、精神障碍病史、过去尼古丁替代治疗的使用情况是相关联的。
结论：对正在行物质使用障碍治疗的退伍军人进行1次心理干预可以增加该群体获取戒烟服务的动机，可能是一种减少烟草使用的方法。
（张永明编译 刘国梁审校）
Addictive Disorders & Their Treatment. 2008 Oct：20, Publish Ahead of Print.
Assessing a Smoking Cessation Intervention for Veterans in Substance Use Disorder Treatment.
Cooper, Theodore V. PhD *; Hunt, Yvonne M. PhD +; Burke, Randy S. PhD ++; Stoever, Colby J. PhD *
(*)Department of Psychology, The University of Texas at El Paso, El Paso, TX (+)Cancer Prevention Fellowship Program, Office of Preventive Oncology, National Cancer Institute, Bethesda, MD
(++)Addictive Disorders Treatment Program, G. V. (Sonny) Montgomery Veterans Affairs Medical Center, Jackson, MS
Objectives: This pilot study assessed the impact of a 1-time motivationally based psychoeducational tobacco cessation intervention during substance use disorder treatment on use of subsequent smoking cessation services.
Methods: Participants were 89 veterans in substance use disorder treatment who attended the smoking cessation orientation group. Participants took part in a multimedia psychoeducational group designed to provide veterans education about and motivation to seek subsequent tobacco cessation services. Measures included a self-report survey of demographics, substance use, mental health, tobacco use and cessation, and attendance to tobacco cessation services.
Results: Results indicated that 86.5% of participants used tobacco and on average were heavily nicotine dependent. Fifty-seven percent of tobacco users used follow-up cessation services. Logistic regression indicated that utilization of cessation services was associated with desiring to quit smoking for health purposes and personal choice, history of psychotic disorder, and previous use of nicotine replacement.
Conclusions: A 1-time intervention with veterans in substance use disorder treatment can increase motivation to seek subsequent tobacco cessation services, providing an avenue for reducing tobacco use in this population.
DOI Numbe 10.1097/ADT.0b013e31818c57f5
(++)Addictive Disorders Treatment Program, G. V. (Sonny) Montgomery Veterans Affairs Medical Center, Jackson, MS
Objectives: This pilot study assessed the impact of a 1-time motivationally based psychoeducational tobacco cessation intervention during substance use disorder treatment on use of subsequent smoking cessation services.
Methods: Participants were 89 veterans in substance use disorder treatment who attended the smoking cessation orientation group. Participants took part in a multimedia psychoeducational group designed to provide veterans education about and motivation to seek subsequent tobacco cessation services. Measures included a self-report survey of demographics, substance use, mental health, tobacco use and cessation, and attendance to tobacco cessation services.
Results: Results indicated that 86.5% of participants used tobacco and on average were heavily nicotine dependent. Fifty-seven percent of tobacco users used follow-up cessation services. Logistic regression indicated that utilization of cessation services was associated with desiring to quit smoking for health purposes and personal choice, history of psychotic disorder, and previous use of nicotine replacement.
Conclusions: A 1-time intervention with veterans in substance use disorder treatment can increase motivation to seek subsequent tobacco cessation services, providing an avenue for reducing tobacco use in this population.
DOI Numbe 10.1097/ADT.0b013e31818c57f5
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