Change in smoking cessation stage over 1 year in patients with schizophrenia: a follow up study in Japan

Abstract Background We performed a follow up study about willingness and behaviors to quit smoking among smokers with schizophrenia in Japan. Methods Participants were outpatients with schizophrenia aged 20–69 years who had been visiting the hospital for ≥1 year as of April 1, 2016, and had visited...

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Main Authors: Yuji Higuchi, Masaki Fujiwara, Naoki Nakaya, Maiko Fujimori, Chinatsu Hayashibara, Ryuhei So, Ikuta Shinkawa, Kojiro Sato, Yuji Yada, Masafumi Kodama, Hiroshi Takenaka, Yoshiki Kishi, Kyoko Kakeda, Yosuke Uchitomi, Norihito Yamada, Masatoshi Inagaki
Format: Article
Language:English
Published: BMC 2019-11-01
Series:BMC Psychiatry
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12888-019-2351-9
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author Yuji Higuchi
Masaki Fujiwara
Naoki Nakaya
Maiko Fujimori
Chinatsu Hayashibara
Ryuhei So
Ikuta Shinkawa
Kojiro Sato
Yuji Yada
Masafumi Kodama
Hiroshi Takenaka
Yoshiki Kishi
Kyoko Kakeda
Yosuke Uchitomi
Norihito Yamada
Masatoshi Inagaki
author_facet Yuji Higuchi
Masaki Fujiwara
Naoki Nakaya
Maiko Fujimori
Chinatsu Hayashibara
Ryuhei So
Ikuta Shinkawa
Kojiro Sato
Yuji Yada
Masafumi Kodama
Hiroshi Takenaka
Yoshiki Kishi
Kyoko Kakeda
Yosuke Uchitomi
Norihito Yamada
Masatoshi Inagaki
author_sort Yuji Higuchi
collection DOAJ
description Abstract Background We performed a follow up study about willingness and behaviors to quit smoking among smokers with schizophrenia in Japan. Methods Participants were outpatients with schizophrenia aged 20–69 years who had been visiting the hospital for ≥1 year as of April 1, 2016, and had visited the hospital more than once in the previous 6 months. A baseline survey on smoking behaviors including current smoking status and smoking cessation stage, was administered in 420 participants that were randomly extracted from a patient pool (n = 680) in 2016, and a follow-up survey was administered in 2017. We calculated the distribution and change in smoking cessation stage, number of smokers and nonsmokers after 1 year, and quitting rate from a naturalistic 1-year smoking-cessation follow up. Results The number of baseline respondents was 350; 113 current smokers and 68 former smokers. Among the 113 current smokers, 104 (92.0%) were followed for 1 year, 79 (70.0%) were interested in smoking cessation, and only 7 had received smoking cessation treatments at baseline. Among the tracked 104 participants, only 6 (5.8%) stopped smoking after 1 year. Among the 25 participants who had intentions to quit smoking within 6 months at baseline, 6 (24.0%) maintained their intention to quit smoking for 1 year, and 16 (64.0%) did not maintain their intention to quit smoking. Conclusions Our findings showed that many smokers with schizophrenia were interested in quitting smoking, but few patients received treatment and actually quit smoking. Timely intervention, including the option to receive smoking cessation treatment, is necessary for those patients with schizophrenia who smoke. Trial registration UMIN Clinical Trials Registry (UMIN000023874, registered on August 31, 2016).
