The DOI matches its Crossref record; 99 of the 99 references it cites were found in a registry or an index.
Assessing motivation to quit smoking in people with mental illness: a review
Abstract
Background People with mental health (MH) disorders smoke at higher rates, are more nicotine‐dependent and suffer greater morbidity and mortality from smoking‐related illnesses than the general population. Helping these people to quit smoking is a public health priority; however, many MH professionals assume that those with mental illness are not motivated to quit. Objectives To use predetermined criteria to identify, review critically and evaluate empirically all English language, peer‐reviewed data on motivation to quit smoking in MH populations. Methods A systematic search was conducted and key data on subject characteristics, measures of motivation and other variables abstracted. χ 2 analyses were used to compare motivation between MH and general populations, between in‐patients and out‐patients and between people with depression and people with psychotic disorders. Results Evidence suggests that people with MH disorders are as motivated to quit smoking as the general population, although those with psychotic disorders may be less motivated than individuals with depression. Although readiness to cease smoking was assessed in 14 studies, only two evaluated motivation to quit smoking in in‐patient populations. Conclusions People with MH disorders are motivated to quit smoking, although more research is needed looking at in‐patient populations. The commonly held false belief that people with MH disorders are not motivated to cease smoking means that opportunities to encourage smoking cessation among this disenfranchised group are being missed.
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“Despite being equally motivated to quit as individuals without mental illness [7]”
In the citing paper
“People with mental ill-health have a 19% reduction in the odds of achieving abstinence when attempting to stop (Hitsman et al., 2013), but are as motivated to stop as those without mental ill-health (Siru et al., 2009).”
From An application of the stress-diathesis model: A review about the association between smoking tobacco, smoking cessation, and mental health (2023) · cites this paper as Siru et al., 2009
In the citing paper
“even though they are motivated to quit [11]”
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Annamalai, A., Singh, N., & O’Malley, S. S. (2015) · PubMed Central · Cited by 42
Implementation of a tobacco-free workplace program at a local mental health authority
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ResultWhat do 1000 smokers with mental illness say about their tobacco use?
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“Despite the impact of tobacco use on the health, finances, and quality of life of smokers who live with mental illness, few programmes have been specifically provided to help this group of smokers (Etter et al., 2004; Lucksted et al., 2004; Williams and Foulds, 2007; Siru et al., 2009).”
BackgroundSmoking cessation in persons with serious mental illnesses: The experience of successful quitters.
Dickerson, F., Bennett, M. E., Dixon, L. B., Burke, E., Vaughan, C., Delahanty, J. C., & DiClemente, C. C. (2011) · Psychiatric Rehabilitation Journal · doi:10.2975/34.4.2011.311.316 · Cited by 38
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“Social worker 7 (15) 4 (8) 134 32 Family support worker 1 (2) 0 (0) 2 0 Accommodation key worker 3 (7) 1 (2) 19 24 Drug and alcohol support worker 3 (7) 4 (8) 17 37 Day centre/drop-in centre 8 (17) 8 (16) 223 221 Community pharmacist 7 (15) 9 (18) 17 23 NHS Stop Smoking Services helpline 1 (2) 3 (6) 1 8 Podiatrist 1 (…”
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In it together: Physical health and well-being for people with mental illness
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“Many people may feel they just can’t succeed or are scared of becoming unwell (Siru et al., 2009).”
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“Research indicates that a substantial proportion of people with MI have a desire to quit smoking (16, 17) and that smoking cessation interventions can be effective among those with MI (18, 19).”
BackgroundBartlem, K. M., Bowman, J., Ross, K., Freund, M., Wye, P. M., McElwaine, K., Gillham, K. E., Doherty, E. L., Wolfenden, L., & Wiggers, J. H. (2016) · BMC Psychiatry · doi:10.1186/s12888-016-0763-3 · Cited by 29
“Other studies have indicated such views of clinicians may be unfounded, with people with a mental illness being shown to be receptive to receiving preventive care and interested in improving their health risk behaviours [49–53].”
