Historique
Périodique
Treating cigarette smoking in methadone maintenance clients
(Traitement du tabagisme chez des patients sous maintenance à la méthadone)
Auteur(s) :
STORY, J. ;
STARK M. J.
Année
1991
Langue(s) :
Anglais
ISBN :
0279-1072
Refs biblio. :
58
Domaine :
Drogues illicites / Illicit drugs
Note générale :
Journal of Psychoactive Drugs, 1991, 23, (2), 203-215
Résumé :
FRANÇAIS :
Les toxicomanes en traitement fument environ 3 fois plus que la population générale et ils sont par ailleurs plus fragilisés aux effets néfastes du tabac. Il faut développer un programme anti-tabac spécifique pour ces patients pour lesquels arrêter de fumer peut être une bonne opportunité pour arrêter l'usage de drogue.
ENGLISH :
A behaviorally based somking-cessation program for methadone maintenance clients was developed, and the efficacy of methadone dose increase as a pharmacological adjunct was tested in a double-blind placebo-controlled study. While no significant difference between experimental and control subjects in reported abstinence rates was found, subjects receiving a methadone increase reported significantly more nicotine craving and other withdrawal symptoms during the first week of abstinence than did controls. Measures of smoking rates indicated that experimental subjects smoked significantly more than controls throughout the 10 week study period. Although the initial smoking abstinence rate of 65% was encouraging, most subjects returned to smoking by the end of the study period. These findings indicate that the development of smoking-cessation programs for methadone clients merits further study and that such programs should stress relapse prevention techniques tailored to the specific needs of this population.
Les toxicomanes en traitement fument environ 3 fois plus que la population générale et ils sont par ailleurs plus fragilisés aux effets néfastes du tabac. Il faut développer un programme anti-tabac spécifique pour ces patients pour lesquels arrêter de fumer peut être une bonne opportunité pour arrêter l'usage de drogue.
ENGLISH :
A behaviorally based somking-cessation program for methadone maintenance clients was developed, and the efficacy of methadone dose increase as a pharmacological adjunct was tested in a double-blind placebo-controlled study. While no significant difference between experimental and control subjects in reported abstinence rates was found, subjects receiving a methadone increase reported significantly more nicotine craving and other withdrawal symptoms during the first week of abstinence than did controls. Measures of smoking rates indicated that experimental subjects smoked significantly more than controls throughout the 10 week study period. Although the initial smoking abstinence rate of 65% was encouraging, most subjects returned to smoking by the end of the study period. These findings indicate that the development of smoking-cessation programs for methadone clients merits further study and that such programs should stress relapse prevention techniques tailored to the specific needs of this population.
Affiliation :
Grat. Prog. Counseling Psychol., Box 93, Lewis Clark Coll., Parkland, OR 97219
Etats-Unis. United States.
Etats-Unis. United States.