Smoking and quitting: a qualitative study with community-living psychiatric clients
Abstract
This paper reports the findings of a study investigating the smoking behaviours of a community-based psychiatric population. Using a qualitative, grounded theory approach, the four diagnostic categories of schizophrenia, bi-polar affective disorder, depression, and personality disorder were studied (24 interviews in total) in order to identify similarities and differences in smoking behaviours and perceptions of links between illness and cigarette smoking. A number of theoretical constructs emerged from the data, many of which confirm and enhance current understandings of issues, such as the role of cigarettes in managing the symptoms of illness. However, several themes not found in the existing literature also emerged. Smoking was found to play a significant existential role in the lives of participants: alleviating the effects of stigma, promoting positive and negative freedoms, and providing core needs as part of quality of life decisions. Perceptions of the nature and degree of interaction between psychiatric symptoms and the 'need' to smoke were also found to be significant. Variations in smoking between the different diagnostic groups were also found, in particular in the process of smoking itself the nature of the nicotine dependence as predominantly physical or psychological, attitudes towards the quitting process and sense of control, and the degree of significance of existential factors. The research findings suggest that we may be able to add new methods to our cur…
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“Some qualitative studies have shed light on the smoking behaviours of community-based clients with mental illness, ways to incorporate evidence based tobacco cessation interventions to the unique challenges of people living with mental illness and the barriers and opportunities to the changing culture of mental health…”
BackgroundResultInfluentialWhat do 1000 smokers with mental illness say about their tobacco use?
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Self-citation
- Authors
- Lawn, S. J., Pols, R. G., & Barber, J. G.
- Affiliations
- Flinders University (AU)
- Corresponding author
- Lawn, Sharon J
- Venue
- Social Science & Medicine
- Publisher
- Elsevier BV
- Published
- 2002-01
- Volume
- 54
- Issue
- 1
- Pages
- 93-104
- ISSN
- 0277-9536 (ISSN-L)
- OpenAlex
- W2094526733
- Cited by
- 158
- References
- 6
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 3 · 2023: 2 · 2022: 6 · 2021: 3 · 2020: 6 · 2019: 8 · 2018: 5 · 2017: 4 · 2016: 12 · 2015: 11 · 2014: 7 · 2013: 11 · 2012: 9
- FWCI
- 3.19
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Social Science & Medicine (publishedVersion)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Keywords
- smoking, smoking cessation, psychiatric patients, schizophrenia, bipolar disorder, depression, personality disorders, nicotine dependence, symptom management, stigma, community-dwelling patients, quality of life
- MeSH terms
- Adult, Mental Disorders, Community Mental Health Services, Female, Humans, Internal-External Control, Interviews as Topic, Health Knowledge, Attitudes, Practice, Male, Middle Aged, Motivation, Self Concept, Self Medication, Smoking, South Australia, Health Behavior, Smoking Cessation, Behavior, Addictive, Persons with Psychiatric Disorders
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