BackgroundDepressive symptoms predict smoking cessation in a 20-year longitudinal study of adult twins
Ranjit, A., Latvala, A., Kinnunen, T., Kaprio, J. A., & Korhonen, T. (2020) · Addictive Behaviors · doi:10.1016/j.addbeh.2020.106427 · Cited by 28
Snell, M., Harless, D. W., Shin, S. H., Cunningham, P., & Barnes, A. C. (2020) · Addictive Behaviours · doi:10.1016/j.addbeh.2020.106787 · Cited by 21
“Our findings are consistent with some previous studies assessing motivation to quit (Siru et al., 2009), and suggest that these smokers may simply be less successful at achieving cessation when coping with high nicotine dependence.”
BackgroundResultKnowles, S. E., Planner, C., Bradshaw, T., Peckham, E. J., Man, M., & Gilbody, S. M. (2016) · BMC Psychiatry · doi:10.1186/s12888-016-0901-y · Cited by 26
“However, despite being as motivated to stop smoking as the general population, only a minority of those with mental illness receive smoking cessation interventions [12].”
BackgroundSmoking cessation in inpatient psychiatry treatment facilities: A review
Kagabo, R., Gordon, A. J., & Okuyemi, K. S. (2020) · Addictive Behaviors Reports · doi:10.1016/j.abrep.2020.100255 · Cited by 25
Evaluation of a community-based smoking cessation programme for people with severe mental illness
Ashton, M., Rigby, A., & Galletly, C. (2015) · Tobacco Control · doi:10.1136/tobaccocontrol-2013-051179 · Cited by 25
Serious Mental Illness and the Role of Primary Care
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“Despite evidence that people with mental health conditions are often as motivated to quit smoking as the general population [4], it may be that professional stop smoking support is not easily accessible for this group.”
Shoesmith, E., Huddlestone, L., Pervin, J., Shahab, L., Coventry, P. A., Coleman, T. J., Lorencatto, F., Gilbody, S. M., Leahy, M., Horspool, M. J., et al. (2022) · Nicotine & Tobacco Research · doi:10.1093/ntr/ntac242 · Cited by 24
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“Smokers diagnosed with psychosis are motivated to quit (Siru et al., 2009), but their success rates are more modest than those of people without mental illness (El-Guebaly et al.”
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BackgroundPreconception Health Among Women with Frequent Mental Distress: A Population-Based Study
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“Compared with individuals who have good mental health, those with mental health conditions may be just as motivated to quit smoking 22 and to lose weight.”
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“The main implementation barriers hindering efforts to successfully address tobacco use (cigarettes, e-cigarettes, and all other tobacco/nicotine products) among individuals with behavioral health conditions are on the provider-level and include a lack of adequate training of providers to treat tobacco dependence [2,16…”
Background
Metadata
- Authors
- Siru, R., Hulse, G. K., & Tait, R. J.
- Affiliations
- The University of Western Australia (AU)
- Corresponding author
- Hulse, Gary K.
- Venue
- Addiction
- Publisher
- Wiley
- Published
- 2009-04-07
- Volume
- 104
- Issue
- 5
- Pages
- 719-733
- ISSN
- 0965-2140 (ISSN-L)
- 1360-0443
- OpenAlex
- W2033726919
- Cited by
- 301
- References
- 93
- Citations by year
- 2026: 8 · 2025: 14 · 2024: 14 · 2023: 22 · 2022: 26 · 2021: 16 · 2020: 20 · 2019: 18 · 2018: 21 · 2017: 19 · 2016: 23 · 2015: 21 · 2014: 19 · 2013: 20 · 2012: 12
- FWCI
- 8.61
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Addiction (publishedVersion)
- PubMed (publishedVersion)
- UWA Profiles and Research Repository (UWA) (submittedVersion)
- eSpace (Curtin University) (submittedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Smoking Behavior and Cessation
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Keywords
- smoking cessation, smoking cessation motivation, mental illness, nicotine dependence, depression, psychosis, hospitalized patients, outpatients, readiness to quit
- MeSH terms
- Smoking Prevention, Mental Disorders, Hospitalization, Humans, Motivation, Smoking, Randomized Controlled Trials as Topic, Smoking Cessation
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