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Recovery from alcohol dependence: Do smoking indicators predict abstinence?

Authors :
Hufnagel, Anna
Frick, Ulrich
Ridinger, Monika
Wodarz, Norbert
Source :
American Journal on Addictions; Jun2017, Vol. 26 Issue 4, p366-373, 8p
Publication Year :
2017

Abstract

<bold>Background and Objectives: </bold>There is inconsistent evidence about the potential influence of smoking on recovery from alcohol dependence. Our study aimed at assessing the impact of smoking-behavior on relapse during a 12 months follow-up period following a detoxification in patients with Alcohol Use Disorder (AUD).<bold>Methods: </bold>Three hundred Patients with AUD (74.9% smoking) were recruited from two inpatient detoxification units in psychiatric hospitals in Germany and their alcohol consumption was prospectively followed for 1 year. Data on different indicators of smoking behavior was gathered. Cox regression model was used to evaluate potential risk factors on time to relapse of alcohol consumption. Two hundred seventy-nine participants (n = 279) were included in the final analysis.<bold>Results: </bold>Smoking increased the risk for alcohol relapse (hazard ratio = 3.962, 95% CI 1.582-9.921). However, this increased risk is slightly reduced with higher numbers of daily consumed cigarettes (hazard ratio per cigarette = .986, 95% CI .976-.995).<bold>Conclusion: </bold>Smoking reduced the probability of maintaining alcohol abstinence significantly, whereas higher number of cigarettes smoked daily diminished the increased risk of alcohol relapse in alcohol-dependent patients.<bold>Scientific Significance: </bold>Coordinated psychiatric and substance abuse interventions for different subgroups of patients with AUD in the post-acute treatment phase are necessary. Individualized treatment planning is especially important in smoking patients with AUD who are vulnerable for a relapse to alcohol drinking and for somatic complications. Our findings might support individualized treatment plans. (Am J Addict 2017;26:366-373). [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
10550496
Volume :
26
Issue :
4
Database :
Complementary Index
Journal :
American Journal on Addictions
Publication Type :
Academic Journal
Accession number :
122988309
Full Text :
https://doi.org/10.1111/ajad.12535