Olbrich R, Träger S, Nikitopoulos J, Mann K, Diehl A
Otto-Selz-Institut, Universität Mannheim, Mannheim.
Fortschr Neurol Psychiatr. 2008 May;76(5):272-7. doi: 10.1055/s-2008-1038168.
Health care professionals tend to advise alcohol dependent patients to quit tobacco consumption only after longer periods of alcohol abstinence. This recommendation reflects concerns that smoking intervention programs may adversely interfere with the outcome of ongoing alcohol detoxification and rehabilitation treatment. However, the issue of appropriate time windows for initiating changes of smoking behaviour in alcoholic patients is still in need of empirical evaluation. Thus the aim of the present study is to investigate whether alcohol dependent smokers may be able to reduce cigarette consumption very early during alcohol detoxification and rehabilitation treatment. We performed a non-randomized controlled clinical pilot trial with 56 female and male alcohol dependent smokers in an inpatient setting providing a 3-weeks alcohol detoxification program. 28 individuals received a smoking reduction program consisting of a 6-sessions approach in a group format following behavioural principles. For the control group of 28 individuals the program was not available. Tobacco consumption was assessed daily by staff members. Alcohol dependent patients participating in the smoking reduction program reduced their daily cigarette consumption rates significantly, whereas the control group showed a tendency to increase tobacco consumption. According to the tentative findings of this pilot study early smoking interventions already during alcohol detoxification appear to be a feasible approach.
医疗保健专业人员往往建议酒精依赖患者在长期戒酒之后才开始戒烟。这一建议反映出一种担忧，即吸烟干预项目可能会对正在进行的酒精解毒和康复治疗的结果产生不利干扰。然而，对于酒精依赖患者开始改变吸烟行为的合适时间窗口问题，仍需要进行实证评估。因此，本研究的目的是调查酒精依赖吸烟者在酒精解毒和康复治疗的早期是否能够减少香烟消费量。我们在一个提供为期3周酒精解毒项目的住院环境中，对56名男女酒精依赖吸烟者进行了一项非随机对照临床试验。28名个体接受了一个戒烟项目，该项目按照行为原则以小组形式进行，共6次课程。对于由28名个体组成的对照组，没有提供该项目。工作人员每天对烟草消费量进行评估。参与戒烟项目的酒精依赖患者显著降低了他们的每日香烟消费率，而对照组则有增加烟草消费的趋势。根据这项初步研究的初步结果，在酒精解毒期间尽早进行吸烟干预似乎是一种可行的方法。
