Adicciones最新文献_第8页

Self-reported increase in alcohol and drugs intake as a coping strategy in hospital workers during COVID-19 outbreak: A cross-sectional study. 在COVID-19爆发期间，医院工作人员自我报告的酒精和药物摄入量增加作为应对策略:一项横断面研究

IF 3 4区医学

Adicciones Pub Date : 2023-07-01 DOI: 10.20882/adicciones.1643

Agustín Madoz-Gúrpide, Mónica Leira-Sanmartín, Ángela Ibañez, Enriqueta Ochoa-Mangado

{"title":"Self-reported increase in alcohol and drugs intake as a coping strategy in hospital workers during COVID-19 outbreak: A cross-sectional study.","authors":"Agustín Madoz-Gúrpide, Mónica Leira-Sanmartín, Ángela Ibañez, Enriqueta Ochoa-Mangado","doi":"10.20882/adicciones.1643","DOIUrl":"https://doi.org/10.20882/adicciones.1643","url":null,"abstract":"Situations of psychological stress, such as the current COVID-19 pandemic, could lead to an increase in the consumption of alcohol and other drugs of abuse as an inadequate coping strategy in health workers. This study aimed to investigate the intake of alcohol and drugs of abuse in hospital workers during the first wave of COVID-19. A further focus was to define the worker profile most vulnerable to this behavior through a logistic regression analysis. A cross-sectional study in a tertiary hospital in Madrid, Spain, during the first wave of COVID-19 was designed. Information was collected from a sample (n = 657) of healthcare workers (n = 536) and non-healthcare workers (n = 121). An online survey (including questions about basic health habits, working environment conditions, sociodemographic data, and the 12-item version of the General Health Questionnaire as a measure of psychological well-being) was conducted. Increased consumption of alcohol and/or drugs of abuse during the analyzed period of the pandemic was reported by 17.1% of workers. The following variables were associated with a higher probability of increased consumption of alcohol and/or drugs of abuse: male gender (p = .044), living alone or without dependents (p = .005), staff physician or resident (p = .010), having worked on the COVID frontline (p = .058), poor nutritional habits (p = .004) and self-prescription of psychotropic drugs to manage anxiety and insomnia (p = .003). A significant percentage of hospital workers increased their consumption of alcohol and drugs of abuse during the first wave of the COVID-19 pandemic. A professional risk profile can be defined for this practice.","PeriodicalId":55560,"journal":{"name":"Adicciones","volume":"35 2","pages":"143-150"},"PeriodicalIF":3.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9784525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 7

Percepción del consumo de alcohol propio y de allegados en universitarios de primer curso como predictor del consumo a 10 años. 本研究的目的是评估大学生对酒精消费的感知，以及他们与家人和朋友的关系，作为10年消费的预测因素。

IF 3 4区医学

Adicciones Pub Date : 2023-07-01 DOI: 10.20882/adicciones.1510

Lucía Moure-Rodríguez, Carina Carbia, Montserrat Corral Varela, Ainara Díaz-Geada, Fernando Cadaveira, Francisco Caamaño-Isorna

{"title":"Percepción del consumo de alcohol propio y de allegados en universitarios de primer curso como predictor del consumo a 10 años.","authors":"Lucía Moure-Rodríguez, Carina Carbia, Montserrat Corral Varela, Ainara Díaz-Geada, Fernando Cadaveira, Francisco Caamaño-Isorna","doi":"10.20882/adicciones.1510","DOIUrl":"https://doi.org/10.20882/adicciones.1510","url":null,"abstract":"The alcohol use perceptions young people have of those close to them can affect their expectations regarding alcohol and, thus, their own drinking. We aim to identify the predictive ability of own and significant others' perceived drinking at age 18-19 in the alcohol use patterns at 27-28. A cohort study was carried out among university students in Spain (n=1,382). Binge Drinking (BD) and Risky Consumption (RC) were measured with the Alcohol Use Disorders Identification Test at ages 18, 20, 22, 24 and 27. Multilevel logistic regression for repeated measures was used to calculate the adjusted Odds Ratios (ORs). College students perceive their family's alcohol consumption as very low or nothing, while the perception of their own alcohol use or that of their friends is higher. Perceiving higher alcohol use among their siblings and friends increases the risk of BD for both sexes and RC for women. Living away from the parental home increases the risk of RC and BD. In conclusion, the perception of their friend's alcohol use at age 18-19 is the most influential variable in BD among both sexes and in RC among men throughout 10 years of follow-up. Parental alcohol consumption does not affect college student drinking patterns when friends and siblings are considered. Living with one's family acts as a protective factor. Preventive measures focused on young people should take a contextual approach and include those closest to them.","PeriodicalId":55560,"journal":{"name":"Adicciones","volume":"35 2","pages":"119-134"},"PeriodicalIF":3.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10158541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Evolution of mortality attributable to alcohol in Spain according to age, sex, cause of death and type of drinker (2001-2017). 西班牙按年龄、性别、死因和饮酒者类型划分的酒精死亡率演变(2001-2017年)。

