1. The prevalence, odds, predictors, and management of tobacco use disorder or nicotine dependence among people with severe mental illness: Systematic review and meta-analysis
- Author
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Michele De Prisco, Andre F. Carvalho, Michele Fornaro, Martina Billeci, Andrea de Bartolomeis, David J. Castle, Felice Iasevoli, Peter Selby, Michael Berk, Anna Maria Mondin, Fornaro, M., Carvalho, A. F., De Prisco, M., Mondin, A. M., Billeci, M., Selby, P., Iasevoli, F., Berk, M., Castle, D. J., and de Bartolomeis, A.
- Subjects
Male ,Nicotine dependence ,medicine.medical_specialty ,Bipolar disorder ,Cognitive Neuroscience ,medicine.medical_treatment ,education ,Psychological intervention ,Major depressive disorder ,Smoking cessation ,Tobacco use disorder ,Behavioral Neuroscience ,chemistry.chemical_compound ,mental disorders ,Prevalence ,medicine ,Humans ,Varenicline ,Psychiatry ,business.industry ,Mental Disorders ,medicine.disease ,Mental illness ,Treatment ,Neuropsychology and Physiological Psychology ,Mood disorders ,chemistry ,Schizophrenia ,business ,Neuroscience - Abstract
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.
- Published
- 2022