Outcome predictors of smoking cessation treatment provided by an addiction care unit between 2007 and 2010

Revista Brasileira de Psiquiatria

João Maurício Castaldelli-maia¹  Carlos Felipe Cavalcanti Carvalho¹  Fábio Armentano¹  Fernanda Piotto Frallonardo¹  Tania Correa De Toledo Ferraz Alves¹  Arthur Guerra De Andrade¹  Sérgio Nicastri¹ 

关键词: Tobacco;    treatment;    psychiatric patients;    alcohol;    group therapy;    CBT;   

DOI  :  10.1590/1516-4446-2012-0907

来源: SciELO

【 摘 要 】

Objective: To analyze the predictors of smoking cessation treatment outcomes in a sample with a high rate of medical and psychiatric disorders and addictions. Methods: Analysis of predictors of success of a 6-week treatment provided by an addiction care unit (CAPS-AD) to 367 smokers in Brazil from 2007 to 2010. Forty variables were collected at baseline. Success was defined as abstinence from smoking for a period of at least 14 consecutive days, including the last day of treatment. Twenty variables were selected for the logistic regression model. Results: The only condition correlated with successful treatment after logistic regression was smoking one's first cigarette 5 minutes or more after waking (beta = 1.85, 95% confidence interval [95%CI] = 1.11-3.10, p = 0.018). Subjects with hypertension and alcohol use disorders and those who were undergoing psychiatric treatment showed success rates comparable to or greater than the average success rate of the sample (34.2-44.4%). Conclusions: These findings support the importance of the variable time to first cigarette in treatment outcomes for a sample with a high rate of clinical and psychiatric disorders. Good success rates were observed for pharmacological treatment, which was combined with group therapy based on cognitive-behavioral concepts and integrated into ongoing treatment of other addictions and psychiatric disorders.

【 授权许可】

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