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Sex differences in smoking cessation: a retrospective cohort study in a psychosocial care unit in Brazil

INTRODUCTION: Despite the results of epidemiological and psychometric studies reporting comparable levels of tobacco dependence among males and females, some clinical studies have detected disparities. Some smoking cessation studies based on clinical setting programs reported poorer outcomes among w...

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Autores principales: Guimarães-Pereira, Bruna Beatriz Sales, Martins-da-Silva, Anderson Sousa, Lima, Danielle Ruiz, Carvalho, Carlos Felipe Cavalcanti, Loreto, Aline Rodrigues, Galvão, Lucas Pequeno, Frallonardo, Fernanda Piotto, Ismael, Flavia, Torales, Julio, Ventriglio, Antonio, de Andrade, Arthur Guerra, Castaldelli-Maia, João Mauricio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Associação de Psiquiatria do Rio Grande do Sul 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10241528/
https://www.ncbi.nlm.nih.gov/pubmed/35213112
http://dx.doi.org/10.47626/2237-6089-2021-0217
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author Guimarães-Pereira, Bruna Beatriz Sales
Martins-da-Silva, Anderson Sousa
Lima, Danielle Ruiz
Carvalho, Carlos Felipe Cavalcanti
Loreto, Aline Rodrigues
Galvão, Lucas Pequeno
Frallonardo, Fernanda Piotto
Ismael, Flavia
Torales, Julio
Ventriglio, Antonio
de Andrade, Arthur Guerra
Castaldelli-Maia, João Mauricio
author_facet Guimarães-Pereira, Bruna Beatriz Sales
Martins-da-Silva, Anderson Sousa
Lima, Danielle Ruiz
Carvalho, Carlos Felipe Cavalcanti
Loreto, Aline Rodrigues
Galvão, Lucas Pequeno
Frallonardo, Fernanda Piotto
Ismael, Flavia
Torales, Julio
Ventriglio, Antonio
de Andrade, Arthur Guerra
Castaldelli-Maia, João Mauricio
author_sort Guimarães-Pereira, Bruna Beatriz Sales
collection PubMed
description INTRODUCTION: Despite the results of epidemiological and psychometric studies reporting comparable levels of tobacco dependence among males and females, some clinical studies have detected disparities. Some smoking cessation studies based on clinical setting programs reported poorer outcomes among women than men. METHODS: This retrospective cohort study aimed to compare treatment success and retention between men and women on a smoking cessation program (n = 1,014) delivered at a CAPS-AD unit in Brazil. The psychological intervention lasted 6 weeks for each group of 15 patients. Each patient had to participate in weekly group cognitive-behavioral therapy (CBT) sessions and individual medical appointments during this period. These appointments were focused on the possibility of prescribing pharmacological treatment (i.e., nicotine replacement therapy, bupropion, or nortriptyline) as adjuvants to group therapy. RESULTS: The women had lower smoking severity at baseline, more clinical symptoms, and lower prevalence of alcohol and drug use disorders and were older than the men. Females had significantly higher levels of success (36.6% vs. 29.7%) and retention (51.6% vs. 41.4%) than males. Sensitivity analysis showed that female gender was significantly associated with both retention and success, among those without drug use disorders only. CONCLUSION: Depending on the smoking cessation setting (i.e., low and middle-income countries and mental health and addiction care units), females can achieve similar and even higher quit rates than males. Previous drug use disorder was an important confounding variable in the gender outcomes analyses. Future studies should try to replicate these positive smoking cessation effects of CBT-based group therapy plus pharmacotherapy in women.
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spelling pubmed-102415282023-06-06 Sex differences in smoking cessation: a retrospective cohort study in a psychosocial care unit in Brazil Guimarães-Pereira, Bruna Beatriz Sales Martins-da-Silva, Anderson Sousa Lima, Danielle Ruiz Carvalho, Carlos Felipe Cavalcanti Loreto, Aline Rodrigues Galvão, Lucas Pequeno Frallonardo, Fernanda Piotto Ismael, Flavia Torales, Julio Ventriglio, Antonio de Andrade, Arthur Guerra Castaldelli-Maia, João Mauricio Trends Psychiatry Psychother Original Article INTRODUCTION: Despite the results of epidemiological and psychometric studies reporting comparable levels of tobacco dependence among males and females, some clinical studies have detected disparities. Some smoking cessation studies based on clinical setting programs reported poorer outcomes among women than men. METHODS: This retrospective cohort study aimed to compare treatment success and retention between men and women on a smoking cessation program (n = 1,014) delivered at a CAPS-AD unit in Brazil. The psychological intervention lasted 6 weeks for each group of 15 patients. Each patient had to participate in weekly group cognitive-behavioral therapy (CBT) sessions and individual medical appointments during this period. These appointments were focused on the possibility of prescribing pharmacological treatment (i.e., nicotine replacement therapy, bupropion, or nortriptyline) as adjuvants to group therapy. RESULTS: The women had lower smoking severity at baseline, more clinical symptoms, and lower prevalence of alcohol and drug use disorders and were older than the men. Females had significantly higher levels of success (36.6% vs. 29.7%) and retention (51.6% vs. 41.4%) than males. Sensitivity analysis showed that female gender was significantly associated with both retention and success, among those without drug use disorders only. CONCLUSION: Depending on the smoking cessation setting (i.e., low and middle-income countries and mental health and addiction care units), females can achieve similar and even higher quit rates than males. Previous drug use disorder was an important confounding variable in the gender outcomes analyses. Future studies should try to replicate these positive smoking cessation effects of CBT-based group therapy plus pharmacotherapy in women. Associação de Psiquiatria do Rio Grande do Sul 2023-05-02 /pmc/articles/PMC10241528/ /pubmed/35213112 http://dx.doi.org/10.47626/2237-6089-2021-0217 Text en https://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Guimarães-Pereira, Bruna Beatriz Sales
Martins-da-Silva, Anderson Sousa
Lima, Danielle Ruiz
Carvalho, Carlos Felipe Cavalcanti
Loreto, Aline Rodrigues
Galvão, Lucas Pequeno
Frallonardo, Fernanda Piotto
Ismael, Flavia
Torales, Julio
Ventriglio, Antonio
de Andrade, Arthur Guerra
Castaldelli-Maia, João Mauricio
Sex differences in smoking cessation: a retrospective cohort study in a psychosocial care unit in Brazil
title Sex differences in smoking cessation: a retrospective cohort study in a psychosocial care unit in Brazil
title_full Sex differences in smoking cessation: a retrospective cohort study in a psychosocial care unit in Brazil
title_fullStr Sex differences in smoking cessation: a retrospective cohort study in a psychosocial care unit in Brazil
title_full_unstemmed Sex differences in smoking cessation: a retrospective cohort study in a psychosocial care unit in Brazil
title_short Sex differences in smoking cessation: a retrospective cohort study in a psychosocial care unit in Brazil
title_sort sex differences in smoking cessation: a retrospective cohort study in a psychosocial care unit in brazil
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10241528/
https://www.ncbi.nlm.nih.gov/pubmed/35213112
http://dx.doi.org/10.47626/2237-6089-2021-0217
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