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- Title
Cognitive Behavioral Therapy and the Nicotine Transdermal Patch for Dual Nicotine and Cannabis Dependence: A Pilot Study.
- Authors
Hill, Kevin P.; Toto, Lindsay H.; Lukas, Scott E.; Weiss, Roger D.; Trksak, George H.; Rodolico, John M.; Greenfield, Shelly F.
- Abstract
Background and Objectives We assessed the feasibility of a new cognitive behavioral therapy (CBT) manual, plus transdermal patch nicotine replacement therapy (NRT), to treat co-occurring nicotine and cannabis dependence. Method Seven of 12 (58.3%) adults with DSM-IV diagnoses of both nicotine and cannabis dependence completed 10 weeks of individual CBT and NRT. Results Participants smoked 12.6 ± 4.9 tobacco cigarettes per day at baseline, which was reduced to 2.1 ± 4.2 at the end of treatment ( F[5] = 23.5, p < .0001). The reduction in cannabis use from 10.0 ± 5.3 inhalations per day at baseline to 8.0 ± 5.3 inhalations per day at 10 weeks was not significant ( F[5] = 1.12, p = .37). There was a significant decrease from the mean baseline Fagerstrom Test for Nicotine Dependence scores at weeks 4, 6, 8, and 10 of treatment ( F[4] = 19.8, p < .001) and mean Client Satisfaction Questionnaire scores were uniformly high (30.6 ± 1.9). Conclusions and Scientific Significance A CBT plus NRT treatment program significantly reduced tobacco smoking but did not significantly reduce cannabis use in individuals with co-occurring nicotine and cannabis dependence. There was no compensatory increase in cannabis use following the reduction in tobacco smoking, suggesting that clinicians can safely pursue simultaneous treatment of co-occurring nicotine and cannabis dependence. The intervention was well-liked by the 7 of the 12 enrollees who completed the study. (Am J Addict 2013; 22:233-238)
- Subjects
COGNITIVE therapy; NICOTINE; MARIJUANA abuse; TRANSDERMAL medication; TOBACCO use; SMOKING
- Publication
American Journal on Addictions, 2013, Vol 22, Issue 3, p233
- ISSN
1055-0496
- Publication type
Article
- DOI
10.1111/j.1521-0391.2012.12007.x