The prevalence, odds, predictors, and management of tobacco use disorder or nicotine dependence among people with severe mental illness: Systematic review and meta-analysis.
Bipolar disorder
Major depressive disorder
Neuroscience
Nicotine dependence
Prevalence
Psychiatry
Schizophrenia
Smoking cessation
Tobacco use disorder
Treatment
Journal
Neuroscience and biobehavioral reviews
ISSN: 1873-7528
Titre abrégé: Neurosci Biobehav Rev
Pays: United States
ID NLM: 7806090
Informations de publication
Date de publication:
01 2022
01 2022
Historique:
received:
14
12
2020
revised:
21
11
2021
accepted:
22
11
2021
pubmed:
29
11
2021
medline:
3
3
2022
entrez:
28
11
2021
Statut:
ppublish
Résumé
The prevalence, correlates, and management of tobacco use disorder (TUD) or nicotine dependence (ND) among people with severe mental illness (SMI), namely schizophrenia, bipolar disorder (BD), and major depressive disorder (MDD), remain unclear. Therefore, a systematic review and meta-analysis was conducted. Electronic databases were systematically searched from inception to July 12, 2020, for observational studies documenting the prevalence, odds, and correlates of TUD/ND among people with SMI; randomized controlled trials (RCTs) informing the management of TUD/ND in people with SMI were also included. Random-effects meta-analyses were conducted. Sources of heterogeneity were explored. Nineteen observational studies, including 7527 participants with SMI met inclusion criteria. TUD/ND co-occurred in 33.4-65% of people with SMI. Rates were higher among males. While bupropion and varenicline represent promising treatment opportunities for schizophrenia with TUD/ND, non-pharmacological interventions require further research, mainly for people with primary mood disorders. TUD/ND represent prevalent co-occurring conditions among people with SMI. Further well-designed RCTs are warranted to inform their management.
Identifiants
pubmed: 34838527
pii: S0149-7634(21)00533-9
doi: 10.1016/j.neubiorev.2021.11.039
pii:
doi:
Substances chimiques
Varenicline
W6HS99O8ZO
Types de publication
Journal Article
Meta-Analysis
Review
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
289-303Informations de copyright
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