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Clinical Textbook of Addictive Disorders 3rd ed - R. Frances, S. Miller, A. Mack (Guilford, 2005) WW

Clinical Textbook of Addictive Disorders 3rd ed - R. Frances, S. Miller, A. Mack (Guilford, 2005) WW

Clinical Textbook of Addictive Disorders 3rd ed - R. Frances, S. Miller, A. Mack (Guilford, 2005) WW

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130 III. SUBSTANCES OF ABUSEbupropion SR recipients than for placebo recipients (156 vs. 65 days), andweight gain was significantly less in the bupropion SR group at study weeks 52(3.8 vs. 5.6 kg) and 104 (4.1 vs. 5.4 kg). Pr<strong>ed</strong>ictors <strong>of</strong> successful relapse prevention(in addition to assignment to bupropion SR treatment) were lower baselinesmoking rates, a Fagerstrom Tolerance Questionnaire score < 6, and initiation<strong>of</strong> smoking at an older age (Hurt et al., 2002).Hurt and colleagues (2003) studi<strong>ed</strong> the efficacy <strong>of</strong> bupropion SR (1) forpreventing relapse in adult smokers who quit smoking with transdermal nicotinepatch therapy and (2) for quitting smoking in smokers who fail<strong>ed</strong> to quiton the patch. At completion <strong>of</strong> nicotine patch therapy, nonsmoking participantswere assign<strong>ed</strong> to bupropion SR or placebo for 6 months (relapse prevention),and smoking participants were assign<strong>ed</strong> to bupropion SR or placebo for 8weeks <strong>of</strong> treatment. Of 578 subjects, 31% were abstinent at the end <strong>of</strong> nicotinepatch therapy. Of those not smoking at the end <strong>of</strong> initial patch treatment, 28and 25% were not smoking at 6 months (end <strong>of</strong> m<strong>ed</strong>ication phase) forbupropion SR and placebo, respectively. For those still smoking at the end <strong>of</strong>nicotine patch therapy, 3.1 and 0.0% stopp<strong>ed</strong> smoking with bupropion SR andplacebo, respectively. Hurt and colleagues conclud<strong>ed</strong> that bupropion SR neitherr<strong>ed</strong>uc<strong>ed</strong> relapse to smoking in smokers who stopp<strong>ed</strong> smoking with the nicotinepatch nor initiat<strong>ed</strong> abstinence among smokers who fail<strong>ed</strong> to stop smokingon the patch.REFERENCESAhluwalia, J. S., Harris, K. J., Catley, D., Okuyemi, K. S., & Mayo, M. S. (2002). Sustain<strong>ed</strong>release bupropion for smoking cessation in African-Americans: A randomiz<strong>ed</strong>controll<strong>ed</strong> trial. JAMA, 228, 468–474.Aitken, P. (1980). Peer group pressures, parental controls and cigarette smoking amongten- to- fourteen year olds. Br J Soc Clin Psychol, 19, 141–146.American Academy <strong>of</strong> P<strong>ed</strong>iatrics Committee on Substance Abuse. (2001). Tobacco’stoll: implications for the p<strong>ed</strong>iatrician. P<strong>ed</strong>iatrics, 107, 794–798.American Cancer Society. (1986). Facts and figures on smoking, 1976–1986 (PublicationNo. 5650-LE). New York: Author.American Cancer Society. (2003). Cancer facts and figures 2003. Atlanta: Author.American Lung Association. (2003). Key facts about tobacco use. Retriev<strong>ed</strong> on April15, 2003, from www.lungusa.orgAmerican Psychiatric Association. (1994). Diagnostic and statistical manual <strong>of</strong> mental disorders(4th <strong>ed</strong>.). Washington, DC: Author.American Psychiatric Association. (1996). Practice guidelines for the treatment <strong>of</strong>patients with nicotine dependence. Am J Psychiatry, 153(Suppl), 1–31.American Psychiatric Association. (2000). Diagnostic and statistical manual <strong>of</strong> mental disorders(4th <strong>ed</strong>., text rev.). Washington, DC: Author.Anthonisen, N. R., Connett, J. E., Kiley, J. P., Altose, M. D., Bailey, W. C., Buist, A.S., et al. (1994). Effects <strong>of</strong> smoking intervention and use <strong>of</strong> an inhal<strong>ed</strong> anti-

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