期刊
ACTA PSYCHIATRICA SCANDINAVICA
卷 132, 期 2, 页码 122-130出版社
WILEY
DOI: 10.1111/acps.12412
关键词
schizophrenia; psychosis; smoking; smoking cessation; serious mental illness
类别
资金
- Research Foundation - Flanders (FWO- Vlaanderen)
- AstraZeneca
- Lundbeck
- Janssen-Cilag
- Eli Lilly
- Pfizer
- Sanofi
- Takeda
- Bristol-Myers Squibb
- Carlos III Health Institute [PI10/01758]
ObjectiveHigh rates of smoking and nicotine dependence are associated with increased physical comorbidity and premature deathin people with schizophrenia. We conducted a clinical overview to establish how smoking cessation should be promoted in practice. MethodSystematic clinical review of major electronic databases from inception till November 2014. ResultsA growing body of evidence supports pharmacological interventions to assist smoking cessation. The most promising evidence is for bupropion with several meta-analyses demonstrating its effectiveness. Currently, there is limited evidence demonstrating the effectiveness of nicotine replacement therapy (NRT) and varenicline, although this is likely to be due to the paucity of research. There are no consistent data to suggest that pharmacological interventions increase adverse events. Behavioural and psychosocial interventions also demonstrate promise, particularly when combined with pharmacotherapy. Careful monitoring of antipsychotic levels (in particular clozapine) is essential, and the promotion of physical activity may be useful to negate potential weight gain and diabetes risk following smoking cessation. ConclusionEvidence from systematic reviews and meta-analyses suggests that smoking cessation interventions are effective in people with schizophrenia, although more long-term research is required. Promoting smoking cessation should be given utmost priority inclinical practice, and we offer practical strategies to facilitate this.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据