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Residential Treatment Exclusively for Tobacco Use Disorder: A Narrative Review
Symen Kornelis Spoelstra1, Robert C van de Graaf, Arie Dijkstra
1From the Addiction Care Northern Netherlands, Groningen, the Netherlands; NHL Stenden University of Applied Science, Leeuwarden, the Netherlands (SKS); Occupational Health Service Medprevent, Lippenhuizen, The Netherlands (RCVDG); and Department of Psychology, University of Groningen, Groningen, the Netherlands (AD).
Residential smoking cessation programs show effectiveness for individuals with high nicotine dependence and relapse history. Further research is needed to optimize these intensive tobacco use disorder treatments.
Area of Science:
- Public Health
- Addiction Medicine
- Behavioral Science
Background:
- Tobacco use disorder remains a significant public health concern, necessitating innovative cessation strategies.
- Residential treatment programs offer a structured environment for intensive smoking cessation, yet literature specifically for nicotine-only dependence is scarce.
Approach:
- A comprehensive literature search was performed using PubMed, identifying studies on residential treatment programs for exclusive tobacco use disorder.
- Additional relevant articles were sourced by screening the references of retrieved publications.
Key Points:
- Fourteen studies on residential programs for tobacco use disorder were analyzed, with program durations varying from 3 days to 3 weeks.
- Core components included cognitive behavioral therapy (individual/group) and tailored pharmacotherapy.
- Eligibility criteria focused on moderate-to-severe nicotine dependence (Fagerström/DSM criteria), history of relapse, smoking-related comorbidities, and daily tobacco use.
Conclusions:
- Residential programs exclusively for tobacco use disorder demonstrate efficacy, especially for highly dependent individuals with a relapse history.
- Further investigation is warranted to refine program effectiveness, optimal components, and duration for tobacco cessation.
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