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1、GIMPrimaryCareConferencePresentationOctober25,2006UniversityofWisconsinSchoolofMedicineandPublicHealthCenterforTobaccoResearchandInterventionStevensS.Smith,Ph.D.AssistantProfessor/LicensedPsychologistDepartmentofMedicineUniversityofWisconsinSchoolofMedic
2、ineandPublicHealthCenterforTobaccoResearchandInterventionPsychiatricMorbidityandSmokingCessation1DisclosureStatementIhavereceivedresearchsupport(butnoconsultingorspeakingfees)fromthefollowingcompaniesthatmarketsmokingcessationmedications:SmithKlineBeecha
3、mGlaxoSmithKlineElanCorporation,plc2LearningObjectivesPsychiatricmorbidityandcessationintwocasestudiesInfluenceofpsychiatricmorbidityonsmokingcessationEvidence-basedcessationtreatmentforsmokerswithpsychiatricdisorders3CaseStudiesPatientAPatientBPsychiatr
4、icDiagnosisDysthymia,TobaccoUseDisorderAdjDisorderw/Anxiety,TobaccoUseDisorderAge,Race,Sex60y.o.,White,Female25y.o.,White,FemaleOccupationSocialWorkerAutismTherapistMaritalStatusNevermarried;notinrelationshipcurrentlyNevermarried;in7-yrrelationshipGenera
5、lMedicalConditionsDMTypeII,Hypothyroidism,Hyperlipidemia,Hypertension,Atheroscler.HeartDis.NoneMedicationsAspirin,Bupropion,XL,Desloratadine,Enalapril,Vytorin,Glyburide,Metformin,Levothyroxine,RosigliatazoneKariva4CaseStudiesPatientAPatientBPsychiatricDi
6、agnosisDysthymia,TobaccoUseDisorderAdjDisorderw/Anxiety,TobaccoUseDisorderAge,Race,Sex60y.o.,White,Female25y.o.,White,FemaleWeight,Ht.,BMI151lbs,61”,BMI=28.5(nosignifchangeinyears)159lbs,64”,BMI=27.3(181lbs,64”,BMI=31.1)BP130/70126/86LipidsTotChol=155,Tr
7、iglyc=122,HDL=57,LDL=74TotChol=232,Triglyc=96,HDL=67,LDL=146TSH3.71(119inSept2005)1.40Exercise/DietNoexercise,nospecialdietExercise30min3x/wk,WeightWatchersHbA1c%7.8%(10.2%inSept2005)N/AOtherHxHxofAlcoholism;noalcfor20+yearsNone5CaseStudies:SmokingHistor
8、yPatientAPatientBPsychiatricDiagnosisDysthymia,TobaccoUseDisorderAdjDisorderw/Anxiety,TobaccoUseDisorderAge,Race,Sex60y.o.,White,Female25y.o.,White,FemaleAge1stCig18yearsold13yearsoldDailysmoking23yearsoldStartedatage15,20
