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青少年戒烟:药物治疗与心理社会治疗综述

Smoking cessation for adolescents: a review of pharmacological and psychosocial treatments.

作者信息

Schepis Ty S, Rao Uma

机构信息

Department of Psychiatry, The University of Texas Southwestern Medical Center at Dallas, 5323 Harry Hines Boulevard, Dallas, Texas 75390-9101, USA.

出版信息

Curr Drug Abuse Rev. 2008 Jun;1(2):142-55. doi: 10.2174/1874473710801020142.

Abstract

Unlike the vast literature on smoking cessation in adults, research in adolescents has gained significant attention only within the last decade. Even with this increase in focus, research into pharmacological aids for smoking cessation in adolescents (e.g., nicotine replacement therapy, bupropion) is a more recent phenomenon and has produced only modest results. While more extensive, much of the research on behaviorally- or psychosocially-based adolescent smoking cessation interventions has been limited by a lack of control for contact time, biochemical verification of self-reported abstinence, and/or a theoretical focus for the interventions. The MEDLINE, PubMed, PSYCInfo, EMBASE, ERIC, CINHAL, Cochrane CENTRAL and Systematic Review databases were searched for articles relevant to adolescent smoking cessation treatment. After briefly examining the adolescent smoking cessation research prior to 2000, more recent developments in pharmacological aids and psychological treatment will be reviewed. Investigations have made progress in elucidating efficacious treatments for adolescent smokers, but much work remains to be done in both pharmacological and non-pharmacological areas of treatment. With the current state of the literature as a guide, future directions for research into smoking cessation for adolescents will be proposed.

摘要

与大量关于成年人戒烟的文献不同,青少年戒烟研究只是在过去十年才受到显著关注。即便关注度有所提高,但针对青少年戒烟的药物辅助手段(如尼古丁替代疗法、安非他酮)的研究却是最近才出现的现象,且成果有限。虽然基于行为或心理社会层面的青少年戒烟干预研究更为广泛,但其中许多研究受到以下因素限制:缺乏对接触时间的控制、对自我报告戒烟情况的生化验证,以及/或者干预措施缺乏理论重点。检索了MEDLINE、PubMed、PSYCInfo、EMBASE、ERIC、CINHAL、Cochrane CENTRAL和系统评价数据库,以查找与青少年戒烟治疗相关的文章。在简要审视2000年之前的青少年戒烟研究后,将对药物辅助手段和心理治疗方面的最新进展进行综述。研究在阐明针对青少年吸烟者的有效治疗方法方面取得了进展,但在药物治疗和非药物治疗领域仍有许多工作要做。以当前的文献状况为指导,将提出青少年戒烟研究的未来方向。

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