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Cited by 735Smoking Behavior and CessationSubstance Abuse Treatment and OutcomesMental Health Treatment and Access

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

Ziedonis, D., Hitsman, B., Beckham, J. C., Zvolensky, M., Adler, L. E., Audrain-McGovern, J., Breslau, N., Brown, R. A., George, T. P., Williams, J., Calhoun, P. S., Riley, W. T.·2008·Nicotine & Tobacco Research
DOI 10.1080/14622200802443569
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Abstract

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.

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Authors
Ziedonis, D., Hitsman, B., Beckham, J. C., Zvolensky, M., Adler, L. E., Audrain-McGovern, J., Breslau, N., Brown, R. A., George, T. P., Williams, J., Calhoun, P. S., & Riley, W. T.
Affiliations
  • UMass Memorial Health Care (US)
  • Northwestern University (US)
  • Duke University (US)
  • University of Vermont (US)
  • University of Colorado Health (US)
  • University of Pennsylvania (US)
  • Michigan State University (US)
  • Brown University (US)
  • University of Toronto (CA)
  • Rutgers, The State University of New Jersey (US)
  • National Institutes of Health (US)
ORCID
Venue
Nicotine & Tobacco Research
Publisher
Oxford University Press (OUP)
Published
2008-12-01
Volume
10
Issue
12
Pages
1691-1715
ISSN
  • 1462-2203 (ISSN-L)
  • 1469-994X
DOI
10.1080/14622200802443569
OpenAlex
W2126866313
Semantic Scholar
1098de69bc87efcdfb0ceacacd784724606d74d2
Cited by
735
References
246
Citations by year
2026: 15 · 2025: 20 · 2024: 18 · 2023: 42 · 2022: 27 · 2021: 30 · 2020: 48 · 2019: 28 · 2018: 50 · 2017: 32 · 2016: 62 · 2015: 65 · 2014: 59 · 2013: 50 · 2012: 62
FWCI
28.07
Type
journal article
Language
en
Open access
closed
Locations
  • Nicotine & Tobacco Research (publishedVersion)
  • PubMed (publishedVersion)
  • The Journal of the American Medical Association (JAMA) Network (American Medical Association) (submittedVersion)
Funders
  • U.S. Department of Veterans Affairs
  • Bristol-Myers Squibb
  • Eli Lilly and Company
  • Pfizer
  • Office of Research and Development
  • State of New Jersey Department of Health
  • National Alliance for Research on Schizophrenia and Depression
  • Missouri Department of Health and Senior Services
  • University of Toronto
  • National Institutes of Health (5k24da016388-10, 5r01da018734-03)
  • National Institute on Alcohol Abuse and Alcoholism (R01AA015950, AA015950)
  • National Institute of Mental Health (R01MH076672, MH 076629-01, MH076629, MH050787-11, R01MH050787, MH076672-01A1, R01MH076629)
  • National Institute on Drug Abuse (DA020705, R03DA016307, DA015537, DA 16307-01, DA019704, DA016738, R01DA020705, R21DA019704, R01DA016738, DA16611, R01DA017947, DA016388, R01DA013672, DA023190, DA018734--01A1, K08DA017145, DA017145, R01DA015537, R01DA023190, R01DA014039, DA13672, DA14039, DA017947, K02DA016611)
  • National Cancer Institute (R01CA096836, CA081595, R01CA081595, CA096836, R01CA109250, CA109250)
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 use, smoking cessation, nicotine dependence, mental illness, anxiety disorders, depression, schizophrenia, self-medication hypothesis
MeSH terms
Anxiety Disorders, Mental Disorders, Depression, Humans, National Institute of Mental Health (U.S.), Primary Prevention, Risk Factors, Schizophrenia, Smoking, Social Environment, Tobacco Use Disorder, United States, Comorbidity, Prevalence, Smoking Cessation, Self Efficacy, Mentally Ill Persons, Persons with Psychiatric Disorders

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