Shape of the relapse curve and long‐term abstinence among untreated smokers

Addiction - Tập 99 Số 1 - Trang 29-38 - 2004
John R. Hughes1, Josue Keely1, Shelly Naud1
1University of Vermont, Departments of Psychiatry and Psychology, and Department of Medical Biostatistics, Burlington, VT, USA

Tóm tắt

ABSTRACT

Objective  To describe the relapse curve and rate of long‐term prolonged abstinence among smokers who try to quit without treatment.

Method  Systematic literature review.

Data sources  Cochrane Reviews, Dissertation Abstracts, Excerpt Medica, Medline, Psych Abstracts and US Center for Disease Control databases plus bibliographies of articles and requests of scientists.

Study selection  Prospective studies of self‐quitters or studies that included a no‐treatment control group.

Data extraction  Two reviewers independently extracted data in a non‐blind manner.

Data synthesis  The number of studies was too small and the data too heterogeneous for meta‐analysis or other statistical techniques.

Results  There is a paucity of studies reporting relapse curves of self‐quitters. The existing eight relapse curves from two studies of self‐quitters and five no‐treatment control groups indicate most relapse occurs in the first 8 days. These relapse curves were heterogeneous even when the final outcome was made similar. In terms of prolonged abstinence rates, a prior summary of 10 self‐quitting studies, two other studies of self‐quitters and three no‐treatment control groups indicate 3–5% of self‐quitters achieve prolonged abstinence for 6–12 month after a given quit attempt.

Conclusions  More reports of relapse curves of self‐quitters are needed. Smoking cessation interventions should focus on the first week of abstinence. Interventions that produce abstinence rates of 5–10% may be effective. Cessation studies should report relapse curves.

Từ khóa


Tài liệu tham khảo

10.1111/j.1753-6405.1995.tb00361.x

10.1016/0006-3223(95)00084-4

Burns D. M., 2000, Proceedings of the conference ‘What Works to Influence Cessation in the General Population, Smoking and Tobacco Control’, 25

Center for Disease Control and Prevention, 2000, Cigarette smoking among adults—United States, 1998, Morbidity and Mortality Weekly Report, 49, 881

Centers for Disease Control and Prevention, 1993, Smoking cessation during previous year among adults—United States, 1990 and 1991, Morbidity and Mortality Weekly Report, 42, 504

10.1037/0003-066X.44.11.1355

10.1001/archfami.7.6.569

10.1016/0020-7101(91)90065-M

Fiore M. C., 2000, Treating Tobacco Use and Dependence Clinical Practice Guideline

10.1093/oxfordjournals.aje.a117157

10.1037/0022-006X.63.3.460

10.1001/jama.260.11.1575

Gallup Organization, 1999, Attitudes and Behaviors Related to Smoking Cessation.

10.1016/0306-4603(92)90042-T

Gilpin E., 1994, Measuring smoking cessation: Problems with recall in the 1990 California Tobacco Survey, Cancer Epidemiology, Biomarkers and Prevention, 3, 613

10.1016/S1047-2797(01)00266-6

10.1093/jnci/89.8.572

10.1080/14622200110050411

10.2105/AJPH.89.11.1701

Hughes J. R., 1995, Integrating Behavior Therapies with Medication in the Treatment of Drug Dependence, 92

10.1080/14622299050011981

10.1080/09595230120079639

Hughes J. R., 2001, Proceedings of the Conference ‘What Works to Influence Cessation in the General Population?’., 155

10.1111/j.1360-0443.1997.tb03378.x

10.1037/0278-6133.11.5.331

10.1080/1462220031000070552

Hughes J. R.(2003)Data to estimate the similarity of tobacco research samples to intended populations.Nicotine and Tobacco Research in press .

10.1002/1097-4679(197110)27:4<455::AID-JCLP2270270412>3.0.CO;2-R

Keely J. P., 2001, A method to convert prolonged abstinence and point prevalence quit rates, Nicotine and Tobacco Research, 3, 272

10.1037/0022-006X.65.4.663

10.1007/978-94-010-0922-5

10.1002/sim.4780090412

10.1001/jama.261.14.2101

Lee E. T., 1980, Statistical Methods for Survival Data Analysis

10.1046/j.1360-0443.2002.00036.x

Maller R., 1996, Survival Analysis with Long‐Term Survivors

10.1037/0022-006X.56.5.715

National Cancer Institute, 2003, Those who continue to smoke: Is achieving abstinence harder and do we need to change our interventions?

10.1037/0278-6133.19.Suppl1.17

10.1037/0278-6133.5.Suppl.3

10.1016/0306-4603(83)90020-5

10.1046/j.1360-0443.1995.901216719.x

10.1046/j.1360-0443.1996.91912935.x

10.1093/oxfordjournals.aje.a009107

10.1080/14622200210123581

10.2105/AJPH.85.2.156

10.1037/0278-6133.12.6.451

US Department Health and Human Services (USDHHS, 1990, The Health Benefits of Smoking Cessation

US Department Health and Human Services (USDHHS, 1990, The Health Benefits of Smoking Cessation

US Department of Health and Human Services, 2000, Reducing Tobacco Use

Vaillant G. E., 1983, The Natural History of Alcoholism

Velicer W. F., 2003, A comparison of four smoking cessation outcome measures, Addictive Behaviors

10.1037/0033-2909.111.1.23

10.1037/0021-9010.77.4.554

10.1046/j.1360-0443.2001.96689110.x

10.1016/S0749-3797(00)00124-0

10.1037/0735-7028.26.6.624

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Addiction

Tập 99 Số 1

29-38

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