I’ve blogged before about mental health and smoking cessation, so I was interested to read about this new review on the subject published by a researcher in Spain, which aims to assess the best way for adults with major depression, schizophrenia and psychosis to give up smoking.
The review searched a very wide range of databases to retrieve systematic reviews, comprehensive reports, clinical trials, observational studies and recommendations, which had evaluated smoking cessation programs in patients with severe mental illness. Few studies were found and those that were included showed great heterogeneity in the recommendations given.
Nevertheless, the review did make some recommendations for helping people with mental health problems quit smoking:
- Increase and prolong the treatment period
- Implement joint psychoeducation techniques and cognitive-behavioral techniques
- Implement the use of any drug treatment that helps to control and / or reduce the occurrence of relapses in tobacco consumption or baseline psychiatric symptoms
Although the strength of the evidence is relatively weak, with wide confidence intervals, especially for the long-term benefits, the studies support the efficacy of bupropion in smoking cessation and the reduction of the smoking habit in patients with such incapacitating mental diseases such as schizophrenia. For smoking cessation with other therapeutic options such as nicotine replacement therapy and psychosocial interventions, sufficient and robust tests have not been found in this review to support their use in the clinical practice.
Molina-Linde JM. Effectiveness of smoking cessation programs for seriously mentally ill (PDF). [Article in English, Spanish] Actas Esp Psiquiatr. 2011 Mar-Apr;39(2):106-14. Epub 2011 Mar 1.