Appeal of electronic cigarettes in smokers with serious mental illness
| Autor: | Sarah I. Pratt, Luke Daniels, Meghan Santos, James D. Sargent, Mary F. Brunette |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Nausea Appeal Medicine (miscellaneous) Electronic Nicotine Delivery Systems Toxicology Nicotine Young Adult 03 medical and health sciences High morbidity 0302 clinical medicine medicine Sore throat Humans 030212 general & internal medicine Nicotine dependence Psychiatry Aged Smokers business.industry Mental Disorders Tobacco Use Disorder Middle Aged medicine.disease Mental illness 030227 psychiatry Psychiatry and Mental health Clinical Psychology Patient Satisfaction Female medicine.symptom business Breath carbon monoxide medicine.drug |
| Zdroj: | Addictive Behaviors. 59:30-34 |
| ISSN: | 0306-4603 |
| Popis: | Introduction Up to 75% of people with serious mental illness (SMI) smoke, and most are highly dependent on nicotine, consuming more cigarettes per day than smokers without mental illness. Even with evidence-based treatment, relapses are common, resulting in high morbidity and early mortality from tobacco-related diseases. Electronic cigarettes (e-cigarettes) are theoretically safer because they deliver no tar or carbon monoxide; however, their appeal is largely untested in people with SMI. Methods We enrolled 21 chronic smokers with SMI who had failed a quit attempt and were not engaged in cessation treatment. Research staff provided e-cigarettes and instructions on how to use them, and assessed participants weekly for 4 weeks. Results Of the enrolled participants, 19 completed weekly assessments. From baseline to the final study visit, mean self-reported use of combustible tobacco declined from 192 to 67 cigarettes/week (t = 3.62, df = 17, p = 0.005), confirmed by reduction in breath carbon monoxide from 27 ppm to 15 ppm (t = 3.246, df = 18, p = 0.004). Use of e-cigarettes did not escalate over the 4 weeks. Temporary and mild side effects, including dry/sore throat, nausea, dizziness, and cough, were reported by 58% of participants. End of trial ratings of enjoyment, satisfaction compared to regular cigarettes, and willingness to buy e-cigarettes were high (ranging from 3.82–4.51 on a 5-point scale). Conclusions Results of this study suggest that people with SMI may find e-cigarettes an appealing substitute for combustible cigarettes. We found no evidence of increasing nicotine dependence. Further randomized studies are needed to better assess e-cigarette appeal and toxicity. |
| Databáze: | OpenAIRE |
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