Efectividad de los programas deshabituación tabáquica para enfermos mentales graves.

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Bibliographic Details
Title:	Efectividad de los programas deshabituación tabáquica para enfermos mentales graves.
Alternate Title:	Effectiveness of smoking cessation programs for seriously mentally ill.
Authors:	M. Molina-Linde, Juan¹ juanm.molina.ext@juntadeandalucia.es
Source:	Actas Espanolas de Psiquiatria. mar2011, Vol. 39 Issue 2, p106-114. 9p. 3 Charts.
Subjects:	SMOKING cessation, REHABILITATION of cigarette smokers, PEOPLE with mental illness, MENTAL illness, CIGARETTE smokers, MENTAL depression, SCHIZOPHRENIA, PSYCHOSES
Abstract (English):	Introduction. Many studies have supported the significant association between mental illness and smoking habit, with relative independence of sociocultural factors. The aim of this study was to review effective strategies for smoking cessation of adults with major depression, schizophrenia and psychosis. Material and methods. An extensive literature search was performed in Medline, Embase, PsycINFO, Cochrane Library, Center for Reviews and Dissemination, ECRI, clinicaltrials.gov, UK National Research Register, Current Controlled Trials, Trip Database, NLM Gateway, Networked Digital Library of Theses and Dissertations (electronic theses and dissertations (ETDs)), TESEO, Dialnet, Lilacs, SciELO, EMI, Doyma, and Catalogue et Index des Sites Medical Francophones. We selected all systematic reviews, comprehensive reports, clinical trials, observational studies and recommendations, which had evaluated smoking cessation programs in patients with severe mental illness. Results. Few studies focusing on smoking cessation in severe mental illness were found. In the treatment of smokers who suffer these mental disorders, it is recommended to increase and prolong the treatment period, to implement joint psychoeducation techniques, cognitive-behavioral techniques and the use of any drug treatment that helps to control and / or reduce the occurrence of relapses in tobacco consumption or baseline psychiatric symptoms. However, there is great heterogeneity in the recommendations given by the studies. Conclusions. It remains unclear whether people with severe mental illness could benefit from access to smoking cessation treatments. In the best of the scenarios, it was seen that drug therapy and psychosocial interventions have indicated abstinence at 6 months for a few patients. [ABSTRACT FROM AUTHOR]
Abstract (Spanish):	Introducción. Numerosas investigaciones señalan la asociación significativa entre enfermedad mental y fumar, relativamente independiente de factores socioculturales. El objeto de este estudio fue examinar las estrategias eficaces para la deshabituación tabáquica en adultos con depresión mayor, esquizofrenia y psicosis. Material y métodos. Se ha realizado una búsqueda bibliográfica extensa en Medline, Embase, PsycINFO, Cochrane Library, Centre for Reviews and Dissemination, ECRI, clinicaltrials. gov, UK National Research Register, Current Controlled Trials, Trip Database, NLM Gateway, Networked Digital Library of Theses and Dissertations (electronic theses and dissertations (ETDs)), TESEO, Dialnet, Lilacs, Scielo, IME, Doyma y Catalogue et Index des Sites Médicaux Francophones. Se seleccionaron todas las revisiones sistemáticas, informes completos, ensayos clínicos, estudios observacionales y recomendaciones, que hubieran evaluado programas de deshabituación tabáquica en enfermos con patología mental grave. Resultados. Existen pocos estudios que se centren en la deshabituación tabáquica en enfermos mentales graves. En el tratamiento del tabaquismo en pacientes que padecen alguna de estas patologías mentales es conveniente: incrementar y prolongar el tiempo de tratamiento, poner en práctica técnicas conjuntas de psicoeducación, cognitivoconductuales y la utilización de algún tratamiento farmacológico que ayude a controlar y/o reducir la aparición de recaídas en el consumo de tabaco o en la sintomatología psiquiátrica de base. No obstante, existe una gran heterogeneidad en las recomendaciones de los estudios. Conclusiones. Permanece confuso si las personas con enfermedad mental grave pueden beneficiarse del acceso a tratamientos de deshabituación tabáquica. En el mejor de los casos, la terapia farmacológica y las intervenciones psicosociales apuntan a la abstinencia a los 6 meses para muy pocos pacientes. [ABSTRACT FROM AUTHOR]
	Copyright of Actas Espanolas de Psiquiatria is the property of Maria Lopez-Ibor and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database:	MedicLatina

Description
Abstract:	Introduction. Many studies have supported the significant association between mental illness and smoking habit, with relative independence of sociocultural factors. The aim of this study was to review effective strategies for smoking cessation of adults with major depression, schizophrenia and psychosis. Material and methods. An extensive literature search was performed in Medline, Embase, PsycINFO, Cochrane Library, Center for Reviews and Dissemination, ECRI, clinicaltrials.gov, UK National Research Register, Current Controlled Trials, Trip Database, NLM Gateway, Networked Digital Library of Theses and Dissertations (electronic theses and dissertations (ETDs)), TESEO, Dialnet, Lilacs, SciELO, EMI, Doyma, and Catalogue et Index des Sites Medical Francophones. We selected all systematic reviews, comprehensive reports, clinical trials, observational studies and recommendations, which had evaluated smoking cessation programs in patients with severe mental illness. Results. Few studies focusing on smoking cessation in severe mental illness were found. In the treatment of smokers who suffer these mental disorders, it is recommended to increase and prolong the treatment period, to implement joint psychoeducation techniques, cognitive-behavioral techniques and the use of any drug treatment that helps to control and / or reduce the occurrence of relapses in tobacco consumption or baseline psychiatric symptoms. However, there is great heterogeneity in the recommendations given by the studies. Conclusions. It remains unclear whether people with severe mental illness could benefit from access to smoking cessation treatments. In the best of the scenarios, it was seen that drug therapy and psychosocial interventions have indicated abstinence at 6 months for a few patients. [ABSTRACT FROM AUTHOR]
ISSN:	11399287