University of Tennessee Health Science Center, 66 North Pauline Street, Suite 305, Memphis, TN 38163-2181, USA.
University of Tennessee Health Science Center, 66 North Pauline Street, Suite 305, Memphis, TN 38163-2181, USA.
Med Clin North Am. 2018 Jul;102(4):781-796. doi: 10.1016/j.mcna.2018.02.014.
This article summarizes the literature regarding the similar biopsychosocial mechanisms of tobacco use and alcohol and substance use disorders, and the evidence for and against the provision of tobacco cessation for those in treatment for alcohol and substance use disorders. The practicality of treatment, focusing on methods, timing, and breadth of intervention strategies, are also presented. Common methodologies that may be used across tobacco use and alcohol and substance use disorder to prevent lapse and relapse are discussed. Physicians can and should adhere to the policy that tobacco use is a common and dangerous comorbid condition that demands concomitant treatment.
本文总结了有关烟草使用和酒精及物质使用障碍的类似生物心理社会机制的文献,以及为那些接受酒精和物质使用障碍治疗的人提供戒烟服务的证据和反对意见。还介绍了治疗的实用性,重点是方法、时机和干预策略的广度。讨论了可能在烟草使用和酒精及物质使用障碍预防复发和复发中使用的常见方法。医生可以而且应该遵守一项政策,即烟草使用是一种常见且危险的共病状况,需要同时进行治疗。