Factors related to cigarette smoking and intent to quit among adolescent inpatients with psychiatric and substance use disorders

Minami, Haruka; Bloom, Erika Litvin; Brinkman, Hannah R.; Abrantes, Ana M.; Young, Cara C.; Brown, Richard A.

doi:10.1016/j.drugalcdep.2018.01.030

Cited by 7 publications

(5 citation statements)

References 24 publications

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“…Richter et al (2009) further showed that risky behaviors of children and adolescents are rarely affected by income and social status of parents [35]. Considering the fact that various studies point to the role of individual and environmental factors in high-risk behaviors [36][37][38] and also the lack of conclusive ndings regarding the role of parents' occupation in alcohol and substance abuse in adolescence, it is concluded that parents' occupation as a predictor of substance use disorder in adolescence has a contextual nature. In other words, the way parents' occupation is related to substance use disorder in children and adolescence could vary in different communities.…”

Section: Discussionmentioning

confidence: 99%

Prevalence, Demographic Characteristics and Comorbid Psychiatric Disorders in Children and Adolescents with Substance Use Disorder in Iran

Mohammadi¹,

Hojjat²,

Khaleghi³

et al. 2022

JIMC

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Background: The present study aimed to investigate the prevalence of substance use disorder in Iranian children and adolescents and its relationship with demographic characteristics and psychiatric comorbidities. Methods: The data were taken from a national survey on the prevalence of psychiatric disorders in Iranian children and adolescents. The national survey was conducted on 30,532 children and adolescents aged 6-18 years which were selected using multistage cluster sampling. The psychiatric disorders were assessed by employing k-SADS-PL questionnaire and interviews carried out by 240 clinical psychologists with the participants and their parents. Data were analyzed by Chi-square test and logistic regression. Results: A total of 277 (0.97%) were diagnosed as people with substance use disorder that were further studied for comorbid disorders. Among the various types of drugs, hypnotic/sedative/anti-anxiety drugs were abused by 84 people (46.15%), cannabis by 68 (37.36%) and stimulants by 43 (23.63%). The variables of gender, place of residence, and father’s occupation and parents’ education level were identified as predictors of substance use disorder in children and adolescents. At the same time, 42.50% substances and alcohol abusing people had at least one comorbid psychiatric disorder and the highest comorbidity was observed in oppositional defiant disorder, attention deficit and hyperactivity disorder and separation anxiety disorder (p≤0.05). Conclusion: The findings can be used in the prevention and treatment of substance use disorder and promotion of mental health in children and adolescents by focusing on the psychiatric comorbidities of people with substance use disorder.

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Section: Discussionmentioning

confidence: 99%

Prevalence, Demographic Characteristics and Comorbid Psychiatric Disorders in Children and Adolescents with Substance Use Disorder in Iran

Mohammadi¹,

Hojjat²,

Khaleghi³

et al. 2022

JIMC

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“…While several studies have evaluated screening in emergency departments and psychiatric wards [13,14,15,16,17,18], very little is known about effective tobacco use screening for inpatient adolescents. One study in Australia found that patients admitted to an adolescent medical unit had the highest proportion of any psychosocial screening completed at 80%, but this did not focus exclusively on tobacco use screening [13].…”

Section: Discussionmentioning

confidence: 99%

Quality Improvement Project to Improve Screening for Tobacco Use in Adolescent Inpatients at a Children’s Hospital

et al. 2019

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Tobacco use begins in adolescence for the majority of smokers. The purpose of this study was to increase screening and reporting of tobacco use in hospitalized adolescents at a tertiary care children’s hospital. We completed a nursing focus group to understand challenges and completed four iterative Plan-Do-Study-Act cycles, which included: (1) in-person nursing education regarding tobacco use screening, (2) addition of an e-cigarette-specific screening question, (3) the creation and dissemination of an educational video for nursing, and (4) adding the video as a mandatory component of nursing orientation. Run charts of the percentage of patients screened who reported tobacco use were created. Absolute counts of tobacco products used were also captured. From January 2016 to September 2018, 12,999 patients ≥13 years of age were admitted to the hospital. At baseline, 90.1% of patients were screened and 4.8% reported tobacco use. While the absolute number of adolescents reporting e-cigarette use increased from zero patients per month at baseline to five, the percentage of patients screened and reporting tobacco use was unchanged; the majority of e-cigarette users reported use of other tobacco products. This study demonstrates that adding e-cigarettes to screening increases reporting and suggests systems level changes are needed to improve tobacco use reporting.

