Cited by 301Smoking Behavior and CessationSubstance Abuse Treatment and OutcomesBehavioral Health and Interventions

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Assessing motivation to quit smoking in people with mental illness: a review

Siru, Ranita, Hulse, Gary K., Tait, Robert J.·2009·Addiction

DOI 10.1111/j.1360-0443.2009.02545.x

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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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Sorted by citations

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“Among smokers hospitalized with mental illness, 65% were interested in quitting (114).”
Background
Perceived barriers to smoking cessation in selected vulnerable groups: a systematic review of the qualitative and quantitative literature
Twyman, L., Bonevski, B., Paul, C. L., & Bryant, J. (2014) · BMJ Open · doi:10.1136/bmjopen-2014-006414 · Cited by 467
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“While adults with depression who smoke do not report differences in their motivation to quit smoking compared to adults without depression (55,81), adults with depression who smoke report lower confidence in their ability to resist smoking in a range of situations (e.”
Background

See all 301

Authors: Siru, R., Hulse, G. K., & Tait, R. J.
Affiliations: The University of Western Australia (AU)
Corresponding author: Hulse, Gary K.
ORCID: Siru, Ranita
Hulse, Gary K.
Tait, Robert J.
Venue: Addiction
Publisher: Wiley
Published: 2009-04-07
Volume: 104
Issue: 5
Pages: 719-733
ISSN: 0965-2140 (ISSN-L)
1360-0443
DOI: 10.1111/j.1360-0443.2009.02545.x
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
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
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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Assessing motivation to quit smoking in people with mental illness: a review

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