Cooney Ned L, Litt Mark D, Cooney Judith L, Pilkey David T, Steinberg Howard R, Oncken Cheryl A
Department of Psychiatry, Yale University School of Medicine, CT, USA.
Psychol Addict Behav. 2007 Dec;21(4):570-5. doi: 10.1037/0893-164X.21.4.570.
Alcohol dependent smokers (N=118) enrolled in an intensive outpatient substance abuse treatment program were randomized to a concurrent brief or intensive smoking cessation intervention. Brief treatment consisted of a 15-min counseling session with 5 min of follow-up. Intensive intervention consisted of three 1-hr counseling sessions plus 8 weeks of nicotine patch therapy. The cigarette abstinence rate, verified by breath carbon monoxide, was significantly higher for the intensive treatment group (27.5%) versus the rate for the brief treatment group (6.6%) at 1 month after the quit date but not at 6 months, when abstinence rates fell to 9.1% for the intensive treatment group and 2.1% for the brief treatment group. Smoking treatment assignment did not significantly impact alcohol outcomes. Although intensive smoking treatment was associated with higher rates of short-term tobacco abstinence, other, perhaps more intensive, smoking interventions are needed to produce lasting smoking cessation in alcohol dependent smokers.
参加强化门诊药物滥用治疗项目的酒精依赖吸烟者（N = 118）被随机分为同时进行的简短或强化戒烟干预组。简短治疗包括一次15分钟的咨询会话及5分钟的随访。强化干预包括三次1小时的咨询会话加8周的尼古丁贴片治疗。通过呼气一氧化碳验证的戒烟率，在戒烟日期后1个月时，强化治疗组（27.5%）显著高于简短治疗组（6.6%），但在6个月时并非如此，此时强化治疗组的戒烟率降至9.1%，简短治疗组降至2.1%。吸烟治疗分配对酒精相关结果没有显著影响。尽管强化吸烟治疗与短期戒烟率较高相关，但可能需要其他或许更强化的吸烟干预措施，才能使酒精依赖吸烟者实现持久戒烟。