IF 3 4区医学

Adicciones Pub Date : 2023-07-01 DOI: 10.20882/adicciones.1612

Marta Donat, Luis Sordo, María José Belza, Juan Hoyos, Enrique Regidor, Gregorio Barrio

{"title":"Evolution of mortality attributable to alcohol in Spain according to age, sex, cause of death and type of drinker (2001-2017).","authors":"Marta Donat, Luis Sordo, María José Belza, Juan Hoyos, Enrique Regidor, Gregorio Barrio","doi":"10.20882/adicciones.1612","DOIUrl":"https://doi.org/10.20882/adicciones.1612","url":null,"abstract":"There are no recent estimates of alcohol-attributable mortality in Spain with Spanish alcohol consumption data. The objective is to estimate it and know its evolution between 2001 and 2017 in people ≥15 years, according to sex, age, period, cause of death and type of drinker. The cause-specific approach and Levin's equation were used. Survey consumption was corrected for underestimation with respect to sales statistics, and past consumption and binge drinking were considered. The average annual number of deaths attributable to alcohol in 2010-2017 was 14,927, 58.6% of which were premature (<75 years). The age-standardized alcohol-attributable mortality rate was 39.4/100,000 inhabitants, representing 3.9% of overall mortality. Using standardized percentages, 68.7% corresponded to heavy drinkers. The most frequent causes of alcohol-attributable mortality were cancer (44.7%) and digestive diseases (33.2%). The rate of alcohol-attributable mortality was 3.5 times higher in men than in women (with higher ratios for young people and external causes). Between 2001-2009 and 2010-2017, the average annual rate decreased 16.8% (60.7% in 15-34 years; 19.4% in men and 9.8% in women). The contribution of heavy drinkers, digestive diseases and external causes to the risk of alcohol-attributable mortality decreased slightly between the two periods, while the contribution of cancer and circulatory diseases increased. These estimates are conservative. The contribution of alcohol to overall mortality is significant in Spain, requiring collective action to reduce it.","PeriodicalId":55560,"journal":{"name":"Adicciones","volume":"35 2","pages":"165-176"},"PeriodicalIF":3.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9786067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

The relevance of patterns of use: A survey to assess cannabis use related harm. 使用模式的相关性:一项评估大麻使用相关危害的调查。

IF 3 4区医学

Adicciones Pub Date : 2023-07-01 DOI: 10.20882/adicciones.1570

Eugènia Campeny, Hugo López-Pelayo, Antoni Gual, Maria de Las Mercedes Balcells-Olivero

{"title":"The relevance of patterns of use: A survey to assess cannabis use related harm.","authors":"Eugènia Campeny, Hugo López-Pelayo, Antoni Gual, Maria de Las Mercedes Balcells-Olivero","doi":"10.20882/adicciones.1570","DOIUrl":"https://doi.org/10.20882/adicciones.1570","url":null,"abstract":"Lifetime prevalence of cannabis use is estimated 192 million adults worldwide (2017) and has increased by 16% in the last decade. However, data on quantity and frequency of use that can lead to harm is lacking. We have developed a survey to assess patterns of cannabis use and related harms in a sample of cannabis users. This paper focuses on evaluating the feasibility of the survey and the users' satisfaction in a pilot sample. Forty cannabis users were recruited (>18 years old, living in Spain, cannabis use at least once during the last 12 months) between December 2018 and January 2019. Participants answered an online survey (mental health, organic harm and injury) and an ad hoc questionnaire to assess accessibility, feasibility, satisfaction, design and content appropriateness. Of the participants, 93.23% (n = 37.3) were satisfied with the design, 94.92% (n = 38.2) were satisfied with the content, and 94.73% (n = 37.0) were satisfied with the accessibility of the survey; only minor changes were required to improve feasibility and accessibility. Participants used a median of 1.0 Standard Joint Unit per day (Interquartile Range [IQR] 1.0-2.0). Of the sample, 92.5% reported at least one related harm and suffers a median of 4.0 disorders (IQR, 1.25-5.0). The present study allows for designing a feasible online survey to conduct a cross-sectional study with a larger sample.","PeriodicalId":55560,"journal":{"name":"Adicciones","volume":"35 2","pages":"135-142"},"PeriodicalIF":3.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9845349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Smoking-attributable mortality in Spain: A systematic review. 西班牙吸烟导致的死亡率:一项系统综述。

