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Interventions for Alcoholics Who Smoke.

David B Abrams1, Peter M Monti1, Raymond S Niaura1

  • 1David B. Abrams, Ph.D., is professor of psychiatry and human behavior at Brown University School of Medicine and director of the Division of Behavioral Medicine at the Miriam Hospital, Providence, Rhode Island. Suzanne M. Colby, Ph.D., is a research scientist in the Center for Alcohol and Addiction Studies, Brown University School of Medicine, Providence, Rhode Island. Peter M. Monti, Ph.D., is Career Research Scientist at the VA Medical Center and professor of psychiatry and human behavior and associate director of the Center for Alcohol and Addiction Studies, Brown University School of Medicine, Providence, Rhode Island. Raymond S. Niaura, Ph.D., is associate professor of psychiatry and human behavior at the Brown University School of Medicine and in the Division of Behavioral and Preventive Medicine at the Miriam Hospital, Providence, Rhode Island. Damaris J. Rohsenow, Ph.D., is research clinical psychologist at the VA Medical Center and professor of community health and of the Center for Alcohol and Addiction Studies, Brown University School of Medicine, Providence, Rhode Island.

Alcohol Health and Research World
|December 5, 2019
PubMed
Summary
This summary is machine-generated.

Over 85% of adults with alcohol abuse history also smoke, facing higher risks of cancer and cardiovascular disease. Understanding the alcohol-tobacco interaction can improve smoking cessation success in alcohol recovery programs.

Keywords:
AOD dependenceAODR (alcohol and other drug related) disordercessation of AODU (alcohol and other drug use)drug interactionexpectancyinterventionmotivational interviewingnicotinesmokingtreatment method

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Area of Science:

  • Addiction Medicine
  • Public Health
  • Behavioral Science

Background:

  • High comorbidity of smoking in adults with a history of alcohol abuse (over 85%).
  • Smokers with a history of alcohol abuse may exhibit greater nicotine addiction.
  • Elevated risks of cancer and cardiovascular disease in alcoholics who smoke, with tobacco-related diseases causing more deaths than alcoholism-related disorders.

Purpose of the Study:

  • To discuss the complex interaction between alcoholism recovery and tobacco use.
  • To present methods for aiding alcoholics in smoking cessation.
  • To improve treatment outcomes and cost-effectiveness for alcoholics who smoke through better understanding of alcohol-tobacco interactions.

Main Methods:

  • Review and discussion of the interaction between alcohol and tobacco.
  • Presentation of motivational strategies for smoking cessation in alcoholics.
  • Description of innovative interventions and tailoring treatments to patient motivation levels.

Main Results:

  • The study highlights a significant overlap between alcohol abuse and smoking.
  • It emphasizes the increased health risks, including cancer and cardiovascular disease, associated with dual use.
  • Effective cessation strategies are crucial for this population.

Conclusions:

  • A deeper understanding of the alcohol-tobacco relationship is vital for enhancing treatment efficacy.
  • Tailored interventions, considering patient motivation, are key to successful smoking cessation in individuals recovering from alcoholism.
  • Addressing tobacco use concurrently with alcohol recovery can significantly improve long-term health outcomes.