喫煙と精神疾患(NEJMの記事)

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2011年07月21日(Thu) 22:33

Perspective
Smoking and Mental Illness — Breaking the Link
http://healthpolicyandreform.nejm.org/?p=14962&query=TOC
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NEJM | July 20, 2011 | Topics: Public Health

Judith J. Prochaska, Ph.D., M.P.H.

“My doctor told me I’m too stressed out to quit smoking,”
remarked a woman hospitalized with severe depression. “Well,
43 years later, I’m still stressed and I’m still smoking.”
This woman’s dilemma is all too familiar to health care providers
 and patients seeking the ideal time to treat tobacco dependence
in the face of chronic mental illness.

Since smoking and mental illness commonly occur together, many
clinicians see them as inextricably linked and believe that smoking
 in the mentally ill is therefore particularly challenging to treat.
Little examined are the systemic and treatment factors that have
contributed to disparities in tobacco use and tobacco-related
morbidity and mortality among people with mental illness.

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