戒烟过程中的社会和环境因素：严重精神疾病成人的经验

IF 3.6 2区医学 Q1 PSYCHIATRY

Schizophrenia Research Pub Date : 2025-03-01 DOI:10.1016/j.schres.2025.03.010

Heather Leutwyler , Jeremiah Mock , Erin Hubbard , Theodore Bussell , Negin Zahedikia , Nikta Vaghar , Dennys Balestra , Sophia Wuest , Meg Wallhagen , Chizimuzo Okoli

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引用次数: 0

摘要

与没有重度精神疾病的人相比，精神分裂症和其他严重精神疾病（SMI）患者面临着不成比例的烟草相关患病率负担，因此，烟草引起的发病率。社会和环境因素在重度精神分裂症患者的健康中起着重要作用，但对这些因素在重度精神分裂症成人戒烟干预中的作用知之甚少。本文的目的是分析参与戒烟计划的重度精神障碍成人戒烟过程的社会和环境因素。方法：我们对30名重度精神障碍患者（平均年龄47.0岁，标准差12.2）进行了半结构化的定性访谈，这些患者完成了为期12周的戒烟计划。扎根理论方法论指导数据收集和分析。结果参与者描述了他们成功戒烟或减少吸烟的原因，并阐明了社会和环境因素在这一过程中所起的作用。从这些数据中可以归纳出戒烟的两大类社会决定因素：1)支持和归属；2)环境，包括物质和更广泛的社会政治。讨论/结论我们的研究结果说明了在健康干预中纳入社会和环境背景的重要性，并提醒人们在定制干预措施以满足重度精神分裂症患者的独特需求时考虑健康的社会决定因素。这些发现可以为心理健康项目中戒烟项目的发展提供信息，例如在戒烟过程中需要纳入基于群体的社会支持、自然友好型环境和社会活动。

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Social and environmental factors during the smoking cessation process: The experiences of adults with serious mental illnesses

Introduction

People living with schizophrenia and other serious mental illnesses (SMI) face a disproportionate burden of tobacco-related prevalence and, consequently, tobacco-induced morbidity, in comparison to those without SMI. Social and environmental factors play an important role in the health of people with SMI yet less is known about the role of these factors in smoking cessation interventions for adults with SMI. The purpose of this paper is to analyze the social and environmental factors that contributed to the smoking cessation process among adults with SMI enrolled in a smoking cessation program.

Methods

We conducted semi-structured qualitative interviews with 30 adults (mean age 47.0, sd 12.2) living with SMI, upon completion of a 12-week smoking cessation program. Grounded Theory methodology guided data collection and analysis.

Results

Participants described what contributed to their success with smoking cessation or reduction and elucidated how social and environmental factors played a role in the process. Two broad categories of the social determinants of smoking cessation evolved from the data: 1) support and belonging; and 2) environment, including both the physical and broader sociopolitical.

Discussion/conclusion

Our findings illustrate the importance of including social and environmental contexts in health interventions and serve as a reminder to consider social determinants of health when tailoring interventions to meet the unique needs of people living with SMI. These findings can inform the development of tobacco cessation programs in mental health programs, such as the need to incorporate group-based social support, nature-friendly environments, and social activities in the process of cessation.

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来源期刊

Schizophrenia Research 医学-精神病学

CiteScore

7.50

自引率

8.90%

发文量

429

审稿时长

10.2 weeks

期刊介绍： As official journal of the Schizophrenia International Research Society (SIRS) Schizophrenia Research is THE journal of choice for international researchers and clinicians to share their work with the global schizophrenia research community. More than 6000 institutes have online or print (or both) access to this journal - the largest specialist journal in the field, with the largest readership! Schizophrenia Research''s time to first decision is as fast as 6 weeks and its publishing speed is as fast as 4 weeks until online publication (corrected proof/Article in Press) after acceptance and 14 weeks from acceptance until publication in a printed issue. The journal publishes novel papers that really contribute to understanding the biology and treatment of schizophrenic disorders; Schizophrenia Research brings together biological, clinical and psychological research in order to stimulate the synthesis of findings from all disciplines involved in improving patient outcomes in schizophrenia.