1. Inicio
  2. Publicaciones
  3. Setting the stage to quit smoking in Bipolar Disorder patients: brief advice in clinical practice

Setting the stage to quit smoking in Bipolar Disorder patients: brief advice in clinical practice

Fecha de publicación:

Autores de IIS La Fe

Participantes ajenos a IIS La Fe

  • Sarramea, F
  • Jaen-Moreno, MJ
  • Osuna, MI
  • Alcala, JA
  • Montiel, FJ
  • Gomez, C
  • Sanchez, MD
  • Rico, AB
  • Redondo-Ecija, J
  • Gil, S
  • Valdivia, F
  • Caballero-Villarraso, J
  • Gutierrez-Rojas, L

Abstract

Tobacco consumption is the main preventable factor of mortality in smokers with bipolar disorder (BD), and any possible solutions are often blocked by prejudices over desire, and the possibilities and risks for these patients in giving up tobacco consumption. Adults with BD were recruited at 8 Mental Health Centres. Smokers were evaluated before and after a brief intervention based on the 3 A's and classified into a 'Stage of Change' (SOC) and their 'Readiness to Change' (RTC). A multiple linear regression was used to analyze the progression in their RTC and the independent effect of different variables (pharmacological treatment, history of psychotic symptoms, current anxiety symptoms, willingness, self-perceived capacity to quit smoking and subjective perception of cognitive functioning). Of 212 stable patients diagnosed with BD, current smokers (n=101; 47.6%) were included in the intervention phase, and 80.2% completed it. At baseline, 75.2% were considering the idea of giving up smoking and, after the brief intervention, 30.9% of the patients progressed in their SOC. A significant increase in the level of RTC was observed (53.3 vs 59.3, P=0.019). Perception of cognitive performance (beta=-0.35; P=0.002), the degree of willing to quit (beta=0.32; P=0.008), self-perceived capacity to quit tobacco smoking (beta=-0.30; P=0.012), the patient's age (beta=-0.72; P=0.004), the age of onset of smoking (beta=0.48; P=0.022) and years as a smoker (beta=0.48; P=0.025) were all factors that significantly influenced the chances of improving after the short intervention. Smokers with BD consider the idea of quitting and a brief intervention developed in the every day mental health care setting improves the level of readiness. The neurocognitive dysfunction associated with BD may limit patients' readiness to quit smoking.

Datos de la publicación

ISSN/ISSNe:
0214-4840,

Adicciones  SOCIDROGALCOHOL

Tipo:
Article
Páginas:
136-145
PubMed:
30059580
Factor de Impacto:
0,716 SCImago ℠
Cuartil:
Q2 SCImago ℠

Citas Recibidas en Web of Science: 10

Documentos

  • No hay documentos

Métricas

Filiaciones mostrar / ocultar

Keywords

  • Bipolar disorder; Tobacco; Smoking cessation; Brief advice; readiness to change

Proyectos y Estudios Clínicos

INFLAMACIÓN, DISBIOSIS Y TRASLOCACIÓN BACTERIANA EN TRASTORNO BIPOLAR Y ESQUIZOFRENIA: INFLUENCIA DEL ESTILO DE VIDA. ESTUDIO PROBILIFE.

Investigador Principal: VICENT BALANZA MARTINEZ

PI16/01770 . INSTITUTO DE SALUD CARLOS III . 2017

Cita

Compartir