ISSN 1302-6631
 

Review Article 


Severe mental disorders, depression and smoking cessation

L. İlhan Yargıç, Hayriye Baykan.

Abstract
In recent years, large campaigns have been organized for smoking cessation, health professionals have been educated about this topic and special treatment programs have been developed by the government for smokers. Although cigarette smoking is very frequent among patients with severe mental illness and it’s a cause of morbidity and mortality, psychiatrists are not very eager for smoking cessation among psychiatric patients. However, in recent years, treatment studies have shown that with some modifications, conventional smoking cessation approaches may be quite beneficial among these severe mentally ill patients who are classically known to be failures in such treatments. In recent years, there have been developments in pharmacological approaches for smoking cessation, but neuropsychiatric side effects of these medications may be serious. Risk and benefit ratio for each patient should be taken into account while making a treatment plan.

Key words: smoking cessation, tobacco, nicotine, schizophrenia, bipolar disorder, depression



Ağır psikiyatrik bozukluklar, depresyon ve sigarayı bırakma

Ozet
Son yıllarda ülkemizde sigarayı bırakma konusunda çok ciddi kampanyalar düzenlenmekte, sağlık çalışanları bu konuda bilinçlendirilmekte ve devlet eliyle bu alana özel tedavi hizmetleri verilmektedir. Ancak ciddi psikiyatrik bozukluğu olanlar arasında sigara içme çok yaygın olmasına ve ciddi bir mortalite ve morbidite nedeni olmasına rağmen psikiyatri uzmanları, psikiyatri hastalarında sigarayı bıraktırma konusunda çok gayretli davranmamaktadır. Oysa son yıllarda yapılan tedavi çalışmaları göstermiştir ki, ciddi psikiyatrik bozukluğu olan ve klasik bilgilere göre sigarayı bırakmaları çok zor olarak görülen kişilerde de sigarayı bırakma tedavilerinin bazı değişiklikler yapılarak uygulanmasıyla başarılı sonuçlar alınabilmektedir. Son yıllarda sigarayı bırakma amaçlı ilaç tedavilerinde de gelişmeler olmuştur. Ancak bu alanda kullanılan ilaçların ciddi nöropsikiyatrik yan etkileri olabilmektedir. Her hastada yarar ve risk dengesi gözetilerek uygun tedavi seçeneğinin belirlenmesi gereklidir.

Anahtar Kelimeler: Sigarayı bırakma, tütün, nikotin, şizofreni, bipolar bozukluk, depresyon


 
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How to Cite this Article
Pubmed Style

Yargic LI, Baykan H. [Severe mental disorders, depression and smoking cessation]. Anadolu Psikiyatri Derg. 2013; 14(1): 77-83. Turkish. doi:10.5455/apd.34493


Web Style

Yargic LI, Baykan H. [Severe mental disorders, depression and smoking cessation]. http://www.anadolupsikiyatri.net/?mno=34493 [Access: July 20, 2018]. Turkish. doi:10.5455/apd.34493


AMA (American Medical Association) Style

Yargic LI, Baykan H. [Severe mental disorders, depression and smoking cessation]. Anadolu Psikiyatri Derg. 2013; 14(1): 77-83. Turkish. doi:10.5455/apd.34493



Vancouver/ICMJE Style

Yargic LI, Baykan H. [Severe mental disorders, depression and smoking cessation]. Anadolu Psikiyatri Derg. (2013), [cited July 20, 2018]; 14(1): 77-83. Turkish. doi:10.5455/apd.34493



Harvard Style

Yargic, L. I. & Baykan, H. (2013) [Severe mental disorders, depression and smoking cessation]. Anadolu Psikiyatri Derg, 14 (1), 77-83. Turkish. doi:10.5455/apd.34493



Turabian Style

Yargic, L. Ilhan, and Hayriye Baykan. 2013. [Severe mental disorders, depression and smoking cessation]. Anatolian Journal of Psychiatry, 14 (1), 77-83. Turkish. doi:10.5455/apd.34493



Chicago Style

Yargic, L. Ilhan, and Hayriye Baykan. "[Severe mental disorders, depression and smoking cessation]." Anatolian Journal of Psychiatry 14 (2013), 77-83. Turkish. doi:10.5455/apd.34493



MLA (The Modern Language Association) Style

Yargic, L. Ilhan, and Hayriye Baykan. "[Severe mental disorders, depression and smoking cessation]." Anatolian Journal of Psychiatry 14.1 (2013), 77-83. Print.Turkish. doi:10.5455/apd.34493



APA (American Psychological Association) Style

Yargic, L. I. & Baykan, H. (2013) [Severe mental disorders, depression and smoking cessation]. Anatolian Journal of Psychiatry, 14 (1), 77-83. Turkish. doi:10.5455/apd.34493





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