Nicotine Addiction: Principles and Management

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C. Tracy Orleans, John D. Slade
Oxford University Press, 1993 - Psychology - 435 pages
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Despite persistent warnings from the medical profession about the health risks involved in cigarette smoking, millions of people continue to smoke cigarettes. With contributions from renowned experts, this ground-breaking work defines and explains nicotine addiction as a primary problem or disease, instead of as a habit or risk factor for other diseases. A comprehensive, clinical text on tobacco dependence, this book provides clinicians with essential information on how to diagnose and treat nicotine addicted patients. It also offers the medical, epidemiological and behavioral science backgrounds necessary for understanding the process and dynamics of tobacco dependence. Following the traditional format of medical texts, the book first covers etiology, pathogenesis and complications, then diagnosis and treatment, and finally public health and prevention. Part One presents an overview of the biological, psychological and social factors that contribute to nicotine dependence, including such topics as a description of nicotine delivery systems, psychopharmacology, economics, natural history and epidemiology, mortality, morbidity, and environmental tobacco smoke exposure. The second part offers practical guidelines and tools for treating nicotine dependence and describes a stepped-care treatment model with brief interventions that can be easily integrated into routine medical practice. This section also covers the role of psychopharmacologic and formal treatment programs, the treatment of smokeless tobacco addiction, and treating nicotine dependence in pregnant women and in people with medical illnesses, other chemical dependencies, or psychiatric disorders. The last section focuses onworksite and community intervention programs and summarizes the research on smoking patterns and history in women, Blacks, Hispanics, youth, and older adults, discussing how intervention and prevention programs could be made more effective in these groups. Written by the nation's leading tobacco control researchers and clinicians, this important work contains new and critical information not previously available.
  

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Contents

Nicotine Delivery Devices
3
Psychopharmacology of Nicotine
24
The Economics of Tobacco
46
Multiple Determinants of Tobacco Use and Cessation
59
Natural History and Epidemiology of Tobacco Use and Addiction
89
Complications
97
Medical and Public Health Implications of Tobacco Addiction
105
Tobacco Smoke Pollution
129
Risks Epidemiology and Cessation
262
Treating Nicotine Addiction in HighRisk Groups and Patients with Medical
279
Treating Nicotine Addiction in Patients with Other Addictive Disorders
310
Treating Nicotine Addiction in Patients with Psychiatric CoMorbidity
327
Women Who Smoke
339
Nicotine Dependence Among Blacks and Hispanics
350
Risks Patterns and Control
365
Older Smokers
385

A SteppedCare Model
145
Creating and Maintaining an Optimal Medical Practice Environment for
162
MinimalContact Quit Smoking Strategies for Medical Settings
181
Formal Quit Smoking Treatments
221
Pharmacological Adjuncts for the Treatment of Tobacco Dependence
245
Worksite and Community Intervention for Tobacco Control
396
Fagerstrom Test of Nicotine Dependence
413
Index
423
Copyright

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About the author (1993)


Carole Tracy Orleans, Ph.D., is Director of Tobacco Control Research at the Fox Chase Cancer Center. A clinical psychologist specializing in behavioral medicine, she is widely recognized for her expertise in the development ad evaluation of model nicotine addiction treatments for special populations and settings.
John Slade, M.D., is Associate Professor of Medicine at the Robert Wood Johnson Medical School, University of Medicine and Dentistry of New Jersey. An internist specializing in the clinical and public health aspects of addicition medicine, Dr. Slade is widely recognized for his work to improve the clnical management of nicotine dependence and for his advocacy of aggressive public health measures to control this disease.

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