Integrating Tobacco Cessation Treatment into Mental Health Care for Patients with Posttraumatic Stress Disorder

McFall, Miles; Atkins, David C.; Yoshimoto, Dan; Thompson, Charles E.; Kanter, Evan D.; Malte, Carol A.; Saxon, Andrew J.

doi:10.1080/10550490600859892

Cited by 44 publications

(48 citation statements)

References 61 publications

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“…16 Tobacco treatment randomized trials have had significant effects on long-term abstinence and have found that quitting smoking does not worsen clinical symptoms of unipolar depression, bipolar disorder, posttraumatic stress disorder, or schizophrenia. [17][18][19][20][21] Further, treatment of tobacco dependence was associated with a decreased likelihood of rehospitalization. 22 A review of cessation treatments for outpatients with mental illness concluded that for depressed smokers, cognitive-behavioral and nicotine replacement therapy (NRT) doubled cessation rates and reduced depressive symptoms.…”

Section: Introductionmentioning

confidence: 93%

Treating Tobacco Dependence at the Intersection of Diversity, Poverty, and Mental Illness: A Randomized Feasibility and Replication Trial

Hickman¹,

Delucchi

Prochaska

2015

NICTOB

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Introduction: In an ethnically-diverse, uninsured psychiatric sample with co-occurring drug/alcohol addiction, we evaluated the feasibility and reproducibility of a tobacco treatment intervention. The intervention previously demonstrated efficacy in insured psychiatric and nonpsychiatric samples with 20.0%-25.0% abstinence at 18 months. Methods: Daily smokers, recruited in 2009-2010 from psychiatric units at an urban public hospital, were randomized to usual care (on-unit nicotine replacement plus quit advice) or intervention, which added a Transtheoretical-model tailored, computer-assisted intervention, stage-matched manual, brief counseling, and 10-week post-hospitalization nicotine replacement. Results: The sample (N = 100, 69% recruitment rate, age M = 40) was 56% racial/ethnic minority, 65% male, 79% unemployed, and 48% unstably housed, diagnosed with unipolar (54%) and bipolar (14%) depression and psychotic disorders (46%); 77% reported past-month illicit drug use. Prior to hospitalization, participants averaged 19 (SD = 11) cigarettes/day for 23 (SD = 13) years; 80% smoked within 30 minutes of awakening; 25% were preparing to quit. Encouraging and comparable to effects in the general population, 7-day point prevalence abstinence for intervention versus control was 12.5% versus 7.3% at 3 months, 17.5% versus 8.5% at 6 months, and 26.2% versus 16.7% at 12 months. Retention exceeded 80% over 12 months. The odds of abstinence increased over time, predicted by higher self-efficacy, greater perceived social status, and diagnosis of psychotic disorder compared to unipolar depression. Conclusions: Findings indicate uninsured smokers with serious mental illness can engage in tobacco treatment research with quit rates comparable to the general population. A larger investigation is warranted. Inclusion of diverse smokers with mental illness in clinical trials is supported and encouraged.

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Section: Introductionmentioning

confidence: 93%

Treating Tobacco Dependence at the Intersection of Diversity, Poverty, and Mental Illness: A Randomized Feasibility and Replication Trial

Hickman¹,

Delucchi

Prochaska

2015

NICTOB

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“…Two recent studies evaluated tobacco treatments among smokers with current mental illness -one focused on clinically depressed smokers (S. M. and the other on veterans with post-traumatic stress disorder (McFall, et al, 2006). Both reported significant intervention effects for long-term smoking cessation with no adverse effects on mental health functioning (J. J.…”

Section: Or Diabetes (Diabetes Prevention Programmentioning

confidence: 99%

Multiple health behavior change research: An introduction and overview

Prochaska

Spring²,

Nigg

2008

Preventive Medicine

516

428

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In 2002, the Society of Behavioral Medicine's special interest group on Multiple Health Behavior Change was formed. The group focuses on the interrelationships among health behaviors and interventions designed to promote change in more than one health behavior at a time. Growing evidence suggests the potential for multiple-behavior interventions to have a greater impact on public health than single-behavior interventions. However, there exists surprisingly little understanding of some very basic principles concerning multiple health behavior change (MHBC) research. This paper presents the rationale and need for MHBC research and interventions, briefly reviews the research base, and identifies core conceptual and methodological issues unique to this growing area. The prospects of MHBC for the health of individuals and populations are considerable.Keywords multiple health behavior change; methodology; interventions; review OverviewIn 2002, the Society of Behavioral Medicine formed a special interest group (SIG) to contribute to the development of a science of multiple health behavior change (MHBC) for health promotion and disease management. This multidisciplinary group of researchers and practitioners focuses on the interrelationships among health behaviors and interventions designed to promote change in more than one health behavior at a time. Recognizing that intervention on multiple behaviors presents a unique set of challenges, the group addresses theoretical, methodologic, intervention, statistical, and funding issues and fosters networking, mentorship, career development, and scientific discussion among its members. PrécisThis paper presents the rationale and need for multiple health behavior change research, briefly reviews the research base, and identifies core conceptual and methodological issues unique to this growing area.

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“…In a population of patients treated for opiate addiction who are maintained on methadone, the rates of chronic pain are reported at approximately 37 to 60 percent [50]. Alcohol and other substances are also commonly used to cope with the mental health effect of military deployment, including the selfmanagement of depression, anxiety, PTSD, and chronic pain [51][52]. It is also found that substance use disorders are underrecognized in those returning from deployment.…”

Section: Comorbid Disorders In Ptsd and Chronic Painmentioning

confidence: 99%

Review of posttraumatic stress disorder and chronic pain: The path to integrated care

Gibson¹

2012

JRRD

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Abstract-With the large number of Veterans experiencing posttraumatic stress disorder (PTSD) and chronic pain, the purpose of this article is to review the prevalence of PTSD and chronic pain, the theoretical models that explain the maintenance of both conditions, and the challenges faced by providers and families who care for these patients. The Department of Veterans Affairs (VA)/Department of Defense (DOD) VA/DOD Clinical Practice Guideline for Management of Post-Traumatic Stress with special attention to chronic pain is presented. Limited scientific evidence supports specific care and treatment of PTSD and chronic pain, and this challenges providers to investigate and research potential treatment options. Integrated care models designed for working with these patients are reviewed, including a focus on the techniques and strategies to address not only PTSD and chronic pain, but other conditions, including substance dependence and depression. A specific focus on headaches, back pain, and neuropathic pain follows, including treatment recommendations such as pharmacological, psychotherapeutic, and complementary approaches, given the high rates of these pain complaints for Veterans in PTSD clinical programs. Integrated care is presented as a viable solution and approach that challenges clinicians and researchers to develop innovative, scientifically based therapeutics and treatments to enhance the recovery and quality of life for Veterans with PTSD and chronic pain.

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Integrating Tobacco Cessation Treatment into Mental Health Care for Patients with Posttraumatic Stress Disorder

Cited by 44 publications

References 61 publications

Treating Tobacco Dependence at the Intersection of Diversity, Poverty, and Mental Illness: A Randomized Feasibility and Replication Trial

Treating Tobacco Dependence at the Intersection of Diversity, Poverty, and Mental Illness: A Randomized Feasibility and Replication Trial

Multiple health behavior change research: An introduction and overview

Review of posttraumatic stress disorder and chronic pain: The path to integrated care

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