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Minerva Psichiatrica 2018 March;59(1):16-21

DOI: 10.23736/S0391-1772.17.01953-7

Copyright © 2017 EDIZIONI MINERVA MEDICA

lingua: Inglese

A study of pattern of alcohol and nicotine dependence: an observational study

Debaleena DAS 1, Nivedita MAITY 1, Hemendra SINGH 2

1 Department of Pharmacology, M.S. Ramaiah Medical College and Hospitals, Bangalore, India; 2 Department of Psychiatry, M.S. Ramaiah Medical College and Hospitals, Bangalore, India


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BACKGROUND: Substance use disorder is a major concern for the society. Alcohol and nicotine are commonly coabused. Generally patients with alcohol dependence are also found to have nicotine dependence as both share same biological substrate. Hence, this study aims to assess the practice and pattern of tobacco abuse among alcohol dependent patients.
METHODS: Patients attending the out-patient department (OPD) of Psychiatry of the tertiary care hospital fulfilling criteria of diagnostics and statistical manual of mental disorder, 5th edition (DSM-5) for alcohol dependence syndrome, were recruited after obtaining informed consent. A questionnaire was used to collect information pertaining to socio-demographic profile, pattern, quantity, frequency of alcohol and tobacco abuse.
RESULTS: Out of 70 patients, 66 (94.3%) were male and 4 (5.7%) were females. Mean duration of alcohol abuse was 16.20±8.95 years as compared to 14.29±8.23 years in tobacco abuse. A percentage of 57.1% patients attempted once or twice to quit alcohol as compared to 8.5% patients tried to quit tobacco.
CONCLUSIONS: Though nicotine use is found to be later in onset, it was observed that nicotine dependence appears to be more difficult to quit than alcohol. Investigators and researchers need to elucidate further and consider role of various genetic, neurobiological and psychosocial factors to understand the mechanism of this dual addiction.


KEY WORDS: Alcoholism - Tobacco use disorder - Substance-related disorders

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