Tobacco use and smoking behaviors of individuals with a serious mental illness.

Pettey, Donna; Aubry, Tim

doi:10.1037/prj0000302

Cited by 9 publications

(5 citation statements)

References 23 publications

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“…psychotic disorders, schizophrenia, and bipolar disorder) and people with severe psychological or mental distress, are more likely to smoke cigarettes, thus making these patients an important target for cessation interventions. [3][4][5][6][7] Heavier nicotine dependence, 8 lower distress tolerance, 9 and acute psychological distress reactivity 10 have been proposed mechanisms underlying di culty quitting and higher rates of relapse among people with mental illness who smoke.…”

Section: Introductionmentioning

confidence: 99%

The Effectiveness of a Telephone Smoking Cessation Program in Mental Health Clinic Patients by Level of Mental Well-Being and Functioning: A Secondary Data Analysis of a Randomized Clinical Trial

Swong,

Nicholson,

Smelson

et al. 2023

Preprint

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Background Few studies have examined the effectiveness of telephone smoking cessation interventions by severity of behavioral health symptoms. Using data from a telephone counseling study, we examined whether abstinence rates varied by level of behavioral health symptoms. Methods The parent study recruited adults who smoke cigarettes (N = 577) referred by mental health providers at six Veterans Health Administration facilities. Participants were randomized to specialized telephone counseling (intervention) or state Quitline referral (control). Participants completed assessments at baseline and 6 months, including the BASIS-24, a self-report measure of behavioral health symptoms and functioning. We used the BASIS-24 median to dichotomize participants as having high or low scores. The primary outcome was 30-day self-reported abstinence at 6 months. We compared groups on outcomes by logistic regression and performed an interaction effect analysis between treatment assignment and groups. Results At baseline, those with high behavioral health symptoms scores reported heavier nicotine dependence and more sedative and/or antidepressant use. At 6 months, participants with low behavioral health symptoms scores in the intervention reported higher rates of 30-day abstinence compared to those in the control arm (26% vs 13%, OR = 2.3, 95% CI = 1.8, 2.9). People with high behavioral health symptoms scores reported no difference in 30-day abstinence between the treatment assignments at 6 months (12% vs. 13%, OR = 1.1, 95% CI = 0.6, 2.0). Conclusions Only participants with low behavioral health symptoms scores reported higher abstinence rates in the intervention compared to the state Quitline. Future research can examine alternative approaches for people with worse mental well-being and functioning. Trial registration The parent study is registered at www.clinicaltrials.govNCT00724308.

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Section: Introductionmentioning

confidence: 99%

The Effectiveness of a Telephone Smoking Cessation Program in Mental Health Clinic Patients by Level of Mental Well-Being and Functioning: A Secondary Data Analysis of a Randomized Clinical Trial

Swong,

Nicholson,

Smelson

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…AEH have unique barriers to smoking cessation that include social, environmental, and psychological factors ( Okuyemi et al., 2006a ; Soar et al., 2020 ); tailored approaches should be developed based on the specific illness, substance use, and low health literacy which are common among AEH, and may influence motivation to quit smoking (MTQS), treatment engagement, and the likelihood of cessation ( Nguyen et al., 2015 ). For example, smoking prevalence rates among people experiencing mental illness or substance use disorder (SUD) are 2-3 times higher than in the general population ( Prochaska et al., 2017 ), and co-occurring mental illness and substance use further increase the likelihood of smoking ( Pettey and Aubry, 2018 ). Moreover, lower health literacy, common among AEH ( Odoh et al., 2019 ), has been linked with greater nicotine dependence ( Stewart et al., 2013 ) and relapse following a cessation attempt ( Stewart et al., 2014 ).…”

Section: Introductionmentioning

confidence: 99%

Tobacco use characteristics, treatment preferences, and motivation to quit among adults accessing a day shelter in Oklahoma City

Boozary

Frank-Pearce

Alexander

et al. 2022

Drug and Alcohol Dependence Reports

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“…As compared to people without mental illnesses (MI), those with MI have a higher premature mortality rate from tobacco use (Prochaska et al, 2017). Annually, people with MI consume approximately 40% of all cigarettes sold in the United States and have high nicotine dependence, experience severe withdrawal symptoms, and find it hard to stop tobacco use (Jamal et al, 2016; Lemyre et al, 2019; Pettey & Aubry, 2018; Prochaska et al, 2017; Smith et al, 2014). Tobacco use further aggravates MI symptoms (e.g., anxiety, depressive, and psychotic symptoms) (Ferreira & Coentre, 2020; Lally et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

The Impact of a Nurse-Led Service on Tobacco Treatment Provision Within a Psychiatric Hospital: A Time Series Study

Abufarsakh

Otachi

Wang

et al. 2022

J Am Psychiatr Nurses Assoc

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INTRODUCTION: Psychiatric hospitalization is an opportunity to provide evidence-based tobacco treatment to optimize cessation efforts among people living with mental illnesses (MI). The purpose of this study was to examine the effectiveness of nurse-driven initiatives to enhance tobacco treatment within an inpatient psychiatric setting. AIMS: We assessed the 4-year impact of implementing a nurse-led tobacco treatment service offered to 11,314 inpatients at admissions in a tobacco-free psychiatric facility in Kentucky. METHOD: Through a time-series design, we compared the differences in rates of screening for tobacco use and providing treatment from September to December 2015 (prior to implementing the nurse-led tobacco treatment services) to each subsequent year in a 4-year period (2016–2019). RESULTS: Approximately 60.0% of inpatients were persons using tobacco during the assessment period. Although there were no changes in tobacco use prevalence over the 4-year evaluation duration, there were significant increases in the provision of practical counseling and Food and Drug Administration–approved nicotine replacement therapies for persons using tobacco. CONCLUSIONS: Our findings support the effectiveness of implementing tobacco treatment programs at the organizational level. Psychiatric hospitalizations provide an opportunity to optimize nurse-driven efforts to deliver tobacco treatment to people with MI. Similar models of nurse-led tobacco treatment services can be adopted within inpatient and other mental and behavioral health settings.

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Tobacco use and smoking behaviors of individuals with a serious mental illness.

Abstract: Significant tobacco prevalence and dependency in this population highlights the need to provide integrated treatment opportunities. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

Cited by 9 publications

References 23 publications

The Effectiveness of a Telephone Smoking Cessation Program in Mental Health Clinic Patients by Level of Mental Well-Being and Functioning: A Secondary Data Analysis of a Randomized Clinical Trial

The Effectiveness of a Telephone Smoking Cessation Program in Mental Health Clinic Patients by Level of Mental Well-Being and Functioning: A Secondary Data Analysis of a Randomized Clinical Trial

Tobacco use characteristics, treatment preferences, and motivation to quit among adults accessing a day shelter in Oklahoma City

The Impact of a Nurse-Led Service on Tobacco Treatment Provision Within a Psychiatric Hospital: A Time Series Study

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