Nicotine and Tobacco Dependence

Table of Contents
Preface • Acknowledgments • Dedication
1 Description of Nicotine and Tobacco Dependence
1.1 Terminology
DSM-IV-TR • ICD-10
1.2 Definitions
Dependence, Addiction, and Abuse • Tolerance, Withdrawal, and Compulsive Use
1.3 Epidemiology
1.4 Course and Prognosis
1.5 Differential Diagnosis
1.6 Comorbidities
1.7 Diagnostic Procedures and Documentation
Assess Tobacco Use During Every Initial Evaluation • Document Tobacco Use in Patient Records • [.]
1.8 Self-Report Measures of Nicotine Use and Dependence
Minnesota Nicotine Withdrawal Scale • Tobacco Dependence Screener • Fagerström Test for Nicotine Dependence • [.]
2 Theories and Models of Nicotine and Tobacco Dependence
2.1 Physical Factors in Tobacco Use
2.2 Behavioral Factors in Tobacco Use
2.3 Psychological Factors in Tobacco Use
2.4 The Transtheoretical Model of Behavior Change
3 Diagnosis and Treatment Indications
3.1 Diagnostic Interviewing and Assessment
Tobacco Use Status • Tobacco Use History • Alternative Forms of Tobacco Use • [.]
3.2 Factors that Influence Treatment Decisions
Treatment History • Patient Preference • Age • Gender • Concerns about Postcessation Weight Gain • [.]
3.3 Identifying the Appropriate Treatment
3.4 Evidence-Based Treatments for Nicotine and Tobacco Dependence
Behavioral Treatments • Pharmacological Treatments • Combination Treatments
4 Treatment
4.1 Methods of Treatment
4.2 Brief Interventions for Tobacco Cessation
The “Five As” of Tobacco Cessation
4.3 Intensive Interventions for Tobacco Cessation
Preparing to Quit Tobacco (Sessions 1 & 2) • Quitting Tobacco (Session 3) • Staying Quit (Sessions 4–8)
4.4 Mechanisms of Action
Mechanisms of Action for Physical Factors • Mechanisms of Action for Behavioral Factors • [.]
4.5 Efficacy and Estimated Abstinence Rates
Efficacy of Behavioral Approaches for Tobacco Cessation • Efficacy of Pharmacological Approaches for Tobacco Cessation
4.6 Variations and Combinations of Methods
4.7 Problems in Carrying Out the Treatments
Low Quit Rates • Individuals Not Motivated to Quit • Psychiatric and Substance Abuse Comorbidities
4.8 Working as a Tobacco Cessation Specialist
5 Case Vignettes
5.1 Clinical Case Vignette 1: Assessing Motivation and Readiness for Change
5.2 Case Vignette 2: Medical Patient Who Is Ready to Quit
5.3 Case Vignette 3: Mental Health Patient Who Is NOT Ready to Quit
Further Reading • References • Appendices: Tools and Resources