IF 3 4区医学

Adicciones Pub Date : 2023-07-01 DOI: 10.20882/adicciones.1619

Julia Rey-Brandariz, Mónica Pérez-Ríos, María Isolina Santiago-Pérez, Leonor Varela-Lema, Alexandra Giraldo-Osorio, Nerea Mourino, Alberto Ruano-Ravina

{"title":"Smoking-attributable mortality in Spain: A systematic review.","authors":"Julia Rey-Brandariz, Mónica Pérez-Ríos, María Isolina Santiago-Pérez, Leonor Varela-Lema, Alexandra Giraldo-Osorio, Nerea Mourino, Alberto Ruano-Ravina","doi":"10.20882/adicciones.1619","DOIUrl":"https://doi.org/10.20882/adicciones.1619","url":null,"abstract":"Smoking-attributable mortality (SAM) is an indicator that reflects the evolution of the tobacco epidemic at the population level. The objective of this study is to identify and to describe published studies that have estimated SAM in Spain. A search in PubMed and EMBASE databases was performed, limited to studies published until April 15th, 2021. Studies that estimated SAM in Spain or its constituent regions were included. Of the 146 studies identified, 22 met eligibility criteria. The first estimate of SAM in Spain dates from 1978 and the last from 2017. Twelve of the studies found estimated SAM at national level, 8 in regions, 1 in a province and 1 in a city. Most estimates were made for adults aged over 34, categorized as smokers, ex-smokers and never smokers. Observed mortality derived, in all studies, from official records, and relative risks mostly from Cancer Prevention Study II. In the period analyzed, a decrease in the burden of SAM was observed. In Spain, different SAM estimates are available globally, but they do not have regular periodicity, and such estimates are infrequently made by region. Due to variations in methodology and data sources, it is difficult to assess changes in SAM. Having global and regional periodic estimates would be necessary to correctly monitor the tobacco epidemic in Spain.","PeriodicalId":55560,"journal":{"name":"Adicciones","volume":"35 2","pages":"185-196"},"PeriodicalIF":3.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9786064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 8

Problematic Internet Use and Psychological Problems among University Students with Disabilities. 残疾大学生上网问题与心理问题

IF 3 4区医学

Adicciones Pub Date : 2023-07-01 DOI: 10.20882/adicciones.1574

María José Pino Osuna, Carlos Herruzo Pino, Valentina Lucena Jurado, Javier Herruzo Cabrera

{"title":"Problematic Internet Use and Psychological Problems among University Students with Disabilities.","authors":"María José Pino Osuna, Carlos Herruzo Pino, Valentina Lucena Jurado, Javier Herruzo Cabrera","doi":"10.20882/adicciones.1574","DOIUrl":"https://doi.org/10.20882/adicciones.1574","url":null,"abstract":"Problematic internet use (PIU) among people with disabilities has received very little attention in scientific literature. The objective of this work is to study PIU among Spanish university students with disabilities, and determine whether it is related to the presence of psychological problems and discomfort. A total of 432 Spanish university students with disabilities from six universities participated in the study (35% motor disability, 22.7% sensory disability and 42.1% other disabilities, excluding psychical or intellectual disability). PIU in the sample was assessed using the Internet Addiction Test (IAT), while psychological problems were assessed using the Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM). PIU prevalence was 6.3%, and significant differences were found by age (< 22 had a PIU prevalence five times higher), onset of disability (prevalence was 3.7 times higher in those with congenital disability) and main type of internet use (recreational). There were no differences by sex, level of education or type of disability. In all the dimensions measured by CORE-OM (psychological problems, subjective well-being, life functioning and risk of self-harm and harm to others), the prevalence of psychological problems was significantly higher among problematic internet users. In conclusion, university students who are disabled from birth (regardless of their type of disability and sex), under the age of 22, and use the internet mainly for social networking and recreational purposes are at greater risk of psychological distress and are more vulnerable to problems like anxiety and difficulties with social relationships.","PeriodicalId":55560,"journal":{"name":"Adicciones","volume":"35 2","pages":"177-184"},"PeriodicalIF":3.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9780528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Personality traits and psychopathology in adolescents with videogame addiction. 青少年电子游戏成瘾的人格特征和精神病理。

