University of Colorado Denver, Denver, CO, USA.
Community Ment Health J. 2011 Dec;47(6):694-702. doi: 10.1007/s10597-011-9411-z. Epub 2011 May 10.
Persons with mental illnesses use tobacco at significantly higher and heavier rates than the general population, and suffer greater tobacco- related morbidity and mortality. However, there are few existing tobacco cessation interventions for these individuals. This study examined two tobacco cessation interventions, a telephonic quitline intervention (counseling and nicotine replacement therapy) and a community-based group counseling intervention with adults currently receiving community mental health services. At 6-month follow-up, both groups demonstrated significantly reduced tobacco use, but participants who received both quitline services and the group counseling intervention were significantly more likely to have a 50% tobacco use reduction. Across groups, the overall intent-to-treat cessation rate was 7%. Tobacco dependence, depression symptoms, and psychotic symptoms decreased significantly for all treatment groups, while health and mental health functioning increased. Findings suggest that common community tobacco cessation services are effective for this population.
精神疾病患者使用烟草的比例和数量明显高于普通人群，并且与烟草相关的发病率和死亡率更高。然而，针对这些人群的戒烟干预措施却很少。本研究调查了两种戒烟干预措施，即电话戒烟热线干预（咨询和尼古丁替代疗法）和针对正在接受社区心理健康服务的成年人的社区为基础的小组咨询干预。在 6 个月的随访中，两组的烟草使用均显著减少，但同时接受戒烟热线服务和小组咨询干预的参与者更有可能减少 50%的烟草使用。在所有组中，总体意向治疗戒烟率为 7%。所有治疗组的烟草依赖、抑郁症状和精神病症状均显著下降，而健康和心理健康功能则有所提高。研究结果表明，针对该人群的常见社区戒烟服务是有效的。
