니코틴 의존의 정신사회적 치료

Psychosocial Intervention on Smoking Cessation

There are still debates that the needs of medical advice for smoking cessation. On the contrary, some physicians look down on the addictive characters of nicotine and act as if they can handle it only with some medications easily. However, similar to another addiction problem, the medications for smoking cessation are not the perfect remedy yet. Even though it is possible to reduce the withdrawal and craving some extent through the medication, the risk of recurrence is still present. The psychosocial intervention itself can increase the success rate of for smoking cessation, and when combined with some medications it can improve the cessation rate and reduce the relapse rate. The psychosocial advices for smoking cessation are diverse, for example, from simple way like brief medical advice of the doctors, up to the more complex and systematized program on the basis of the motivation enhancement therapeutic and cognitive behavioral therapeutic approach. The smoking rate is much higher in mentally ill patients compared to the general population, and heavier smoking also leads to more physical problems. Accordingly, psychiatrists in Korea who could effectively apply both psychosocial intervention and pharmacological treatment could practice better smoking cessation programs.