IF 3 4区医学

Adicciones Pub Date : 2023-07-01 DOI: 10.20882/adicciones.1629

Marta Sánchez-Llorens, María Isabel Marí-Sanmillán, Ana Benito, Francesc Rodríguez-Ruiz, Francisca Castellano-García, Isabel Almodóvar, Gonzalo Haro

{"title":"Personality traits and psychopathology in adolescents with videogame addiction.","authors":"Marta Sánchez-Llorens, María Isabel Marí-Sanmillán, Ana Benito, Francesc Rodríguez-Ruiz, Francisca Castellano-García, Isabel Almodóvar, Gonzalo Haro","doi":"10.20882/adicciones.1629","DOIUrl":"https://doi.org/10.20882/adicciones.1629","url":null,"abstract":"Gaming disorder (GD) was recently included in the 11th edition of the International Classification of Diseases. A cross-sectional study was conducted in five secondary schools, with a final sample of 119 students. A diagnosis of GD was made in 6.4% (n = 23) of this sample. Compared with healthy subjects, adolescents with GD showed low levels of conscientiousness (F = 7.82; p = .001) and agreeableness (F = 3.31; p = .041) and scored higher in school maladjustment (SMC; F = 9.23; p < .001). Two discriminating functions were obtained that allowed us to predict patient group allocation with a success rate of 60.5% (Z1 = 0.406 × Sex + 0.560 × Conscientiousness - 0.677 × SMC; Z2 = 0.915 × Sex + 0.191 × Conscientiousness + 0.326 × SMC). Subjects with addiction differed from healthy subjects in presenting school maladjustment and low consciousness, while both groups of subjects with addiction differed in that video game addiction was proportionally higher in boys. The probability of GD was higher if subjects were male (OR [95% CI]) = 4.82 [1.17-19.81]; p = .029) and had school maladjustment (OR [95% CI] = 1.08 [1-1.17]; p = .047); while that of substance use disorder was higher if the subjects had neuroticism (OR [95% CI] = 1.07 [1-1.14]; p < .040), clinical maladjustment (OR [95% CI] = 1.10 [1.01- 1.20]; p = .020), school maladjustment (OR [95% CI] = 1.06 [1-1.13]; p = .048), low personal adjustment (OR [95% CI] = 0.94 [0.88-0.99]; p = .047) and emotional symptoms (OR [95% CI] = 0.86 [0.78-0.96]; p = .006).","PeriodicalId":55560,"journal":{"name":"Adicciones","volume":"35 2","pages":"151-164"},"PeriodicalIF":3.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9839426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

Cannabinoid receptor type 2 gene is associated with comorbidity of schizophrenia and cannabis dependence and fatty acid amide hydrolase gene is associated with cannabis dependence in the Spanish population. 大麻素受体2型基因与精神分裂症和大麻依赖的共病有关，脂肪酸酰胺水解酶基因与西班牙人群的大麻依赖有关。

IF 3 4区医学

Adicciones Pub Date : 2023-01-01 DOI: 10.20882/adicciones.1587

Francisco Arias Horcajadas, José Ramón Dávila Píriz, Alba Parra González, Sergio Sánchez Romero, Eva Sánchez-Morla, Israel Ampuero Sánchez, José Antonio Ramos Atance

