Quit smoking? quit drinking? why not quit both? analysis of perceptions among belgian postgraduates in psychiatry.
BACKGROUND
cooncurrent alcohol and tobacco dependency appears to be a common phenomenon yet medical literature often focuses on only one substance at a time when examining the question of withdrawal and illustrates that the evaluation of tobacco consumption appears to be overlooked in psychiatry.


METHODS
in this study, we analyse perceptions among first-year postgraduates in Psychiatry, before and after training in Motivational Interviewing, with regard to the idea of suggesting that patients might consider simultaneous dual alcohol-tobacco withdrawal.


RESULTS
the trend is to disregard the systematic history of substance consumption and to not recommend concurrent alcohol-tobacco withdrawal. Motivational interview training tends to reverse this trend.


CONCLUSIONS
the lessening of the therapist's feeling of powerlessness in the face of relapse is one of the explanatory factors behind this change of approach. A study design is proposed focusing on the patient's perceptions.


CONCLUSIONS
guidelines concerning dual alcohol-tobacco withdrawal programs are to be developed.
Catholic University of Louvain, Mont-Godinne Clinics, psychosomatic unit, 5530 Yvoir, Belgium. denis.jacques@uclouvain.be
Denis
D
Jacques
Nicolas
N
Zdanowicz
Christine
C
Reynaert
Pascal
P
Janne
D000437:Alcoholism / Q000453:epidemiology / Q000523:psychology* / Q000534:rehabilitation*; D001291:Attitude of Health Personnel; D001530:Belgium; D003131:Combined Modality Therapy; D015897:Comorbidity; D003479:Curriculum; D004503:Education, Medical, Graduate; D006801:Humans; D009042:Motivation; D010349:Patient Compliance / Q000523:psychology; D011570:Psychiatry / Q000193:education*; D012008:Recurrence; D012907:Smoking / Q000453:epidemiology / Q000523:psychology; D016540:Smoking Cessation / Q000523:psychology*