This comprehensive, clinical text on tobacco dependence provides clinicians not only with information on how to diagnose and treat nicotine addicted patients, but also with the medical, epidemiological and behavioral science backgrounds necessary for understanding the process and dynamics of tobacco dependence. The book breaks new ground by defining and explaining nicotine addiction as a primary problem or disease in its own right, instead of as a habit or risk factor for otherdiseases. It follows the traditional outline of medical texts:: Part I covers etiology, pathogenesis and complications; Part II covers diagnosis and treatment; and Part III covers prevention and public health. Part I is designed to present an overview of the biological, psychological, social, and societal factors that contribute to nicotine dependence. Topics include:: a description of nicotine delivery systems, psychopharmacology, economics, natural history and epidemiology, mortality, morbidity, and environmental tobacco smoke exposure. Part II provides the clinician with practical guidelines and tools for treating nicotine dependence. The authors describe a stepped-care treatment model, withbrief 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 toabacco addiction, and treating nicotine dependence in pregnant women and in people with medicalillnesses, other chemical dependencies, or psychiatric disorders. The last section, on public health and prevention, focuses on worksite and community intervention programs. It also summarizes the research on smoking patterns and history in women, blacks, hispanics, youth, and older adults, and shows how intervention and prevention programs could be made more effective in these groups. Written by leading experts in this timely field, this imortant work contains information not foundelsewhere.
Introduction; PART 1:: THE DISEASE OF NICOTINE ADDICTION; Etiology; Nicotine Delivery Systems; Psychopharmacology of Nicotine; Economics; Pathogenesis and Epidemiology; Multiple Determinants of Tobacco Use and Cessation; Natural History and Epidemiology; Complications; Medical and Public Health Implications of Tobacco Addiction; Tobacco Smoke Pollution; PART 2:: MANAGEMENT; Treating Nicotine Dependence in Medical Settings:: A Stepped-Care Model; Creating and Maintaining an Optimal Medical Practice Environment for the Treatment of Nicotine Addiction; Minimal-Contact Quit Smoking Strategies for Medical Settings; Formal Quit Smoking Treatments; Pharmacological Adjuncts for the Treatment of Tobacco Dependence; Smokeless Tobacco Risks:: Risks, Epidemiology, and Cessation; High-Risk Groups and Patients with Medical Co-Morbidity; Treating Nicotine Dependence in Patients with Other Addictive Disorders; Patients with Psychiatric Co-Morbidity; PART 3:: PUBLIC HEALTH AND PREVENTION; Women Who Smoke; Nicotine Dependence Among Blacks and Hispanics; Youth Tobacco Use:: Risks, Patterns and Control; Older Smokers; Worksite and Community Intervention for Tobacco Control;
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