Titre :

Success rates in smoking cessation: psychological preparation plays a critical role and interacts with other factors such as psychoactive substances

Auteur(s) :

Joly, Bertrand [Auteur]
Université de Bourgogne [UB]
Perriot, Jean [Auteur]
CHU Clermont-Ferrand
D''athis, Philippe [Auteur]
Université de Bourgogne [UB]
Chazard, Emmanuel [Auteur]
Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]
Brousse, Georges [Auteur]
CHU Clermont-Ferrand
Quantin, Catherine [Auteur]
Université de Bourgogne [UB]

Titre de la revue :

PLoS One

Nom court de la revue :

PLoS One

Numéro :

12

Date de publication :

2017-10-11

ISSN :

1932-6203

Mot(s)-clé(s) en anglais :

Mesh:Psychotropic Drugs/adverse effects*
Mesh:Smoking Cessation/psychology*
Mesh:Algorithms
Mesh:Female
Mesh:Humans
Mesh:Male
Mesh:Multivariate Analysis

Discipline(s) HAL :

Sciences du Vivant [q-bio]

Résumé en anglais : [en]

BACKGROUND: The aim of this study was to identify factors associated with the results of smoking cessation attempts. METHODS: Data were collected in Clermont-Ferrand from a smoking cessation clinic between 1999 and 2009 ...
Lire la suite >BACKGROUND: The aim of this study was to identify factors associated with the results of smoking cessation attempts. METHODS: Data were collected in Clermont-Ferrand from a smoking cessation clinic between 1999 and 2009 (1,361 patients). Smoking cessation was considered a success when patients were abstinent 6 months after the beginning of cessation. Multivariate logistic regression was used to investigate the association between abstinence and different factors. RESULTS: The significant factors were a history of depression (ORadjusted = 0.57, p = 0.003), state of depression at the initial consultation (ORa = 0.64, p = 0.005), other psychoactive substances (ORa = 0.52, p<0.0001), heart, lung and Ear-Nose-Throat diseases (ORa = 0.65, p = 0.005), age (ORa = 1.04, p<0.0001), the Richmond test (p<0.0001; when the patient's motivation went from insufficient to moderate, the frequency of abstinence was twice as high) and the Prochaska algorithm (p<0.0001; when the patient went from the 'pre-contemplation' to the 'contemplation' level, the frequency of success was four times higher). A high score in the Richmond test had a greater impact on success with increasing age (significant interaction: p = 0.01). In exclusive smokers, the contemplation level in the Prochaska algorithm was enough to obtain a satisfactory abstinence rate (65.5%) whereas among consumers of other psychoactive substances, it was necessary to reach the preparation level in the Prochaska algorithm to achieve a success rate greater than 50% (significant interaction: p = 0.02). CONCLUSIONS: The psychological preparation of the smoker plays a critical role. The management of smoking cessation must be personalized, especially for consumers of other psychoactive substances and/or smokers with a history of depression.Lire moins >

Langue :

Anglais

Audience :

Internationale

Vulgarisation :

Non

Établissement(s) :

CHU Lille
Université de Lille

Collections :

• METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694

Date de dépôt :

2019-12-09T16:55:05Z
2020-04-03T09:05:52Z