Risky use and misuse of alcohol and cigarettes in psychiatric inpatients: a screening questionnaire study

Bizzarri, Jacopo V.; Casetti, Valentina; Panzani, Patrizia; Unterhauser, Juliane; Mulas, S.; Fanolla, Antonio; Zitelli, Claudia; Briani, Alessandro; Giupponi, Giancarlo; Maremmani, Icro; Conca, Andreas

doi:10.1016/j.comppsych.2016.05.011

Cited by 5 publications

(2 citation statements)

References 66 publications

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“…Patients with psychiatric disorders are known to be at risk for substance abuse and have a high prevalence of smoking, and consequently are exposed to high morbidity 19. These patients were excluded from the CAROSS trial to ensure that consent was fully informed and that participants would carefully follow the smoking cessation advices.…”

Section: Discussionmentioning

confidence: 99%

Comparison of self-perceived cardiovascular disease risk among smokers with Framingham and PROCAM scores: a cross-sectional analysis of baseline data from a randomised controlled trial

et al. 2017

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ObjectivesPrevious studies suggest that smokers have a misperception of their 10-year cardiovascular risk. We aimed to compare 10-year cardiovascular risk self-perception and calculated risk among smokers willing to quit and assess the determinants of a possible misperception.DesignCross-sectional secondary analysis of baseline data from a randomised controlled trial of smoking cessation.Participants514 participants, mean age 51.1 years, 46% women, 98% Caucasian. Eligible participants were regular smokers, aged between 40 and 70 years, with a consumption of at least 10 cigarettes per day for at least a year. None of them had experienced cardiovascular disease before. Exclusion criteria comprised a history of myocardial infarction, coronary heart disease, stroke, heart failure, peripheral vascular disease, carotid atherosclerosis or cardiac arrhythmia. Participants with renal or liver failure, psychiatric disorders, substance and alcohol abuse and with smoking cessation therapies were excluded.InterventionsParticipants were asked to estimate their 10-year cardiovascular risk using a 3-item scale corresponding to high-risk, moderate-risk and low-risk categories. We compared their risk perception with Framingham and Prospective Cardiovascular Munster Study (PROCAM) scores. We used multivariable-adjusted logistic regression models to determine characteristics of participants who underestimate their risk versus those who correctly estimate or overestimate it.ResultsBetween 38% and 42% of smokers correctly perceived their 10-year cardiovascular risk, and 39–50% overestimated their 10-year cardiovascular risk while 12–19% underestimated it compared with their calculated 10-year cardiovascular risk depending on the score used. Underestimation of 10-year cardiovascular risk was associated with male gender (OR 8.16; CI 3.83 to 17.36), older age (OR 1.06; CI 1.02 to 1.09), and the presence of hyperlipidaemia (OR 2.71; CI 1.47 to 5.01) and diabetes mellitus (OR 13.93; CI 3.83 to 50.66).ConclusionsAmong smokers, misperception of their 10-year cardiovascular risk is common, with one-fifth underestimating it. These findings may help physicians target patients with such characteristics to help them change their health behaviour and adherence to risk-reduction therapy.Trial registration numberNCT00548665; Post-results.

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Section: Discussionmentioning

confidence: 99%

Comparison of self-perceived cardiovascular disease risk among smokers with Framingham and PROCAM scores: a cross-sectional analysis of baseline data from a randomised controlled trial

et al. 2017

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“…Once discovered, the explanation of the link between co-occurrence of SUD and MI would probably help to develop prevention and treatment programs, but so far, the complex relationship remains largely unknown and poorly understood. Still, psychiatric problems are very common among people with SUD, and this comorbidity is a big challenge for medical doctors, in terms of prevention and treatment 14–16…”

Section: Introductionmentioning

confidence: 99%

<p>Co-Occurring Psychiatric and Substance Use Disorders: Clinical Survey Among a Rural Cohort of Italian Patients</p>

Milano¹,

Vergani²,

Cattedra³

et al. 2019

NDT

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PurposeDual diagnosis (DD) is the co-occurrence of both a mental illness and a substance use disorder (SUD). Lots of studies have analysed the integrated clinical approach, which involves both psychiatry and toxicology medical experts. The purpose of this study is to analyse the socio-demographic characteristics and treatment strategies of patients with DD in a rural area of Italy.Patients and MethodsClinical data of 750 patients were collected in 2016 through the analysis of health plan records.ResultsThe rate of co-occurring disorders is highly variable among people with SUD. In the considered area, patients with DD are 24%, of these only 46.1% have been treated with an integrated clinical program. Moreover, this percentage is further reduced (35.8%) if only patients with heroin use disorder are considered.ConclusionA comprehensive revision of DD treatment is needed, especially for people suffering from heroin use disorder and living in remote areas. Meticulous data analysis from other addiction health services of rural areas could be necessary to identify a science-based clinical intervention.

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The association between internalizing and externalizing severity with current use of cigarettes, e-cigarettes, and alcohol in adults: Wave 1 of the Population Assessment of Tobacco and Health (PATH) study

Blondino

Clifford

Lü

et al. 2021

Addictive Behaviors

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Risky use and misuse of alcohol and cigarettes in psychiatric inpatients: a screening questionnaire study

Cited by 5 publications

References 66 publications

Comparison of self-perceived cardiovascular disease risk among smokers with Framingham and PROCAM scores: a cross-sectional analysis of baseline data from a randomised controlled trial

Comparison of self-perceived cardiovascular disease risk among smokers with Framingham and PROCAM scores: a cross-sectional analysis of baseline data from a randomised controlled trial

<p>Co-Occurring Psychiatric and Substance Use Disorders: Clinical Survey Among a Rural Cohort of Italian Patients</p>

The association between internalizing and externalizing severity with current use of cigarettes, e-cigarettes, and alcohol in adults: Wave 1 of the Population Assessment of Tobacco and Health (PATH) study

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