Skip to main content
Journal cover image

Tobacco use and cessation in psychiatric disorders: National Institute of Mental Health report.

Publication ,  Journal Article
Ziedonis, D; Hitsman, B; Beckham, JC; Zvolensky, M; Adler, LE; Audrain-McGovern, J; Breslau, N; Brown, RA; George, TP; Williams, J; Calhoun, PS ...
Published in: Nicotine Tob Res
December 2008

The National Institute of Mental Health (NIMH) convened a meeting in September 2005 to review tobacco use and dependence and smoking cessation among those with mental disorders, especially individuals with anxiety disorders, depression, or schizophrenia. Smoking rates are exceptionally high among these individuals and contribute to the high rates of medical morbidity and mortality in these individuals. Numerous biological, psychological, and social factors may explain these high smoking rates, including the lack of smoking cessation treatment in mental health settings. Historically, "self-medication" and "individual rights" have been concerns used to rationalize allowing ongoing tobacco use and limited smoking cessation efforts in many mental health treatment settings. Although research has shown that tobacco use can reduce or ameliorate certain psychiatric symptoms, overreliance on the self-medication hypothesis to explain the high rates of tobacco use in psychiatric populations may result in inadequate attention to other potential explanations for this addictive behavior among those with mental disorders. A more complete understanding of nicotine and tobacco use in psychiatric patients also can lead to new psychiatric treatments and a better understanding of mental illness. Greater collaboration between mental health researchers and nicotine and tobacco researchers is needed to better understand and develop new treatments for cooccurring nicotine dependence and mental illness. Despite an accumulating literature for some specific psychiatric disorders and tobacco use and cessation, many unstudied research questions remain and are a focus and an emphasis of this review.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

Nicotine Tob Res

DOI

ISSN

1462-2203

Publication Date

December 2008

Volume

10

Issue

12

Start / End Page

1691 / 1715

Location

England

Related Subject Headings

  • United States
  • Tobacco Use Disorder
  • Social Environment
  • Smoking Cessation
  • Smoking
  • Self Efficacy
  • Schizophrenia
  • Risk Factors
  • Public Health
  • Primary Prevention
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Ziedonis, D., Hitsman, B., Beckham, J. C., Zvolensky, M., Adler, L. E., Audrain-McGovern, J., … Riley, W. T. (2008). Tobacco use and cessation in psychiatric disorders: National Institute of Mental Health report. Nicotine Tob Res, 10(12), 1691–1715. https://doi.org/10.1080/14622200802443569
Ziedonis, Douglas, Brian Hitsman, Jean C. Beckham, Michael Zvolensky, Lawrence E. Adler, Janet Audrain-McGovern, Naomi Breslau, et al. “Tobacco use and cessation in psychiatric disorders: National Institute of Mental Health report.Nicotine Tob Res 10, no. 12 (December 2008): 1691–1715. https://doi.org/10.1080/14622200802443569.
Ziedonis D, Hitsman B, Beckham JC, Zvolensky M, Adler LE, Audrain-McGovern J, et al. Tobacco use and cessation in psychiatric disorders: National Institute of Mental Health report. Nicotine Tob Res. 2008 Dec;10(12):1691–715.
Ziedonis, Douglas, et al. “Tobacco use and cessation in psychiatric disorders: National Institute of Mental Health report.Nicotine Tob Res, vol. 10, no. 12, Dec. 2008, pp. 1691–715. Pubmed, doi:10.1080/14622200802443569.
Ziedonis D, Hitsman B, Beckham JC, Zvolensky M, Adler LE, Audrain-McGovern J, Breslau N, Brown RA, George TP, Williams J, Calhoun PS, Riley WT. Tobacco use and cessation in psychiatric disorders: National Institute of Mental Health report. Nicotine Tob Res. 2008 Dec;10(12):1691–1715.
Journal cover image

Published In

Nicotine Tob Res

DOI

ISSN

1462-2203

Publication Date

December 2008

Volume

10

Issue

12

Start / End Page

1691 / 1715

Location

England

Related Subject Headings

  • United States
  • Tobacco Use Disorder
  • Social Environment
  • Smoking Cessation
  • Smoking
  • Self Efficacy
  • Schizophrenia
  • Risk Factors
  • Public Health
  • Primary Prevention