Journal
NICOTINE & TOBACCO RESEARCH
Volume 10, Issue 12, Pages 1691-1715Publisher
OXFORD UNIV PRESS
DOI: 10.1080/14622200802443569
Keywords
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Funding
- National Institutes of Health [DA020705, DA015537]
- Massachusetts Department of Mental Health
- New Jersey Department of Health and Senior Services
- NIDA [DA017145]
- Office of Research and Development Clinical Science, Department of Veterans Affairs [DA016388, CA081595, DA019704, MH07662901, DA018734-01A1, DA16307-01]
- Department of Veterans Affairs [VISN 19 MIRECC, MH050787-11, DAMD17-01-1-0760, CA109250, CA096836, DA023190, DA016738, DA017947, AA015950]
- National Alliance for Research on Schizophrenia and Depression [DA13672, DA14039, DA16611]
- Canadian Institutes for Health Research
- University of Toronto
- National Institute on Drug Abuse [MH076672-01A1]
- New Jersey Division of Mental Health Services
- Pfizer
- NATIONAL CANCER INSTITUTE [R01CA109250, R01CA081595, R01CA096836] Funding Source: NIH RePORTER
- NATIONAL INSTITUTE OF MENTAL HEALTH [R01MH076629, R01MH050787, R01MH076672] Funding Source: NIH RePORTER
- NATIONAL INSTITUTE ON ALCOHOL ABUSE AND ALCOHOLISM [R01AA015950] Funding Source: NIH RePORTER
- NATIONAL INSTITUTE ON DRUG ABUSE [R01DA016738, R01DA013672, R21DA019704, K02DA016611, R01DA017947, R01DA020705, R01DA014039, R01DA015537, R03DA016307, K24DA016388, K08DA017145, R01DA023190, R01DA018734] Funding Source: NIH RePORTER
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The National Institute of Mental Health (NIMH) convened a meeting in September 2005 to review tobacco use and dependence and smoking cessation among those with mental disorders, especially individuals with anxiety disorders, depression, or schizophrenia. Smoking rates are exceptionally high among these individuals and contribute to the high rates of medical morbidity and mortality in these individuals. Numerous biological, psychological, and social factors may explain these high smoking rates, including the lack of smoking cessation treatment in mental health settings. Historically, self-medication and individual rights have been concerns used to rationalize allowing ongoing tobacco use and limited smoking cessation efforts in many mental health treatment settings. Although research has shown that tobacco use can reduce or ameliorate certain psychiatric symptoms, overreliance on the self-medication hypothesis to explain the high rates of tobacco use in psychiatric populations may result in inadequate attention to other potential explanations for this addictive behavior among those with mental disorders. A more complete understanding of nicotine and tobacco use in psychiatric patients also can lead to new psychiatric treatments and a better understanding of mental illness. Greater collaboration between mental health researchers and nicotine and tobacco researchers is needed to better understand and develop new treatments for cooccurring nicotine dependence and mental illness. Despite an accumulating literature for some specific psychiatric disorders and tobacco use and cessation, many unstudied research questions remain and are a focus and an emphasis of this review.
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