Tratamiento del tabaquismo en los centros de drogodependencias y alcoholismo en España. Estado de la situación y perspectivas futuras

Abstract

We analyzed in a sample of 142 Centers of Drug Abuse and Alcoholism, in 11 regions of Spain, the programs that they carry out for smoking cessation. The 55.6% of centers carries out treatment of smokers. Along the year 2004 in this centers had a treatment demand of 3,771 smokers, 3,000 were treated, concluding the treatment half of them. The levels of abstinence for the end of the treatment and in the 6-and 12-months followup are good, in relation to the published clinical studies. The most utilized treatment are the combined (psychological and pharmacological) followed by the psychological treatment. They are usually apply by diferent professionals as therapits. They indicate several limitations to carry out this treatment, included usual in any addiction (e.g., the smokers' low motivation), lack of time, limited personal, etc. They appreciates a clear increment of the demand, so much of people that they go with single nicotine dependence like of its classic users that are to treatment for other dependences. This data indicated the professional relevance of Centers of Drug Dependence in the treatment of nicotine dependence and the high effectiveness of the treatments that carry out with the smokers. They consider necessary that they have more means to make in front of the continuous increment of demand that they are having for the treatment of the nicotine dependence in their centers.

Concurrencia de trastorno por consumo de sustancias y de otro trastorno mental en personas en tratamiento por alguno de ellos en España

“…Destacan como trastornos más prevalentes el TU tabaco (89,1%), TU alcohol (24,8 %), TU cannabis (12,7%) y TU cocaína (10,2%), lo que no difiere mucho otras investigaciones previas (Arias et al, 2016;Fernández-Miranda et al, 2001;Ochoa-Mangado, Molins-Pascual y Seijo-Ceballos, 2018;Welsh et al, 2017). Hay más diagnósticos relacionados con el TU tabaco en pacientes tratados en la red de salud mental que en la de adicciones (44,1% vs. 34,3%), aunque podría no reflejar exactamente la realidad y estar condicionado por una mayor preocupación por ese consumo en la red de salud mental que en la de adicciones (Becoña et al, 2006).…”