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Substance Use Diagnoses in Smokers With Lung Disease
Author(s) -
Kennedy Jane A.,
Crowley Thomas J.,
Cottler Linda B.,
Mager Douglas E.
Publication year - 1993
Publication title -
the american journal on addictions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.997
H-Index - 76
eISSN - 1521-0391
pISSN - 1055-0496
DOI - 10.1111/j.1521-0391.1993.tb00212.x
Subject(s) - denial , copd , medicine , nicotine , cigarette smoking , pulmonary disease , nicotine dependence , smoking cessation , disease , nicotine withdrawal , medical diagnosis , obstructive lung disease , psychiatry , substance use , pathology , psychology , psychoanalysis
Will medically ill smokers meet criteria for nicotine dependence using current diagnostic criteria (especially concerning tolerance and withdrawal)? The authors interviewed smokers with chronic obstructive pulmonary disease (COPD) to determine the following: 1) Will they meet DSM‐III‐R criteria? 2) Will requiring withdrawal or tolerance change prevalence? 3) Will denial of health consequences due to smoking change prevalence? and 4) How prevalent are comorbid substance use disorders? In 50 COPD smokers, 94% met nicotine dependence criteria. Because all had tolerance or withdrawal, prevalence was unaffected by these symptoms. Denial reduced prevalence by 8%. Lifetime alcohol dependence was 52%; other substance use disorders were uncommon.