Current Psychiatry Reports

, Volume 14, Issue 5, pp 478–485

Treatment of Tobacco Dependence in People With Mental Health and Addictive Disorders

  • Kristen M. Mackowick
  • Marie-Josee Lynch
  • Andrea H. Weinberger
  • Tony P. George
Substance Use and Related Disorders (JR McKay, Section Editor)

DOI: 10.1007/s11920-012-0299-2

Cite this article as:
Mackowick, K.M., Lynch, MJ., Weinberger, A.H. et al. Curr Psychiatry Rep (2012) 14: 478. doi:10.1007/s11920-012-0299-2

Abstract

People with mental health and addictive disorders (MHADs) have higher rates of cigarette smoking, and less success in quitting smoking compared with the general population. Moreover, tobacco-related medical illness may be the leading cause of death in the MHAD population. We discuss the scope of this comorbidity, and approaches to the treatment of tobacco dependence in people with MHAD, including schizophrenia, mood disorders, anxiety disorders, and alcohol and substance use disorders. Finally, at the level of health systems, we emphasize the importance of integrated treatment of tobacco dependence in MHADs.

Keywords

Mental health and addictive disordersNicotine dependenceTobaccoTreatmentSmoking cessationPsychiatric disordersSchizophreniaAnxiety disordersMood disordersSubstance use disordersAlcoholismComorbiditiesPharmacotherapyIntegrated care

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Kristen M. Mackowick
    • 1
    • 2
  • Marie-Josee Lynch
    • 3
    • 4
  • Andrea H. Weinberger
    • 5
    • 6
  • Tony P. George
    • 3
    • 4
    • 5
  1. 1.Intramural Research Program, National Institute on Drug Abuse (NIDA)National Institutes of Health (NIH)BaltimoreUSA
  2. 2.Institute of Medical SciencesUniversity of TorontoTorontoCanada
  3. 3.Division of Brain and Therapeutics, Department of PsychiatryUniversity of TorontoTorontoCanada
  4. 4.Schizophrenia ProgramCentre for Addiction and Mental Health (CAMH)TorontoCanada
  5. 5.Division of Substance Abuse, Department of PsychiatryYale University School of MedicineNew HavenUSA
  6. 6.Cancer Prevention and Control Research ProgramYale Cancer CenterNew HavenUSA