ATTUD Journal Club Postings

Does the Addiction/Brain Disease Model Help or Hinder Tobacco Treatment

I and others have often tried to decrease “cessation fatigue” by decreasing self-blame of those who have failed to quit on multiple occasions (e.g. via having smokers believe that their inability to quit may not derive from poor willpower but due to a surplus of the addiction “disease”. But is this an evidence-based strategy? The […]

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Can we predict who will quit? Does it matter?

Vangeli et al (Addiction 106: 2110-2121, 2011) identified eight large, population based studies of smoking cessation in the real world. The surveys included both US and other countries. Six used data acquired between 2000 and 2010. These studies offer the most generalizable test of predictors of making a quit attempt or predicting success once one […]

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Does Promoting Insight into Addiction Help or Hinder Smoking Cessation?

Oftentimes those addicted to drugs deny they are addicted. Methods to convince them they are, indeed, addicted (many of which are confrontational) to break down “denial” are common in the treatment of non-nicotine addictions. Randomized trials of breaking down denial as a treatment are not available. In fact, others have argued that emphasizing addiction undermines […]

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Pros and Cons of Describing Addiction as a Brain Disease

A recent editorial (Gartner et al, Addiction 107:1199) discussed the pros and cons of describing addiction as a “brain disease.” It noted that advocates of this view believe it reduces stigma, increases treatment seeking, suggest treatment rather than legal interventions, and increases funding for addiction treatment and research.

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