Please use this identifier to cite or link to this item: http://hdl.handle.net/1959.13/932830

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Title
Smoking and schizophrenia: treatment approaches within primary care
Author/Creator
Baker, Amanda L.;  Lubman, Dan I.;  Hides, Leanne
Institution
The University of Newcastle. Faculty of Health, School of Medicine and Public Health
Description
Tobacco dependence is common among people with psychotic disorders and is associated with significant morbidity and mortality. Illness, socio-demographic, lifestyle, institutional, and tobacco industry influences are all associated with this high prevalence. While many smokers with psychotic disorders are willing to quit or reduce smoking, they are often provided with limited support within the healthcare system. Numerous randomized controlled trials among smokers with psychotic disorders have demonstrated that smoking cessation interventions can be effective in the short-term, with smoking reduction a common finding. Support for smoking cessation can be offered within primary health settings, and should include adequate and longer-term pharmacotherapies combined with psychosocial counseling. Psychosocial strategies that can readily be incorporated into primary care settings include brief motivational interventions, the encouragement of social support, behavioral strategies such as avoidance of high risk situations and activity scheduling, cognitive strategies to cope with cravings and negative moods and to improve lifestyle, and relapse prevention. As smoking is a chronic and relapsing condition, numerous change attempts should be encouraged and normalized, with flexible combinations of pharmacotherapies and counseling employed.
Relation
Primary Psychiatry Vol. 17, Issue 1, p. 49-54
Relation
http://www.primarypsychiatry.com/aspx/articledetail.aspx?articleid=2460
Date
2010
Publisher
MBL Communications
Keyword(s)
tobacco;  psychotic disorders;  smoking;  smoking cessation;  smoking intervention;  psychosocial
Resource Type
journal article
Identifier
http://hdl.handle.net/1959.13/932830
Identifier
ISSN:1082-6319
Reviewed
Reviewed
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Subject
"Primary Psychiatry"
 
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