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spelling doaj.art-a2bd60bac24f403a93d5a2312ffd4d192022-12-22T00:59:01ZengBMCBMC Psychiatry1471-244X2019-11-011911910.1186/s12888-019-2351-9Change in smoking cessation stage over 1 year in patients with schizophrenia: a follow up study in JapanYuji Higuchi0Masaki Fujiwara1Naoki Nakaya2Maiko Fujimori3Chinatsu Hayashibara4Ryuhei So5Ikuta Shinkawa6Kojiro Sato7Yuji Yada8Masafumi Kodama9Hiroshi Takenaka10Yoshiki Kishi11Kyoko Kakeda12Yosuke Uchitomi13Norihito Yamada14Masatoshi Inagaki15Taiyo Hills HospitalDepartment of Neuropsychiatry, Okayama University HospitalDepartment of Preventive Medicine and Epidemiology, Tohoku Medical Megabank Organization, Tohoku UniversityDivision of Health Care Research, Behavioral Sciences and Survivorship Research and Division of Cohort Consortium Research, Epidemiology and Prevention Group, Center for Public Health Sciences, National Cancer CenterDivision of Occupational Therapy, Faculty of Care and Rehabilitation, Seijoh UniversityOkayama Psychiatric Medical CenterOkayama Psychiatric Medical CenterOkayama Psychiatric Medical CenterOkayama Psychiatric Medical CenterOkayama Psychiatric Medical CenterOkayama Psychiatric Medical CenterOkayama Psychiatric Medical CenterDepartment of Neuropsychiatry, Kochi Medical School, Kochi UniversityInnovation Center for Supportive, Palliative and Psychosocial Care, National Cancer Center Hospital and Behavioral Sciences and Survivorship Research, Center for Public Health Sciences, National Cancer CenterDepartment of Neuropsychiatry, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical ScienceDepartment of Psychiatry, Faculty of Medicine, Shimane UniversityAbstract Background We performed a follow up study about willingness and behaviors to quit smoking among smokers with schizophrenia in Japan. Methods Participants were outpatients with schizophrenia aged 20–69 years who had been visiting the hospital for ≥1 year as of April 1, 2016, and had visited the hospital more than once in the previous 6 months. A baseline survey on smoking behaviors including current smoking status and smoking cessation stage, was administered in 420 participants that were randomly extracted from a patient pool (n = 680) in 2016, and a follow-up survey was administered in 2017. We calculated the distribution and change in smoking cessation stage, number of smokers and nonsmokers after 1 year, and quitting rate from a naturalistic 1-year smoking-cessation follow up. Results The number of baseline respondents was 350; 113 current smokers and 68 former smokers. Among the 113 current smokers, 104 (92.0%) were followed for 1 year, 79 (70.0%) were interested in smoking cessation, and only 7 had received smoking cessation treatments at baseline. Among the tracked 104 participants, only 6 (5.8%) stopped smoking after 1 year. Among the 25 participants who had intentions to quit smoking within 6 months at baseline, 6 (24.0%) maintained their intention to quit smoking for 1 year, and 16 (64.0%) did not maintain their intention to quit smoking. Conclusions Our findings showed that many smokers with schizophrenia were interested in quitting smoking, but few patients received treatment and actually quit smoking. Timely intervention, including the option to receive smoking cessation treatment, is necessary for those patients with schizophrenia who smoke. Trial registration UMIN Clinical Trials Registry (UMIN000023874, registered on August 31, 2016).http://link.springer.com/article/10.1186/s12888-019-2351-9CigarettesMental healthSchizophreniaSmokingTobacco products
spellingShingle Yuji Higuchi
Masaki Fujiwara
Naoki Nakaya
Maiko Fujimori
Chinatsu Hayashibara
Ryuhei So
Ikuta Shinkawa
Kojiro Sato
Yuji Yada
Masafumi Kodama
Hiroshi Takenaka
Yoshiki Kishi
Kyoko Kakeda
Yosuke Uchitomi
Norihito Yamada
Masatoshi Inagaki
Change in smoking cessation stage over 1 year in patients with schizophrenia: a follow up study in Japan
BMC Psychiatry
Cigarettes
Mental health
Schizophrenia
Smoking
Tobacco products
title Change in smoking cessation stage over 1 year in patients with schizophrenia: a follow up study in Japan
title_full Change in smoking cessation stage over 1 year in patients with schizophrenia: a follow up study in Japan
title_fullStr Change in smoking cessation stage over 1 year in patients with schizophrenia: a follow up study in Japan
title_full_unstemmed Change in smoking cessation stage over 1 year in patients with schizophrenia: a follow up study in Japan
title_short Change in smoking cessation stage over 1 year in patients with schizophrenia: a follow up study in Japan
title_sort change in smoking cessation stage over 1 year in patients with schizophrenia a follow up study in japan
topic Cigarettes
Mental health
Schizophrenia
Smoking
Tobacco products
url http://link.springer.com/article/10.1186/s12888-019-2351-9
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