Innovative approaches to support smoking cessation for individuals with mental illness and co-occurring substance use disorders.
Innovative approaches to support smoking cessation for individuals with mental illness and co-occurring substance use disorders.
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DOI：
10.1080/17476348.2017.1361823
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发表时间：
2017-10
影响因子：
3.9
通讯作者：
Prochaska JJ
中科院分区：
文献类型：
--
作者：
Das S;Prochaska JJ
烟草仍然是美国主要的可预防死亡原因，每年造成超过52万人死亡。虽然吸烟率在过去50年中有所下降，但患有精神疾病和成瘾性疾病的人仍然大量吸烟，并有严重的烟草相关健康问题。这篇综述强调了对精神疾病和成瘾性疾病患者进行烟草使用干预的流行病学、影响因素和证据基础。在历史上，越来越多的文献支持在心理健康和成瘾治疗环境中治疗烟草。至关重要的是，治疗烟草使用似乎支持而不是损害心理健康恢复和清醒。本文还总结了新的，新兴的方法来减轻吸烟的危害。患有精神疾病和成瘾性疾病的人烟草使用率很高，对健康造成严重危害。治疗烟草使用至关重要。循证策略包括与戒烟准备程度阶段匹配的个体治疗，以及将戒烟药物与行为疗法联合收割机相结合，并得到治疗场所和居住环境中无烟政策的支持。以减少危害为重点的新兴方法是电子尼古丁输送系统和烟草监管努力，以减少香烟中的尼古丁含量，从而降低其成瘾可能性。
Tobacco remains the leading preventable cause of death in the US, accounting for over 520,000 deaths annually. While the smoking prevalence has declined over the past 50 years, those with mental illness and addictive disorders continue to smoke at high levels and with significant tobacco-related health problems. This review highlights the epidemiology, contributing factors, and evidence-base for intervening upon tobacco use in those with mental illness and addictive disorders. Historically under-prioritized, a growing body of literature supports treating tobacco within mental health and addiction treatment settings. Critically, treating tobacco use appears to support, and not harm, mental health recovery and sobriety. This review also summarizes novel, emerging approaches to mitigate the harms of cigarette smoking. People with mental illness and addictive disorders have a high prevalence of tobacco use with serious health harms. Treating tobacco use is essential. Evidence-based strategies include individual treatments that are stage-matched to readiness to quit and combine cessation medications with behavioral therapies, supported by smoke-free policies in treatment settings and residential environments. Emerging approaches, with a focus on harm reduction, are electronic nicotine delivery systems and tobacco regulatory efforts to reduce the nicotine content in cigarettes, thereby reducing their addiction potential.
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影响因子：
37.8
作者：
Bhatnagar A;Whitsel LP;Ribisl KM;Bullen C;Chaloupka F;Piano MR;Robertson RM;McAuley T;Goff D;Benowitz N;American Heart Association Advocacy Coordinating Committee, Council on Cardiovascular and Stroke Nursing, Council on Clinical Cardiology, and Council on Quality of Care and Outcomes Research
通讯作者：
American Heart Association Advocacy Coordinating Committee, Council on Cardiovascular and Stroke Nursing, Council on Clinical Cardiology, and Council on Quality of Care and Outcomes Research
一项两臂，两臂，34周，双盲，平行组，随机对照试验，是烟气和/或焦虑症的吸烟者中尼古丁香烟减少的试验：试验设计和方案。
影响因子：
4.5
作者：
Allen SI;Foulds J;Pachas GN;Veldheer S;Cather C;Azzouz N;Hrabovsky S;Hameed A;Yingst J;Hammett E;Modesto J;Krebs NM;Zhu J;Liao J;Muscat JE;Richie J;Evins AE
通讯作者：
Evins AE
影响因子：
4.4
作者：
Acquavita, Shauna P.;McClure, Erin A.;Hargraves, Daniel;Stitzer, Maxine
通讯作者：
Stitzer, Maxine
影响因子：
--
作者：
Breslau, N;Schultz, LR;Davis, GC
通讯作者：
Davis, GC
影响因子：
5.5
作者：
Abroms, Lorien C.;Padmanabhan, Nalini;Phillips, Todd
通讯作者：
Phillips, Todd