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P0001 - Peculiarities of tobacco smoking and addiction among psychiatric patients in Lithuania

Published online by Cambridge University Press:  16 April 2020

V. Adomaitiene ,
K. Dambrauskiene ,
A Veryga ,
J. Klumbiene ,
G. Jonusiene ,
V. Taranda  and
A. Kunigeliene
V. Adomaitiene
Affiliation:
Department of Psychiatry, Kaunas University of Medicine, Kaunas, Lithuania
K. Dambrauskiene
Affiliation:
Department of Psychiatry, Kaunas University of Medicine, Kaunas, Lithuania
A Veryga
Affiliation:
Department of Preventive Medicine, Kaunas University of Medicine, Kaunas, Lithuania
J. Klumbiene
Affiliation:
Institute for Biomedical Research, Kaunas University of Medicine, Kaunas, Lithuania
G. Jonusiene
Affiliation:
Department of Psychiatry, Kaunas University of Medicine, Kaunas, Lithuania
V. Taranda
Affiliation:
Department of Psychiatry, Kaunas University of Medicine, Kaunas, Lithuania
A. Kunigeliene
Affiliation:
Department of Psychiatry, Kaunas University of Medicine, Kaunas, Lithuania

Abstract

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Smoking prevalence in psychiatric patients is two to three times higher than in the general population. Nicotine dependence meets the criteria for a psychiatric diagnosis, and is thus the psychiatric diagnosis with the highest premature mortality. Smoking cessation is not discussed routinely in psychiatry. One of the reasons is the presumption that the patients do not wish to quit smoking.

Objective:

The aim of this study is to determine prevalence of tobacco-smoking and nicotine dependence among psychiatric patients; peculiarities of tobacco smoking and addiction according to diagnosis.

Methods:

A population of 198 psychiatric inpatients and 211 psychiatric outpatient were surveyed using a detailed smoking self-questionnaire for smoking habits, Fagerström Questionnaire, questionnaire for estimating type of smoking behavior and HAD (Hospital Anxiety and Depression) scale.

Results:

Smoking prevalence was higher among psychiatric patients than in general population. Correlations between level of nicotine dependence, types of smoking behavior and ICD-10 diagnoses were estimated. A significant proportion of psychiatric patients recognize that smoking is a problem, want to quit and would like attend smoking cessation therapy.

Conclusion:

It was found that a majority of the patients wished to quit smoking, and that they would like to participate in a smoking cessation course.

There are many reasons why mentally ill persons may find it more difficult to quit smoking than mentally healthy smokers. Among the important reasons are: severe nicotine dependence, neurological vulnerability, self-medication with nicotine, lack of support from the surroundings, use of ineffective smoking cessation methods.

Type
Poster Session III: Alcoholism and Addiction
Information
European Psychiatry , Volume 23 , Issue S2: 16th AEP Congress - Abstract book - 16th AEP Congress , April 2008 , pp. S304
Copyright
Copyright © European Psychiatric Association 2008
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