Humair J P
Service de médecine de premier recours, Departement de médecine communautaire et de premier recours, HUG, 1211 Genève 14.
Rev Med Suisse. 2009 Jul 1;5(210):1472-5.
Smoking cessation in patients with mental disorders Smoking prevalence is higher in all mental disorders, particularly depression and schizophrenia, through complex and multifactorial associations. Among patients with mental disorders, smoking cessation increases risk of relapse and recurring depression and might decrease smoking abstinence. Though smoking cessation interventions are less effective, professional support, relapse prevention strategies, nicotine replacement and bupropion help some patients to quit smoking. New strategies should overcome barriers to smoking cessation in psychiatric settings and improve intervention with smokers. Research needs to further explore the link between smoking and mental health and develop effective interventions integrated in psychiatric care provided to smokers.
精神障碍患者的戒烟 在所有精神障碍中,吸烟率都较高,尤其是在抑郁症和精神分裂症患者中,这是通过复杂的多因素关联导致的。在精神障碍患者中,戒烟会增加复发和复发性抑郁症的风险,并且可能降低戒烟成功率。尽管戒烟干预措施效果较差,但专业支持、预防复发策略、尼古丁替代疗法和安非他酮能帮助一些患者戒烟。新策略应克服精神科环境中戒烟的障碍,并改善对吸烟者的干预。研究需要进一步探索吸烟与心理健康之间的联系,并制定整合到为吸烟者提供的精神科护理中的有效干预措施。