Nicotine dependence and withdrawal in an oncology setting: A risk factor for psychiatric comorbidity and treatment non-adherence Journal Article

  

Authors:	Moadel, A. B.; Lederberg, M. S.; Ostroff, J. S.
Article Title:	Nicotine dependence and withdrawal in an oncology setting: A risk factor for psychiatric comorbidity and treatment non-adherence
Abstract:	Highly nicotine dependent oncology patients, are at high risk for psychiatric morbidity when they enter the medical care setting where smoking restrictions apply. Nicotine withdrawal symptoms exacerbate cancer-related distress as well as common physical side effects of cancer treatment. This case report illustrates the management of a patient whose ongoing treatment for bladder cancer was jeopardized as a result of nicotine dependence and withdrawal. Several associated complications are described, the most serious of which were his acute anxiety and non-adherence to medical recommendations. A short-term management approach that included anxiolytics and nicotine replacement was effectively used to reduce this patient's excessive anxiety and thus facilitate compliance with stressful treatments. The severity of complications that can result from untreated nicotine dependence and withdrawal underscores the importance of assessing and monitoring smoking status in every patient. Greater staff awareness of the clinical practice guidelines regarding the diagnosis and treatment of nicotine dependence will likely result in improved patient care and compliance.
Keywords:	adult; treatment outcome; middle aged; case report; cigarette smoking; smoking cessation; withdrawal syndrome; recurrence; oncology; risk factor; urinary bladder neoplasms; patient care; comorbidity; patient compliance; nicotine; anxiety; drug dependence; carcinoma, transitional cell; abstinence; anti-anxiety agents; tobacco use disorder; humans; human; male; article; substance withdrawal syndrome
Journal Title:	Psycho-Oncology
Volume:	8
Issue:	3
ISSN:	1057-9249
Publisher:	John Wiley & Sons
Date Published:	1999-05-01
Start Page:	264
End Page:	267
Language:	English
DOI:	10.1002/(sici)1099-1611(199905/06)8:3<264::aid-pon372>3.0.co;2-r
PUBMED:	10390739
PROVIDER:	scopus
DOI/URL:	https://www.scopus.com/inward/record.uri?eid=2-s2.0-0033025677&partnerID=40&md5=a303dd1a6a742211695158a3fe3da05c
Notes:	Article -- Export Date: 16 August 2016 -- Source: Scopus

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