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“…Während gelegentlich die Zweckmäßigkeit von Tabakkontrolle und Tabakentwöhnung im Rahmen psychiatrischer Behandlungen angezweifelt wurde [17], ist mit wachsender Evidenz festzustellen, dass die Tabakentwöhnung eher positive Effekte auf Verlauf und Progno- se psychischer Störungen aufweist [16]. Tatsächlich möchte etwa jede zweite rauchende Person in der KJP aufhören [18]. Bei KJP-Patientinnen und Patienten ist Abstinenz ein ebenso realistisches Ziel (8,5-28,1 % nach 1-12 Monaten [19,20]) wie bei nichtpsychiatrischen Jugendlichen (5,6 %-21,8 % nach 6 Monaten [21,22]).…”

Section: Nutzen Der Entwöhnungunclassified

Umsetzung von Tabakkontrollmaßnahmen in Einrichtungen der Kinder- und Jugendpsychiatrie: Eine Online-Befragung von leitenden Mitarbeitenden

Kuitunen‐Paul

Teichmann

Mühlig

et al. 2022

Fortschr Neurol Psychiatr

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Zusammenfassung Ziel der Studie Tabakkontrollmaßnahmen sind auch in kinder- und jugendpsychiatrischen (KJP) Einrichtungen relevant. Ihre Umsetzung in deutschen KJP-Einrichtungen soll erfragt werden. Methodik In einer Online-Studie beantworteten n=78 Klinikdirektorinnen/Klinikdirektoren und leitende Mitarbeitende Fragen zum stationsübergreifenden sowie stationsspezifischen Umgang mit rauchenden Patientinnen und Patienten. Ergebnisse Zahlreiche Einrichtungen (70–87%) haben Rauchverbote für Jugendliche in Gebäuden und Gelände. Je nach Stationstyp werden aber Ausnahmen gemacht, z. B. in Raucherzonen (38%), Raucherpavillons (19%) oder für Kinder und Jugendliche mit bestimmten Störungsbildern (28%). Regelverstöße werden je nach Stationstyp unterschiedlich häufig dokumentiert (30–79%), führen aber regelmäßig zu Konsequenzen (84–93%) wie Tabakeinbehalt (42–63%) oder Ausgangsbeschränkungen (25–38%). Unterstützende Tabakentwöhnungsangebote bestehen in 78% der Kliniken, vor allem in Form von Einzelberatung (64%). Eine pharmakologische Behandlung wird vor allem stationär genutzt (71–83%). Jede zweite Einrichtung berichtet von Ergebniskontrollen nach Tabakentwöhnung (54%), während von Arbeitskreisen (14%) und der Anwendung standardisierter Diagnoseinstrumente (0–4%) seltener berichtet wird. Diskussion Damit liegen erstmals deutschlandweite Daten zur Tabakkontrolle in KJP-Einrichtungen vor, aus denen sich zukünftige Handlungsfelder für die Tabakkontrolle ableiten lassen.

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Factors related to cigarette smoking and intent to quit among adolescent inpatients with psychiatric and substance use disorders

Abstract: Smoking was related to several psychiatric and substance use problems. Notably, adolescent psychiatric inpatient smokers reported intention to quit smoking regardless of psychiatric disorders, psychiatric symptom severity, or other substance use.

Cited by 7 publications

References 24 publications

Prevalence, Demographic Characteristics and Comorbid Psychiatric Disorders in Children and Adolescents with Substance Use Disorder in Iran

Prevalence, Demographic Characteristics and Comorbid Psychiatric Disorders in Children and Adolescents with Substance Use Disorder in Iran

Quality Improvement Project to Improve Screening for Tobacco Use in Adolescent Inpatients at a Children’s Hospital

Umsetzung von Tabakkontrollmaßnahmen in Einrichtungen der Kinder- und Jugendpsychiatrie: Eine Online-Befragung von leitenden Mitarbeitenden

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