在从物质使用障碍中康复期间吸烟
Michael J Parks1,2, Carlos Blanco1, MeLisa R Creamer1
1US National Institute on Drug Abuse, National Institutes of Health, Bethesda, Maryland.
JAMA psychiatry
|August 13, 2025
概括
戒烟与从物质使用障碍 (SUDs) 中恢复的改善有关. 这项研究发现,从目前的吸烟到以前的吸烟过渡的成年人有更高的持续SUD恢复的几率,这表明戒烟有助于整体恢复.
科学领域:
- 成 药物 药物 药物 药物
- 公共卫生 公共卫生
- 精神病学是一种精神病学.
背景情况:
- 吸烟在物质使用障碍 (SUD) 患者中非常普遍.
- 在SUD治疗环境中,戒烟干预措施往往缺乏.
- 了解戒烟与SUD恢复之间的关系对于综合护理至关重要.
研究的目的:
- 评估随着时间的推移,吸烟状态的变化与SUD恢复之间的关联.
- 为了确定从目前的吸烟转向以前的吸烟是否预测了持续的SUD恢复.
主要方法:
- 一项纵向队列研究,使用来自烟草和健康 (PATH) 人口评估研究的全国代表性美国成年人数据.
- 分析包括有SUD病史的成年人,每年评估4年 (第1到第4波).
- 固定效应的逻辑回归模拟了吸烟状态的个人内变化及其与SUD恢复的关联.
主要成果:
- 在2652名成年人中,从目前的吸烟转向以前的吸烟与SUD恢复有积极的关联.
- 每年对前吸烟的改变都会使SUD恢复的几率增加30% (OR,1.30;95% CI,1.07-1.57).
- 在敏感性分析中,这种关联仍然很重要,包括第二个队列和滞后预测因素.
结论:
- 从目前的吸烟到以前的吸烟,人体内的变化与从其他SUD中恢复有关.
- 戒烟可以作为一个有价值的工具,以支持SUDs的成年人恢复过程.
- 将戒烟整合到SUD治疗中可能会改善整体健康结果.
相关概念视频
Stress Prevention and Stress Management Techniques IV
62
Stress often leads to unhealthy habits like smoking, excessive drinking, and overeating, which offer short-term relief but ultimately increase long-term health risks. These behaviors create a cycle that temporarily lowers stress levels but can result in severe long-term health consequences. Breaking these habits is essential to reduce the risk of chronic diseases and improve overall well-being. Three primary changes that support better health include quitting smoking, reducing alcohol intake,...
62
CNS Depressants: Alcohol and Nicotine
359
Ethanol, a clear colorless alcohol, has been consumed by humans for millennia, but its effects on the body are far from benign. At lower doses, it induces decreased inhibitions and loquaciousness, leading to its social appeal. However, it can cause severe consequences at higher doses, such as coma and respiratory depression, due to its zero-order elimination kinetics. Chronic ethanol abuse wreaks havoc on multiple organ systems, particularly the CNS and the liver. Abrupt cessation of ethanol...
359
Substance Use Disorders Affecting Sleep
217
Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
Understanding the concepts of physical dependence,...
Understanding the concepts of physical dependence,...
217
Stimulants
315
Stimulants are substances that enhance neural activity and elevate dopamine levels in the brain, leading to their highly addictive nature. These drugs include cocaine, amphetamines, MDMA, caffeine, and nicotine, each with distinct mechanisms of action and varied health implications.
Cocaine can be administered via snorting, injection, or smoking. It primarily functions by blocking the reuptake of dopamine, resulting in a euphoric high characterized by an intense sensation of happiness and...
Cocaine can be administered via snorting, injection, or smoking. It primarily functions by blocking the reuptake of dopamine, resulting in a euphoric high characterized by an intense sensation of happiness and...
315
Drug Dependence
1.2K
Medications are typically administered to achieve therapeutic effects. Some drugs can modify an individual's mood and perception, frequently resulting in various enjoyable experiences. However, this can result in drug dependency, a condition marked by continuous drug use despite potential negative consequences. Drug dependency primarily falls into two categories: psychological and physical dependence. Psychological dependence occurs when the pleasurable feelings induced by the drug...
1.2K
Classification of Illness
7.9K
The meaning of illness is individualized to each person who experiences an alteration in health. In contrast, disease is a medical term indicating a pathological change in the structure and function of the body or mind. It is a condition that has specific symptoms and boundaries.
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe...
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe...
7.9K


