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Titolo:
The effect of tobacco smoking on subjective symptoms of inadequacy ("not holding") of methadone dose among opiate addicts in methadone maintenance treatment
Autore:
Tacke, U; Wolff, K; Finch, E; Strang, J;
Indirizzi:
Univ London Kings Coll, Maudsley Hosp & Inst Psychiat, Natl Addict Ctr, London WC2R 2LS, England Univ London Kings Coll London England WC2R 2LS London WC2R 2LS, England Univ Kuopio, Dept Psychiat, Drug Dependence Clin, FIN-70211 Kuopio, Finland Univ Kuopio Kuopio Finland FIN-70211 nce Clin, FIN-70211 Kuopio, Finland
Titolo Testata:
ADDICTION BIOLOGY
fascicolo: 2, volume: 6, anno: 2001,
pagine: 137 - 145
SICI:
1355-6215(200104)6:2<137:TEOTSO>2.0.ZU;2-S
Fonte:
ISI
Lingua:
ENG
Soggetto:
ILLICIT DRUG-USE; CIGARETTE-SMOKING; CARBON-MONOXIDE; ALCOHOL; HABITS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Life Sciences
Citazioni:
38
Recensione:
Indirizzi per estratti:
Indirizzo: Wolff, K Natl Addict Ctr, Inst Psychiat, Addict Sci Bldg,4 Windsor Walk, London SE58AF, England Natl Addict Ctr Addict Sci Bldg,4 Windsor Walk London England SE5 8AF
Citazione:
U. Tacke et al., "The effect of tobacco smoking on subjective symptoms of inadequacy ("not holding") of methadone dose among opiate addicts in methadone maintenance treatment", ADDICT BIOL, 6(2), 2001, pp. 137-145

Abstract

The objective of this study was to examine the relationship between subjective symptoms of inadequacy of methadone dose (not feeling "held") and tobacco smoking in patients in methadone maintenance treatment (MMT). This was a cross-sectional study of smoking behaviour, investigating subjective, physiological and psychological symptoms. The study took place in a community-based methadone maintenance clinic of a psychiatric teaching hospital in South London. Fifty adult opiate addicts (37 males and 13 females) were on a stable daily methadone dose; the number of cigarettes smoked during the dayand previous day of investigation, salivary cotinine measurements and carbon monoxide (CO) from expired air were measured. The Methadone Symptom Checklist (MSC) was used to score withdrawal symptoms encountered in patients not feeling "held" during MMT The Hamilton Anxiety Score was also used. The prevalence of tobacco-smoking was high (98%), with two-thirds (68%) smokingself-fabricated cigarettes ("roll-ups"). Scores front rating scales measuring symptoms of not being "held" correlated with number of cigarettes smoked the previous day (p < 0.05). A similar correlation was found with the Hamilton Anxiety Score. However, there was no correlation between rating scalescores and either salivary cotinine concentration or CO from expired air. Methadone patients who smoke more are significantly more likely to report problems of not feeling "held" by their methadone dose and they also shown ahigher level of anxiety. However, this increased cigarette consumption is not reflected in increased salivary continine levels or levels of CO in expired air, and it may be that the raised level of anxiety leads to a smoking-pattern consisting of frequent lighting-up of cigarettes or "roll-ups" which am consumed incompletely! and/or not smoked by inhalation.

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Documento generato il 29/03/20 alle ore 00:54:39