A Short Motivational Program Based on Temporary Smoking Abstinence: Towards Increased Self-Efficacy to Quit in Psychiatric Inpatients

Keizer, Ineke; Gex‐Fabry, Marianne; Croquette, Patrice; Khan, Aqal Nawaz

doi:10.4172/2155-6105.1000289

Cited by 2 publications

(2 citation statements)

References 41 publications

(37 reference statements)

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“…This implies targeting the very large group of smokers not (yet) willing to quit smoking (Bani-Yaghoub et al, 2018). For example by proposing not only stricto sensu cessation interventions but also temporary smoking abstinence (Keizer et al, 2020) or practice quit attempts (Carpenter, 2011;Cox et al, 2022), which allow to enhance self-efficacy and motivation to quit. Other strategies allowing to include smokers unmotivated or ambivalent about cessation include opt-out procedures.…”

Section: Discussionmentioning

confidence: 99%

Persistent High Smoking Prevalence in a Swiss Psychiatric Hospital between 2001 and 2020 despite Smoking Bans and Perspectives for Further Necessary Interventions

Keizer,

Eytan,

Nawaz Khan

et al. 2024

PSYCH

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Smoking, as a major risk factor for non-communicable diseases (NCD), led the World Health Organization (WHO) to recommend measures to decrease tobacco consumption. Declines were observed for the general population in western countries. The present work is a naturalistic observational study which assessed tobacco use on 4 independent occasions for patients and staff in a Swiss public psychiatric hospital between 2001 and 2020. High smoking prevalence was observed, varying between 31% and 39% for staff and 66% and 74% for patients. Despite the implementation of a partial and later a total indoor smoking ban, data showed no decline of cigarette consumption between 2005 and 2020 among patients. These observations are in line with literature showing high smoking rates and no trend of a decline for people presenting with mental health disorders. This study controlled for substance use disorder (SUD), known to be related to higher nicotine dependence, and showed that smoking was not associated with psychiatric diagnosis (mood or psychotic disorders). These elements lead to recommend a global approach using smoking cessation strategies designed for all patients receiving mental health care. Although the alarming state of the tobacco epidemic for these persons is known and evidence-based strategies for smoking cessation exist, implementation of interventions to reduce smoking within mental health settings remains sorely lacking. This paper summarizes smoking cessation interventions that should be used in psychiatry and puts forward the necessity to develop strategies for the large group of not (yet) motivated to quit smokers. Tobacco consumption is a modifiable behavior and changes in mental healthcare routines should allow important health related benefits for smo-

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Section: Discussionmentioning

confidence: 99%

Persistent High Smoking Prevalence in a Swiss Psychiatric Hospital between 2001 and 2020 despite Smoking Bans and Perspectives for Further Necessary Interventions

Keizer,

Eytan,

Nawaz Khan

et al. 2024

PSYCH

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“…The intervention can be considered successful when participants have experienced a positive outcome related to smoking during the 'Day off' intervention. A detailed description of this motivational enhancement program has been published elsewhere 29 .…”

Section: Setting and Interventionmentioning

confidence: 99%

Tobacco craving and withdrawal symptoms in psychiatric patients during a motivational enhancement intervention based on a 26-hour smoking abstinence period

Keizer¹,

Gex‐Fabry²,

Croquette³

et al. 2019

Tob. Prev. Cessation

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INTRODUCTION In psychiatric patients, tobacco withdrawal symptoms are frequently seen as a barrier to smoking cessation; however, further studies are warranted in this specific population. METHODS Patients receiving in-or outpatient mental health care participated in a motivational enhancement program including a 26-hour tobacco abstinence experience with professional support and optional nicotine replacement therapy. The study included 174 subjects, of whom 159 were evaluated 1 week before and at the end of the 26-hour abstinence period. Repeated assessments included the Minnesota Nicotine Tobacco Withdrawal Scale Revised (MNWS-R), two items of the Mood and Physical Symptoms Scale (MPSS) regarding craving, the State-Trait Anxiety Inventory (STAI-S), the Beck Depression Inventory (BDI-21), and the World Health Organization Well-Being Index (WHO-5). RESULTS More than half the participants (52.3%) succeeded in 26-hour smoking abstinence. Craving was the most frequent MNWS-R withdrawal symptom (28.3% scored ≥3 on a 0-4 scale). Comparison of pre-and post-intervention data revealed significant improvements in 13 of 16 MNWS-R symptoms as well as craving (MPSS) and well-being, and significant decreases in anxiety and depression. Increasing MNWS-R craving scores and greater depression were both significantly associated with lower success in the 26-hour smoking abstinence period. CONCLUSIONS The negative effects of tobacco withdrawal symptoms in psychiatric patients may be substantially overestimated. Participation in a supportive structured motivational intervention with a 26-hour smoking cessation experience was well tolerated and contributed to temporary improvements in mental state. Craving is an interesting symptom to evaluate during smoking cessation attempts.

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A Short Motivational Program Based on Temporary Smoking Abstinence: Towards Increased Self-Efficacy to Quit in Psychiatric Inpatients

Abstract: Background: Specific approaches for smokers presenting with psychiatric disorders are scarce, even though the prevalence of smoking does not tend to decline in mental health settings, in contrast with general populations of most western countries.

Cited by 2 publications

References 41 publications

Persistent High Smoking Prevalence in a Swiss Psychiatric Hospital between 2001 and 2020 despite Smoking Bans and Perspectives for Further Necessary Interventions

Persistent High Smoking Prevalence in a Swiss Psychiatric Hospital between 2001 and 2020 despite Smoking Bans and Perspectives for Further Necessary Interventions

Tobacco craving and withdrawal symptoms in psychiatric patients during a motivational enhancement intervention based on a 26-hour smoking abstinence period

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