Treatments for smoking

How is smoking related to schizophrenia?

Tobacco smoking is very common among people with schizophrenia, who often show particularly heavy usage. This poses considerable health risks, may interfere with antipsychotic medications and may place a financial burden on the individual. Heavy cigarette use may contribute to the increased mortality and reduced life expectancy reported within the schizophrenia population. This topic considers the evidence for the efficacy of interventions to reduce smoking in people with schizophrenia.

What is the evidence for interventions for smoking?

Moderate to high quality evidence suggests the antidepressant buproprion helps people with schizophrenia quit smoking in the short-term, but not in the long-term.

Moderate to low quality evidence suggests using monetary rewards in combination with nicotine patches is more effective than monetary rewards alone or self-quit for reducing smoking.

See also the topic on rates of smoking.

 

April 2016

Smoking

How is smoking related to schizophrenia? 

Tobacco smoking is very common among people with schizophrenia, who often show particularly heavy usage. This poses considerable health risks, may interfere with antipsychotic medications and may place a financial burden on the individual. Heavy cigarette use may contribute to the increased mortality and reduced life expectancy reported within the schizophrenia population.

What is the evidence for smoking?

Moderate to low quality evidence suggests people with schizophrenia have higher rates of smoking and lower rates of smoking cessation than the general population, including people with other mental disorders. People with first-episode psychosis, and people exhibiting risk for psychosis symptoms, also show higher rates of smoking. There is a medium-sized increased risk of psychotic disorders and an earlier age of psychosis onset in smokers compared to non-smokers.

Also see the adjunctive treatment topic for smoking cessation.

April 2016