Cited by 149Smoking Behavior and CessationSubstance Abuse Treatment and OutcomesMental Health Treatment and Access

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EPA Guidance on Tobacco Dependence and Strategies for Smoking Cessation in People with Mental Illness

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Rüther, T., Bobes, J., De Hert, M., Svensson, T.H., Mann, K., Batra, A., Gorwood, P., Möller, H.J.·2014·European Psychiatry

DOI 10.1016/j.eurpsy.2013.11.002

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Abstract

Tobacco dependence is the most common substance use disorder in adults with mental illness. The prevalence rates for tobacco dependence are two to four times higher in these patients than in the general population. Smoking has a strong, negative influence on the life expectancy and quality of life of mental health patients, and remains the leading preventable cause of death in this group. Despite these statistics, in some countries smokers with mental illness are disadvantaged in receiving intervention and support for their tobacco dependence, which is often overlooked or even tolerated. This statement from the European Psychiatric Association (EPA) systematically reviews the current evidence on tobacco dependence and withdrawal in patients with mental illness and their treatment. It provides seven recommendations for the core components of diagnostics and treatment in this patient group. These recommendations concern: (1) the recording process, (2) the timing of the intervention, (3) counselling specificities, (4) proposed treatments, (5) frequency of contact after stopping, (6) follow-up visits and (7) relapse prevention. They aim to help clinicians improve the care, health and well-being of patients suffering from mental illness.

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Authors: Rüther, T., Bobes, J., De Hert, M., Svensson, T. H., Mann, K., Batra, A., Gorwood, P., & Möller, H. J.
Affiliations: Ludwig-Maximilians-Universität München (DE)
Universidad de Oviedo (ES)
Karolinska Institutet (SE)
Heidelberg University (DE)
Universitätsklinikum Tübingen (DE)
Centre Hospitalier Sainte-Anne (FR)
Corresponding author: Rüther, T.
ORCID: Rüther, T.
Bobes, J.
Mann, K.
Batra, A.
Gorwood, P.
Venue: European Psychiatry
Publisher: Cambridge University Press (CUP)
Published: 2014-01-30
Volume: 29
Issue: 2
Pages: 65-82
ISSN: 0924-9338 (ISSN-L)
1778-3585
DOI: 10.1016/j.eurpsy.2013.11.002
OpenAlex: W2046787730
Cited by: 149
References: 312
Citations by year: 2026: 5 · 2025: 3 · 2024: 12 · 2023: 6 · 2022: 8 · 2021: 13 · 2020: 9 · 2019: 13 · 2018: 14 · 2017: 18 · 2016: 26 · 2015: 15 · 2014: 6
FWCI: 14.45
Type: journal article
Language: en
Open access: green
hdl.handle.net
Licence: cc-by-nc-nd
www.cambridge.org/core/terms (unspecified)
Locations: European Psychiatry (publishedVersion)
PubMed (publishedVersion)
Consultation of the Doctoral Thesis Database (TESEO) (Ministerio de Educación, Cultura y Deporte) (submittedVersion, cc-by-nc-nd)
Lirias (submittedVersion)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Smoking Behavior and Cessation
Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Keywords: tobacco dependence, smoking cessation, mental illness, nicotine withdrawal, smoking cessation counseling, relapse prevention, tobacco dependence treatment, clinical guidelines
MeSH terms: Mental Disorders, Humans, Mental Health, Tobacco Use Disorder, Smoking Cessation, Persons with Psychiatric Disorders, Mentally Ill Persons

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EPA Guidance on Tobacco Dependence and Strategies for Smoking Cessation in People with Mental Illness

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