Outcome predictors of smoking cessation treatment provided by an addiction care unit between 2007 and 2010

Abstract

Objective: To analyze the predictors of smoking cessation treatment outcomes in a sample with a high rate of medical and psychiatric disorders and addictions. Methods: Analysis of predictors of success of a 6-week treatment provided by an addiction care unit (CAPS-AD) to 367 smokers in Brazil from 2007 to 2010. Forty variables were collected at baseline. Success was defined as abstinence from smoking for a period of at least 14 consecutive days, including the last day of treatment. Twenty variables were selected for the logistic regression model. Results: The only condition correlated with successful treatment after logistic regression was smoking one's first cigarette 5 minutes or more after waking (beta = 1.85, 95% confidence interval [95%CI] = 1.11-3.10, p = 0.018). Subjects with hypertension and alcohol use disorders and those who were undergoing psychiatric treatment showed success rates comparable to or greater than the average success rate of the sample (34.2-44.4%). Conclusions: These findings support the importance of the variable time to first cigarette in treatment outcomes for a sample with a high rate of clinical and psychiatric disorders. Good success rates were observed for pharmacological treatment, which was combined with group therapy based on cognitivebehavioral concepts and integrated into ongoing treatment of other addictions and psychiatric disorders.

Acupuncture for Smoking Cessation in Hong Kong: A Prospective Multicenter Observational Study

“…Secondly, although several researches [21–23] recommended the expired CO-verified 24-hour point abstinence rate as primary outcome measure to ensure the objectivity and correctness, we noted that failed subjects could be considered as successful by CO-verified 24-hour point abstinence rate if they kept nonsmoking status within 24 hours before evaluation and smoked before and after that, which overrated the curative effects of acupuncture. In this study, self-reported 7-day point abstinence rate combined with verification of expired CO could reflect the effects of acupuncture more correctly.…”

ICD-10 mental and behavioural disorders due to use of crack and powder cocaine as treated at a public psychiatric emergency service: An analysis of visit predictors

“…Although the death rate estimated by cocaine is lower than death rates from other drugs (Warner et al, 2011), and was in decline in the last decade (Centers for Disease Control and Prevention, 2011), it is likely that there was no death in the analysed sample. The naturalistic nature of the study is a limitation, but also a strength, of the study since this allows an analysis of data from the real world, which is needed for the progress of translational science (Michelson et al, 2013), especially in public mental health (Castaldelli-Maia et al, 2013b).…”

The impact of Basaglia on Brazilian psychiatry

“…This law determines the spread of Centros de Atenção Psicossocial (CAPS; in english: psychosocial support centers) as the main point of this new mental health-care system and care delivery. These care outpatient units were designed to promote comprehensive care for people with severe mental disorders, including alcohol and drug addiction (Castaldelli-Maia et al, 2013). They are expected to enable patients to access their civil rights, education, employment and education in order to live in society.…”