Jefferson Journal of Psychiatry


Objective: To assess the change in smoking rates in alcohol and/or cocaine dependent patients after the cessation of the primary drug of use.

Design: A self-report questionnaire was administered upon admission to a Residential Treatment Facility, in the fourth week, and in the final (sixth) week of the program. The control group was administered a self-report questionnaire at the time of intake as controls and again four and six weeks later.

Setting: Residential Treatment Facility (RTF) a 30 bed inpatient alcohol and drug treatment unit, at Eisenhower Army Medical Center, Fort Gordon, Georgia.

Patients: A Total of 42 patients; 37 male, 5 female; Controls were 40 non-patient smokers; 30 male, 10 female.

Main Outcome Measure: The change in number of cigarettes smoked per day.

Results: A repeated measures analysis of variance revealed that smoking changed over time, F(2,68) = 24.63, p < .001.

Conclusions: There was a 37% decrease in smoking rates after the cessation of alcohol and/or cocaine use. This meaningful and statistically significant (p < .001) reduction was not observed in the control group (p > .05), and was seen regardless of sex, race, or whether the primary substance was alcohol and/or cocaine.

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