Adelaide Health Service, Mental Health Directorate, Department for Health and Ageing, Adelaide, Australia.
Aust N Z J Psychiatry. 2013 Jul;47(7):631-6. doi: 10.1177/0004867413482008. Epub 2013 Mar 14.
To determine what motivates smokers with mental illness to participate in a smoking cessation or reduction programme and to report their attendance and cessation rates.
A group programme was provided to assist smokers with mental illness to cease or reduce their use of tobacco. People who registered to address their tobacco use completed a questionnaire which included information about their mental health, tobacco use, and what they wanted to achieve by attending the programme.
A total of 1043 smokers living with mental illness contacted the programme and asked for help to address their tobacco use between 2000 and 2011. At the first contact they were smoking an average of 27.4 cigarettes per day and had been smoking for 23.8 years, and 87% said they wanted to quit tobacco and a further 10% wanted to smoke less: 85% said they were concerned about the effect that smoking tobacco was having on their health, 56% were concerned for financial reasons, and nearly half (47.6%) said that they were concerned about both their physical health and their financial situation. In Adelaide, 148 Tobacco Free programmes were provided by mental health services. Of those who attended at least one session and completed an evaluation at the end of the programme, 22.5% reported not smoking. Most remained motivated to continue to address their tobacco use and many registered for a further programme.
Many smokers living with serious mental illness are concerned about the impact of tobacco use on their health and finances and are motivated to address it. Group treatment programmes specifically designed for these people can achieve good cessation rates and should be readily accessible to all smokers with mental illness.
确定促使患有精神疾病的吸烟者参与戒烟或减少吸烟计划的动机，并报告他们的出勤率和戒烟率。
提供了一个小组计划，以帮助患有精神疾病的吸烟者戒烟或减少烟草使用。注册以解决其烟草使用问题的人完成了一份问卷，其中包括有关其心理健康、烟草使用以及参加该计划希望实现的目标的信息。
2000 年至 2011 年间，共有 1043 名患有精神疾病的吸烟者联系该计划并寻求帮助以解决其烟草使用问题。在首次联系时，他们平均每天吸烟 27.4 支，吸烟时间为 23.8 年，87%表示希望戒烟，另有 10%希望减少吸烟量：85%表示担心吸烟对健康的影响，56%出于经济原因，近一半（47.6%）表示他们同时担心身体健康和经济状况。在阿德莱德，精神健康服务机构共提供了 148 个“无烟计划”。在至少参加过一次会议并在计划结束时完成评估的人中，有 22.5%报告没有吸烟。大多数人仍然有动力继续解决他们的烟草使用问题，许多人注册参加了另一个计划。
许多患有严重精神疾病的吸烟者担心烟草使用对他们的健康和财务状况的影响，并希望解决这个问题。专门为这些人设计的团体治疗计划可以实现较高的戒烟率，并且应该向所有患有精神疾病的吸烟者提供。
