Specifying Cigarette Smoking and Quitting among People with Serious Mental Illness

Department of Psychiatry, University of Maryland, Baltimore, Baltimore, Maryland, United States
American Journal on Addictions (Impact Factor: 1.74). 07/2009; 13(2):128-38. DOI: 10.1080/10550490490436000
Source: PubMed


People with serious mental illnesses (SMI) have a high prevalence of cigarette smoking. Details of their smoking and quitting behaviors are needed to create effective interventions. This study aims to describe the smoking and quitting histories, current behaviors, and motivations of an outpatient sample of smokers with SMI. A structured interview and Breathalyzer assessment were administered to 120 smokers from four diverse mental health settings. Participants' smoking and quitting self-report data are presented in combination with demographic and clinical variables; the results provide implications for smoking cessation, amelioration, and prevention interventions and for future research.

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Available from: Alicia Lucksted, Feb 26, 2015
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    • "A number of studies have described smoking outcome expectancies in smokers with schizophrenia, with most finding that reduction of negative affect was rated the most important positive expectancy (Buckley et al., 2005; Esterberg and Compton, 2005; Forchuk et al., 2002; Solty et al., 2009; but see Carosella et al., 1999) and negative health consequences the most important negative expectancy (Buckley et al., 2005; Carosella et al., 1999; Esterberg and Compton, 2005; Lucksted et al., 2004; Solty et al., 2009). However, the few studies that have directly compared smoking expectancies of smokers with schizophrenia with those of a concurrent sample of smokers without psychiatric illness have reported inconsistent findings. "
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    ABSTRACT: Cigarette smoking expectancies are systematically related to intention to quit smoking in adult smokers without psychiatric illness, but little is known about these relationships in smokers with serious mental illness. In this study, we compared positive and negative smoking expectancies, and examined relationships between expectancies and intention to quit smoking, in smokers with schizophrenia (n=46), smokers with schizoaffective disorder (n=35), and smokers without psychiatric illness (n=71). In all three groups, reduction of negative affect was rated as the most important smoking expectancy and intention to quit smoking was systematically related to concerns about the health effects and social consequences of smoking. Compared to the other groups of smokers, those with schizoaffective disorder were more concerned with social expectancies and with the immediate negative physical effects of smoking. Results of this study suggest that challenging positive smoking expectancies and providing more tailored information about the negative consequences of smoking might increase motivation to quit smoking in smokers with schizophrenia and schizoaffective disorder, as has been found with non-psychiatric smokers.
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    ABSTRACT: Through the use of Coroner's records the research has demonstrated that people who die in residential fires display a number of environmental, demographic and/or behavioural risk characteristics. The current research has been organised into two studies. Study one had two aims with the first aim to develop the Victoria University (VU) Coroner's Accidental Fire Fatality Database. This would then provide a comprehensive record of all adult fire deaths that occurred in Victoria, Australia between January 1998 and February 2005. The second aim was to use this database to examine risk factors for the overall adult accidental fire fatality population (N = 101). Study two focused on the mentally ill and the aim was to examine whether the mentally ill (MI) (n = 55) compared to the non-mentally ill (NMI) (n = 46) exhibited different risk characteristics. Results indicated this fire death population was overrepresented by males, cigarette smokers, the mentally ill, people not in paid employment, and those aged over 80 years when compared to their proportion of the general Victorian population. When relative risk ratios were calculated it was found that the MI group were 7.9 (CI 95% 2.0-31.8) times more likely than the NMI group to have combined alcohol and drugs prior to their death. The MI were 5.9 (CI 95% 1.9-18.4) times more likely to have a history of careless smoking, a 2.2 (CI 95% 1.4-3.5) increased chance of having a cigarette as an ignition factor and were 3.6 (CI 95% 1.7-7.8) times more prone to have been acting abnormally prior to the fire than the NMI group. Future fire safety measures can be improved by taking into account these risk factors to target campaigns or to tailor interventions that have an effect on the most vulnerable in our community in the context of their environment.
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