{"title":"Cannabinoid receptor type 2 gene is associated with comorbidity of schizophrenia and cannabis dependence and fatty acid amide hydrolase gene is associated with cannabis dependence in the Spanish population.","authors":"Francisco Arias Horcajadas, José Ramón Dávila Píriz, Alba Parra González, Sergio Sánchez Romero, Eva Sánchez-Morla, Israel Ampuero Sánchez, José Antonio Ramos Atance","doi":"10.20882/adicciones.1587","DOIUrl":"https://doi.org/10.20882/adicciones.1587","url":null,"abstract":"The endocannabinoid system has been associated with various psychiatric disorders, such as schizophrenia or addictive disorders. Recent studies have found that some polymorphisms in the cannabinoid receptor type 2 (CNR2), cannabinoid receptor type 1 (CNR1) and fatty acid amide hydrolase (FAAH) genes could play an important role as risk factors in the etiology of these diseases. We analysed different cannabinoid gene polimorphisms from non-substance using patients diagnosed with schizophrenia (n = 379), schizophrenic patients with cannabis use disorders (n = 124), cannabis users who did not have psychoses (n = 71), and 316 controls from various Spanish hospitals and health centres. We found a statistical association between polymorphisms rs35761398 and rs12744386 in the CNR2 gene and comorbidity of schizophrenia and cannabis dependence, as well as an association between loss of heterozygosity (overdominance) for polymorphism rs324420 in the FAAH gene and cannabis dependence in a Spanish population sample. The rs35761398 and rs12744386 polymorphisms in the CNR2 gene are genetic risk factors for schizophrenia in cannabis-dependent subjects. Loss of heterozygosity for polymorphism rs324420 in the FAAH gene is a genetic risk factor for cannabis dependence in this population.","PeriodicalId":55560,"journal":{"name":"Adicciones","volume":"35 1","pages":"33-46"},"PeriodicalIF":3.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10694236","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 7

Impact of neuropsychological disorders on clinical aspects of smoking. 神经心理障碍对吸烟临床方面的影响。

IF 3 4区医学

Adicciones Pub Date : 2023-01-01 DOI: 10.20882/adicciones.1590

Raquel Martín Ríos, Ignacio Martín Tamayo, Francisca López-Torrecillas

引用次数: 2

Consensus document on asthma and smoking of the Regional Asthma Forum of SEPAR. SEPAR区域哮喘论坛关于哮喘和吸烟的共识文件。

IF 3 4区医学

Adicciones Pub Date : 2023-01-01 DOI: 10.20882/adicciones.1583

Francisco Javier Álvarez-Gutiérrez, Marina Blanco-Aparicio, Jaime Signes-Costa, Esther Pastor-Esplá, Juan Luis García-Rivero, José Gregorio Soto-Campos, Francisco Javier Callejas-González, Pedró José Romero-Palacios, Juan Antonio Riesco-Miranda, Carlos A Jiménez-Ruiz

{"title":"Consensus document on asthma and smoking of the Regional Asthma Forum of SEPAR.","authors":"Francisco Javier Álvarez-Gutiérrez, Marina Blanco-Aparicio, Jaime Signes-Costa, Esther Pastor-Esplá, Juan Luis García-Rivero, José Gregorio Soto-Campos, Francisco Javier Callejas-González, Pedró José Romero-Palacios, Juan Antonio Riesco-Miranda, Carlos A Jiménez-Ruiz","doi":"10.20882/adicciones.1583","DOIUrl":"https://doi.org/10.20882/adicciones.1583","url":null,"abstract":"The prevalence of active smoking in adults with asthma is similar in the total population. Smoking is associated with worse clinical control of the disease, a rapid reduction of lung function and a variable response to corticoids. Tobacco consumption negatively affects the quality of life of asthmatic patients as well as increasing the number of medical visits and hospital admissions due to exacerbations. Moreover, smoking entails a higher risk of developing lung cancer, cardiovascular comorbidities and death in asthmatic patients. Nevertheless, current asthma guidelines do not include specific recommendations on the management of smoking asthmatic patients and the treatment of the smoking habit in this subpopulation. For this reason, a narrative review of the literature was carried out for consensus using a nominal group methodology developed throughout 2019 to extract practical recommendations that would allow the diagnosis and treatment of asthma in smokers, as well as the treatment of smoking in asthmatics, to be improved. The conclusions and recommendations were validated at the SEPAR national congress of the same year. Among the most relevant, the need to address smoking in people with asthma through health advice, pharmacological treatment and behavioral therapy was emphasized, as this is a factor that negatively impacts the symptoms, prognosis and response to asthma treatment. In smokers with suspected asthma, the presence of emphysema and the differential diagnosis of other diseases should be evaluated and the impact of smoking on the result of diagnostic tests should be considered. It is also concluded that smoking reduces the response to treatment with inhaled corticosteroids, which is why combined therapy with bronchodilators is recommended.","PeriodicalId":55560,"journal":{"name":"Adicciones","volume":"35 1","pages":"67-84"},"PeriodicalIF":3.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10687387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1