Inpatient smoking cessation therapy: truth or dare?

Boehm, Gabriela; Schroeder, Y; Schoberberger, Rudolf

doi:10.1007/s00508-015-0820-9

Cited by 3 publications

(3 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Withdrawal symptoms often start quickly and reach their peak intensity within 24–28 hours of quitting 9 . The duration of the residential treatments that were reviewed varied from 3 days to 3 weeks and included common elements such as counseling, personalized medication, and complementary therapies such as relaxation and stress management 18,23,24 . Currently, there are no available data on the most effective duration of a residential stay.…”

Section: Discussionmentioning

confidence: 99%

“…9 The duration of the residential treatments that were reviewed varied from 3 days to 3 weeks and included common elements such as counseling, personalized medication, and complementary therapies such as relaxation and stress management. 18,23,24 Currently, there are no available data on the most effective duration of a residential stay. Besides effectiveness, in practice, the financial costs and necessary investments are likely factors to consider when designing the optimal duration of residential stay.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Residential Treatment Exclusively for Tobacco Use Disorder: A Narrative Review

Spoelstra,

van de Graaf,

Dijkstra

2023

J Addict Med

View full text Add to dashboard Cite

Introduction Tobacco use disorder is a major public health issue, and novel smoking cessation approaches are urgently needed. Residential treatment programs have been suggested as a potentially effective treatment for tobacco use disorder. However, there is limited literature on residential treatment programs for patients who are exclusively dependent on nicotine. Aim The aim of this study is to review the literature on residential treatment programs for patients admitted exclusively for tobacco use disorder. Methods A literature search was conducted in PubMed with the aim of identifying relevant articles on residential treatment exclusively for tobacco use disorder from inception until February 2023. References in retrieved articles were screened for additional relevant articles. Results Fourteen studies on residential treatment programs for tobacco use disorder were identified. The duration of the residential cessation programs ranged from 3 days to 3 weeks. Individualized or group cognitive behavioral therapy and tailored pharmacotherapy were the key components of the programs. Eligibility criteria for the programs included moderate to severe tobacco use disorder as measured by Fagerström or Diagnostic and Statistical Manual of Mental Disorders (DSM), consistent relapses, smoking-related comorbidities (eg, cardiovascular or pulmonary diseases), and daily use of (smokeless) tobacco. The 6- and 12-month 7-day point prevalence rate ranged from 58% to 26%, whereas the 6- and 12-month continuous abstinence rate ranged from 52% to 29%. Conclusions Based on the literature we reviewed, residential smoking cessation programs targeted exclusively at individuals with tobacco use disorder have shown effectiveness, particularly for those who are highly dependent on tobacco and have a history of relapse. However, more research is needed to further explore the effectiveness of these programs and to determine the optimal program components and duration.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Residential Treatment Exclusively for Tobacco Use Disorder: A Narrative Review

Spoelstra,

van de Graaf,

Dijkstra

2023

J Addict Med

View full text Add to dashboard Cite

show abstract

“…We observed that heavy smokers or those smoking for decades sometimes showed substantial anticipatory uncertainty about their ability to not smoke for 26 hours. The literature has reported anticipatory and psychological reactions to cessation and, for some smokers, increased negative affect even before cessation 41 , and unfounded fears about having a strong desire to smoke after cessation have been described in non-psychiatric samples 42 . • All subjects in our sample received psychiatric treatment including pharmacotherapy, which may have blunted the increase in withdrawal symptoms during smoking abstinence.…”

Section: Discussionmentioning

confidence: 99%

Tobacco craving and withdrawal symptoms in psychiatric patients during a motivational enhancement intervention based on a 26-hour smoking abstinence period

Keizer¹,

Gex‐Fabry²,

Croquette³

et al. 2019

Tob. Prev. Cessation

View full text Add to dashboard Cite

INTRODUCTION In psychiatric patients, tobacco withdrawal symptoms are frequently seen as a barrier to smoking cessation; however, further studies are warranted in this specific population. METHODS Patients receiving in-or outpatient mental health care participated in a motivational enhancement program including a 26-hour tobacco abstinence experience with professional support and optional nicotine replacement therapy. The study included 174 subjects, of whom 159 were evaluated 1 week before and at the end of the 26-hour abstinence period. Repeated assessments included the Minnesota Nicotine Tobacco Withdrawal Scale Revised (MNWS-R), two items of the Mood and Physical Symptoms Scale (MPSS) regarding craving, the State-Trait Anxiety Inventory (STAI-S), the Beck Depression Inventory (BDI-21), and the World Health Organization Well-Being Index (WHO-5). RESULTS More than half the participants (52.3%) succeeded in 26-hour smoking abstinence. Craving was the most frequent MNWS-R withdrawal symptom (28.3% scored ≥3 on a 0-4 scale). Comparison of pre-and post-intervention data revealed significant improvements in 13 of 16 MNWS-R symptoms as well as craving (MPSS) and well-being, and significant decreases in anxiety and depression. Increasing MNWS-R craving scores and greater depression were both significantly associated with lower success in the 26-hour smoking abstinence period. CONCLUSIONS The negative effects of tobacco withdrawal symptoms in psychiatric patients may be substantially overestimated. Participation in a supportive structured motivational intervention with a 26-hour smoking cessation experience was well tolerated and contributed to temporary improvements in mental state. Craving is an interesting symptom to evaluate during smoking cessation attempts.

show abstract