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Smoking As an Outcome Moderator In the Treatment of Alcohol Use Disorders.

Aims To clarify whether smoking interferes with successful treatment of alcohol use disorder (AUD). Methods The current systematic review investigates the potential moderating effect of smoking on behavioural and pharmacological treatment of AUD. In addition, this review summarizes the results of ra...

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Publicado en:Alcohol & Alcoholism Vol. 57; no. 6; pp. 664 - 674
Formato: research systematic review tables/charts Journal Article
Publicado: Oxford University Press / USA Nov2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov2022
      vid: 57
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      pub: Oxford University Press / USA
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        10.1093/alcalc/agac027
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        atl: Smoking As an Outcome Moderator In the Treatment of Alcohol Use Disorders.
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        subj:
          Smoking Complications
          Alcoholism Therapy
          Alcoholism Prognosis
          Risk Assessment
          Human
          Systematic Review
          Behavior Therapy
          Drug Therapy
          Psychotherapeutic Processes
          Non-Smokers
          Drinking Behavior
          Alcohol Abstinence
          Smoking Cessation
          PubMed
      ab: Aims To clarify whether smoking interferes with successful treatment of alcohol use disorder (AUD). Methods The current systematic review investigates the potential moderating effect of smoking on behavioural and pharmacological treatment of AUD. In addition, this review summarizes the results of randomized controlled trials investigating the effect of smoking cessation treatments in subjects with AUD on drinking outcomes. Results Overall, the results show that 16 out of the 31 pharmacological and psychotherapeutic alcohol treatment studies showed that being a non-smoker or decreased tobacco consumption during AUD treatment is associated with beneficial drinking outcomes, including reduced drinking, later relapse and prolonged alcohol abstinence. As such, smoking predicts poorer drinking outcomes in alcohol treatments. In the stop-smoking studies in patients with AUD, reduced smoking had virtually no effect on drinking behaviours. The inverse association between smoking and drinking outcome observed here indicates that non-smokers may be more successful to attain alcohol abstinence than smokers do. However, this association does not imply per se that smoking triggers alcohol consumption, since it can also mean that alcohol consumption promotes smoking. Conclusions It is concluded that (continued) tobacco smoking may have a negative moderating effect on the treatment outcome of AUD treatments. To optimize treatment outcome of AUD one may consider informing and counselling patients with AUD about the risks of smoking for treatment outcomes and offering support for smoking cessation.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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