{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T03:57:14Z","timestamp":1747195034208,"version":"3.40.5"},"reference-count":0,"publisher":"Komitet Redakcyjno - Wydawniczy Polskiego Towarzystwa Psychiatrycznego","issue":"3","license":[{"start":{"date-parts":[[2024,6,30]],"date-time":"2024-06-30T00:00:00Z","timestamp":1719705600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,6,30]],"date-time":"2024-06-30T00:00:00Z","timestamp":1719705600000},"content-version":"am","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,6,30]],"date-time":"2024-06-30T00:00:00Z","timestamp":1719705600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychiatr Pol"],"published-print":{"date-parts":[[2024,6,30]]},"abstract":"<jats:p>Rozw\u00f3j metod leczenia uzale\u017cnienia od nikotyny post\u0119puje powoli, gdy\u017c osoby z zaburzeniami psychicznymi s\u0105 zazwyczaj wykluczane z udzia\u0142u w badaniach klinicznych. Istnieje szereg mo\u017cliwo\u015bci terapeutycznych wspomagania rzucenia palenia, obejmuj\u0105cych interwencje psychologiczne i farmakologiczne, kt\u00f3re powinny by\u0107 oferowane osobom z zaburzeniami psychicznymi pal\u0105cymi papierosy. Pierwszym krokiem w pomaganiu osobom pal\u0105cym wyroby tytoniowe i uzale\u017cnionym od nikotyny jest ocena intensywno\u015bci palenia tytoniu i potwierdzenie uzale\u017cnienia od nikotyny. Aktualnie dysponujemy kilkoma formami metod leczenia uzale\u017cnienia od nikotyny \u2013 od edukacji, psychoterapii poprzez farmakoterapi\u0119 i terapi\u0119 zast\u0119pcz\u0105 po uzyskanie stopniowych post\u0119p\u00f3w z zastosowaniem metody redukcji szk\u00f3d. W leczeniu farmakologicznym uzale\u017cnienia od nikotyny mo\u017cna wybra\u0107 nikotynow\u0105 terapi\u0119 zast\u0119pcz\u0105, wareniklin\u0119 lub bupropion. Zwi\u0119kszenie skuteczno\u015bci mo\u017ce by\u0107 osi\u0105gni\u0119te poprzez prowadzenie terapii antynikotynowej w ramach leczenia psychiatrycznego oraz promocji redukcji szk\u00f3d jako akceptowalnego wyj\u015bciowego celu terapeutycznego. Strategia redukcji szk\u00f3d jest podej\u015bciem do rozwa\u017cenia indywidualnie, szczeg\u00f3lnie w przypadku os\u00f3b niezdolnych do zaprzestania palenia papieros\u00f3w, pacjent\u00f3w z ograniczonym wgl\u0105dem chorobowym, pacjent\u00f3w w zaostrzeniu choroby oraz uporczywie niewsp\u00f3\u0142pracuj\u0105cych. W pracy przedstawiono zalecenia Polskiego Towarzystwa Psychiatrycznego odno\u015bnie diagnostyki oraz r\u00f3\u017cnych metod leczenia uzale\u017cnienia od nikotyny u pacjent\u00f3w z zaburzeniami psychicznymi.<\/jats:p>","DOI":"10.12740\/pp\/onlinefirst\/161774","type":"journal-article","created":{"date-parts":[[2023,6,4]],"date-time":"2023-06-04T18:56:30Z","timestamp":1685904990000},"page":"419-431","source":"Crossref","is-referenced-by-count":0,"title":["Management of nicotine dependence in patients with psychiatric disorders \u2013 recommendations of the Polish Psychiatric Association \u2013 part II"],"prefix":"10.12740","volume":"58","author":[{"given":"Marcin","family":"Wojnar","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Piotr","family":"Wierzbi\u0144ski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jerzy","family":"Samochowiec","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joanna","family":"Rymaszewska","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Krzysztof J.","family":"Filipiak","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5352-601X","authenticated-orcid":false,"given":"Adam","family":"Wichniak","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Mr\u00f3z","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Artur","family":"Mamcarz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dominika","family":"Dudek","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5036","published-online":{"date-parts":[[2024,6,30]]},"container-title":["Psychiatria Polska"],"original-title":["Post\u0119powanie w uzale\u017cnieniu od nikotyny u pacjent\u00f3w z zaburzeniami psychicznymi \u2013 zalecenia Polskiego Towarzystwa Psychiatrycznego \u2013 cz\u0119\u015b\u0107 II"],"link":[{"URL":"https:\/\/www.psychiatriapolska.pl\/pdf-161774-91801","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.psychiatriapolska.pl\/pdf-161774-91801","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,21]],"date-time":"2024-07-21T13:57:52Z","timestamp":1721570272000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.psychiatriapolska.pl\/Management-of-nicotine-dependence-in-patients-with-psychiatric-disorders-recommendations,161774,0,2.html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6,30]]},"references-count":0,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024]]}},"alternative-id":["161774"],"URL":"https:\/\/doi.org\/10.12740\/pp\/onlinefirst\/161774","relation":{},"ISSN":["0033-2674","2391-5854"],"issn-type":[{"type":"print","value":"0033-2674"},{"type":"electronic","value":"2391-5854"}],"subject":[],"published":{"date-parts":[[2024,6,30]]}}}