Jornal de Pesquisa e Terapia de Dependência

Abstrato

Effectiveness of Motivational Enhancement Therapy for Smoking Cessation during Buprenorphine Maintenance Treatment

Sarah Heitner, Kachikwulu Ajulu, Tolani Ajagbe, Zsuzsa Szombathyne Meszaros

Objective: Motivational Enhancement Therapy (MET) has been shown to be effective for smoking cessation in the general population but not during Buprenorphine Maintenance Treatment (BMT). We hypothesized that MET performed by psychiatrists in a BMT setting will be effective for smoking cessation.

Methods: This is a retrospective chart review (N=60) of smoking outcomes after 10 MET sessions in patients (N=40) versus patient controls (N=20) treated “as usual”.

Results: After 6 months, 9 (22.5%) “MI” patients quit smoking and 29 (72.5%) were cessation medicationcompliant, while no control quit and only 8 (40%) were compliant.

Conclusions: MET plus evidence-based pharmacotherapy for smoking cessation in BMT is more effective than treatment as usual. MET could improve life expectancy and compliance in patients during BMT.