The effect of a real-world intervention for smoking cessation in Adults with and without comorbid psychiatric and substance use disorders: A one-year follow-up study. Lima, D. R., Guimaraes-Pereira, B. B. S., Mannes, Z. L., Carvalho, C. F. C., Loreto, A. R., Davanso, L. C., Frallonardo, F. P., Ismael, F., de Andrade, A. G., & Castaldelli-Maia, J. M. Psychiatry Research, 315:114722, September, 2022.
The effect of a real-world intervention for smoking cessation in Adults with and without comorbid psychiatric and substance use disorders: A one-year follow-up study [link]Paper  doi  abstract   bibtex   
This study evaluated short-term abstinence and prolonged abstinence following a real-world intervention for smoking cessation in a sample of 1,213 adults with nicotine dependence only (ND), nicotine dependence and past history of another substance use disorder (ND-SUD), nicotine dependence and a non-substance use mental health disorder (ND-MD), or nicotine dependence and comorbid substance use disorder and mental health disorder (ND-SUMD). Participants received six sessions of group Cognitive Behavioral Therapy (CBT) and pharmacotherapy. Abstinence was assessed following completion of treatment and at 12-month follow-up. Logistic regression and survival analyses were performed. Participants who were lost to follow-up were included as censored and baseline differences were used as covariates in multivariate analyses. Rates of short-term abstinence and prolonged abstinence were significantly different between ND and ND-SUMD (20.9% versus 36.5%; 14.9% versus 22.4%, respectively). Among participants with follow-up, 37.7% were abstinent at 12-month. Diagnostic group was not associated with abstinence at 12-month follow-up after adjusting for nicotine dependence severity, which was associated with lower likelihood of abstinence (HR=1.11;95%CI:1.03–1.19). CBT plus pharmacotherapy had a positive effect on smoking cessation among the participants in this study. Special attention should be given to adults with more severe nicotine dependence and comorbid psychiatric and substance use disorders.
@article{lima_effect_2022,
	title = {The effect of a real-world intervention for smoking cessation in {Adults} with and without comorbid psychiatric and substance use disorders: {A} one-year follow-up study},
	volume = {315},
	issn = {0165-1781},
	shorttitle = {The effect of a real-world intervention for smoking cessation in {Adults} with and without comorbid psychiatric and substance use disorders},
	url = {https://www.sciencedirect.com/science/article/pii/S0165178122003171},
	doi = {10.1016/j.psychres.2022.114722},
	abstract = {This study evaluated short-term abstinence and prolonged abstinence following a real-world intervention for smoking cessation in a sample of 1,213 adults with nicotine dependence only (ND), nicotine dependence and past history of another substance use disorder (ND-SUD), nicotine dependence and a non-substance use mental health disorder (ND-MD), or nicotine dependence and comorbid substance use disorder and mental health disorder (ND-SUMD). Participants received six sessions of group Cognitive Behavioral Therapy (CBT) and pharmacotherapy. Abstinence was assessed following completion of treatment and at 12-month follow-up. Logistic regression and survival analyses were performed. Participants who were lost to follow-up were included as censored and baseline differences were used as covariates in multivariate analyses. Rates of short-term abstinence and prolonged abstinence were significantly different between ND and ND-SUMD (20.9\% versus 36.5\%; 14.9\% versus 22.4\%, respectively). Among participants with follow-up, 37.7\% were abstinent at 12-month. Diagnostic group was not associated with abstinence at 12-month follow-up after adjusting for nicotine dependence severity, which was associated with lower likelihood of abstinence (HR=1.11;95\%CI:1.03–1.19). CBT plus pharmacotherapy had a positive effect on smoking cessation among the participants in this study. Special attention should be given to adults with more severe nicotine dependence and comorbid psychiatric and substance use disorders.},
	language = {en},
	urldate = {2022-08-01},
	journal = {Psychiatry Research},
	author = {Lima, Danielle Ruiz and Guimaraes-Pereira, Bruna Beatriz Sales and Mannes, Zachary L. and Carvalho, Carlos Felipe Cavalcanti and Loreto, Aline Rodrigues and Davanso, Lucas Carvalho and Frallonardo, Fernanda Piotto and Ismael, Flavia and de Andrade, Arthur Guerra and Castaldelli-Maia, Joao Mauricio},
	month = sep,
	year = {2022},
	keywords = {Psychiatric disorders, Smoking cessation, Substance use disorders, Tobacco, Treatment outcome},
	pages = {114722},
}

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