Mood management and nicotine patch for smoking cessation in adults with bipolar disorder
Open accessAbstract
Cigarette smoking is three times more prevalent in bipolar disorder than in the general population, and quit rates are low (Lasser et al., 2000). Only two small (n = 5) pharmacotherapy studies (Weinberger et al., 2008; Wu et al., 2012) have examined interventions for smokers with bipolar disorder. Targeted behavioral interventions designed to address barriers to quitting in bipolar disorder may improve quit rates. Cognitive-behavioral mood management interventions have demonstrated some success in treating depressed smokers (Haas, Muñoz, Humfleet, Reus, & Hall, 2004) and may be useful for smokers with bipolar disorder, but no studies have tested this proposition. Consequently, we examined the feasibility of a mood management intervention for smokers with bipolar disorder in a proof-of-concept study. Participants were adult smokers (≥18 years old) who met DSM-IV criteria for bipolar I disorder; smoked ≥10 cigarettes/day for the past 90 days, with expired air carbon monoxide (CO) level ≥ 10 ppm; scored ≥6 on a 10-point scale of motivation to quit smoking; were nicotine dependent, minimally symptomatic (i.e., Montgomery–Asberg Depression Rating Scale [MADRS; Montgomery & Asberg, 1979] ≤ 12; Young Mania Rating Scale [YMRS; Young, Biggs, Ziegler, & Meyer, 1978] ≤ 12), and taking psychotropic medications that had been stable for at least 3 months. Individuals were excluded if they had current alcohol or other substance dependence; had an unstable medical condition; were pregnant, lactating, or planned to become pregnant during the study interval; had received treatment for smoking cessation within 30 days of screening; or tested positive for drugs other than cannabis. Individuals who tested positive for cannabis were enrolled only if they agreed to refrain from marijuana in the 24hr prior to study visits. This study was approved by the University of Cincinnati Institutional Review Board, and participants provided written informed consent.
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In a small open study of CBT-based mood management in people with bipolar disorder and comorbid nicotine dependence, at study endpoint 20% of subjects refrained from smoking for 4 weeks, and 77% of those completing the study achieved a reduction in self-reported cigarettes per day of 50% or higher.
“At study endpoint, 20% of subjects managed to refrain from smocking for 4 weeks, and 77% of those completing the study achieved a reduction in self-reported cigarettes per day of 50% or higher.”
From The detrimental effects of smoking on the course and outcome in adults with bipolar disorder—A narrative review (2023) · cites this paper as [85]
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Cites
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A Preliminary Study of Sustained-Release Bupropion for Smoking Cessation in Bipolar Disorder
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A preliminary feasibility study of varenicline for smoking cessation in bipolar disorder
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Jackson, J. G., Diaz, F. J., Lopez, L., & de Leon, J. (2015) · Bipolar Disorders · doi:10.1111/bdi.12319 · Cited by 120 · see citing works
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“Six of eight published studies focused on smoking cessation for people with BD have sample sizes of twenty or less (Brunette et al., 2018; Chengappa et al., 2014; Evins et al., 2014; Frye et al., 2013; Heffner et al., 2013; Heffner et al., 2015; Weinberger et al., 2008; Wu et al., 2012).”
BackgroundSelf-citationTobacco Use Treatment in Primary Care Patients with Psychiatric Illness
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Grunze, A., Mosolov, S., Grunze, H., & Born, C. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.1114432 · Cited by 11 · see citing works
Treatment of Tobacco Use Disorder and Mood Disorders in Adolescents
Witt, D. R., & Patten, C. A. (2018) · Current Addiction Reports · doi:10.1007/s40429-018-0216-9 · Cited by 1 · see citing works
- Authors
- Heffner, J. L., Anthenelli, R. M., DelBello, M. P., Stahl, L., & Strakowski, S. M.
- Affiliations
- Fred Hutch Cancer Center (US)
- University of California San Diego (US)
- University of Cincinnati (US)
- Venue
- Nicotine & Tobacco Research
- Publisher
- Oxford University Press (OUP)
- Published
- 2013-06-12
- Volume
- 15
- Issue
- 11
- Pages
- 1805-1806
- ISSN
- 1462-2203 (ISSN-L)
- 1469-994X
- PMC
- PMC3790632
- OpenAlex
- W2155543059
- Cited by
- 12
- References
- 8
- Citations by year
- 2023: 1 · 2019: 3 · 2018: 4 · 2017: 1 · 2015: 2 · 2014: 1
- FWCI
- 0.69
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Nicotine & Tobacco Research (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- HighWire Press Open Archive (submittedVersion)
- Funders
- National Institutes of Health (UL1TR000077)
- National Institute on Drug Abuse (K23DA026517)
- National Center for Advancing Translational Sciences
- Topics
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Keywords
- bipolar disorder, smoking cessation, nicotine patch, mood management, cognitive-behavioral intervention, nicotine dependence, feasibility, cannabis use
- MeSH terms
- Smoking Prevention, Adolescent, Adult, Affect, Behavior Therapy, Bipolar Disorder, Counseling, Female, Humans, Life Style, Male, Middle Aged, Smoking, Stress, Psychological, Smoking Cessation, Young Adult
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