[Smoking cessation in patients with mental disorders]
1Service de médecine de premier recours, Departement de médecine communautaire et de premier recours, HUG, 1211 Genève 14. Jean-Paul.Humair@hcuge.ch
Revue Medicale Suisse
|July 29, 2009
Summary
Smoking cessation is challenging for individuals with mental disorders, increasing relapse risks. Effective interventions require tailored strategies and integrated psychiatric care to support quitting.
Area of Science:
- Psychiatry and Behavioral Health
- Public Health
- Addiction Medicine
Context:
- Elevated smoking prevalence observed across all mental disorders, notably depression and schizophrenia.
- Complex, multifactorial associations link mental health conditions with higher rates of nicotine dependence.
- Smoking cessation attempts in this population may increase risks of relapse and recurring depressive episodes.
Purpose:
- To review the challenges and potential strategies for smoking cessation in patients with mental disorders.
- To highlight the need for improved interventions integrated into psychiatric care.
- To underscore the importance of further research into the smoking-mental health nexus.
Summary:
- Smoking cessation interventions show reduced efficacy in patients with mental disorders, yet professional support, relapse prevention, nicotine replacement, and bupropion offer some success.
- New approaches are essential to surmount barriers specific to psychiatric settings and enhance intervention effectiveness.
- Continued research is vital to elucidate the intricate relationship between smoking and mental health.
Impact:
- Development of more effective, integrated smoking cessation programs within mental healthcare settings.
- Improved outcomes for individuals with mental disorders struggling with nicotine addiction.
- Reduced public health burden associated with high smoking rates in vulnerable populations.
Related Concept Videos
01:27CNS Depressants: Alcohol and Nicotine
Ethanol, a clear colorless alcohol, has been consumed by humans for millennia, but its effects on the body are far from benign. At lower doses, it induces decreased inhibitions and loquaciousness, leading to its social appeal. However, it can cause severe consequences at higher doses, such as coma and respiratory depression, due to its zero-order elimination kinetics. Chronic ethanol abuse wreaks havoc on multiple organ systems, particularly the CNS and the liver. Abrupt cessation of ethanol...
01:26Stress Prevention and Stress Management Techniques IV
Stress often leads to unhealthy habits like smoking, excessive drinking, and overeating, which offer short-term relief but ultimately increase long-term health risks. These behaviors create a cycle that temporarily lowers stress levels but can result in severe long-term health consequences. Breaking these habits is essential to reduce the risk of chronic diseases and improve overall well-being. Three primary changes that support better health include quitting smoking, reducing alcohol intake,...
01:29Chronic Obstructive Pulmonary Disease-V: Management
Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
Smoking Cessation
Smoking Cessation
01:26Psychosis: Goals of Pharmacotherapy
Antipsychotic drugs are a crucial treatment method for acute and chronic psychoses, bipolar illness, and behavioral disorders. The selection of these drugs depends on several factors, including the state of the disease, clinical judgment, possible drug interactions, and the patient's sensitivity to adverse effects. In immediate scenarios, such as delirium and dementia, short-term treatment with low doses of high-potency typical or atypical agents can effectively manage symptom exacerbation. For...
01:28Acute Coronary Syndrome IV: Interprofessional Care
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
01:30Stress and Mental Health
Chronic stress profoundly affects mental health, significantly influencing mood, behavior, and overall quality of life. Research closely links chronic stress with mental health conditions such as depression, anxiety, and substance use disorders. Ongoing exposure to stress can lead to physiological and psychological changes, initiating a cycle of emotional distress and maladaptive coping mechanisms.
Individuals with depression often experience challenges in both their personal and professional...
Individuals with depression often experience challenges in both their personal and professional...