Evidence map›Paper›PMID 25747922›Full record

ReviewHarvard review of psychiatry

Treatment of tobacco use disorders in smokers with serious mental illness: toward clinical best practices.

A Eden Evins, Corinne Cather, Alexandra Laffer

Registry-linked trialOpen access · greenAbstract readReview
In one paragraph

Review in Harvard review of psychiatry. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04523948 (Comparative Tobacco Interventions for Individuals With Severe and Persisting Behavioral Health Disorders), which is not on this map. Cited by 50 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 3 pooled it
6.0field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04523948 unknown statusnot on this map

Comparative Tobacco Interventions for Individuals With Severe and Persisting Behavioral Health Disorders

TypeobservationalSponsorRose Research Center, LLCRan2020 to 2023Enrolled100ConditionsTobacco UseArmsBehavioral and pharmacological support to reduce combustible tobacco use.
3 · Its place in the literature

Who cites it

50 citing papers in PubMed, 3 syntheses or guidelines pooled it, 85 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Trial
  7. Proactive Tobacco Treatment in a Behavioral Health Home.Community mental health journal · 2020
    Trial
  8. Effects of 6-Week Use of Very Low Nicotine Content Cigarettes in Smokers With Serious Mental Illness.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2019
    Trial
  9. Brief Web-Based Interventions for Young Adult Smokers With Severe Mental Illnesses: A Randomized, Controlled Pilot Study.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2018
    Trial
  10. Combination Extended Smoking Cessation Treatment Plus Home Visits for Smokers With Schizophrenia: A Randomized Controlled Trial.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2017
    Trial
  11. Trial
  12. Trial
  13. Trial
  14. Article
  15. Article
  16. Interventions for smoking cessation in inpatient psychiatry settings.The Cochrane database of systematic reviews · 2024
    Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

A Eden EvinsFrom Harvard Medical School (Drs. Evins and Cather); Center for Addiction Medicine, Department of Psychiatry, Massachusetts General Hospital (Drs. Evins and Cather, and Ms. Laffer).
Corinne Cather
Alexandra Laffer
Louisiana Federation of Families for Children's Mental Health · USMassachusetts General Hospital · US

Funding

Smoking Cessation and Smoking Relapse Prevention in Patients with SchizophreniaR01DA021245 · NIDA · MASSACHUSETTS GENERAL HOSPITAL · PI EVINS, A EDEN · 2007 to 2010
$3.1M
Mentoring in Addiction Treatment ResearchK24DA030443 · NIDA · MASSACHUSETTS GENERAL HOSPITAL · PI EVINS, A EDEN · 2010 to 2020
$2.0M
NIDA NIH HHS K24 DA030443NIDA NIH HHS R01 DA021245
6 · The paper itself

Abstract

Addiction to tobacco-derived nicotine remains highly prevalent in the United States, with 18% using daily, and 53% of those with serious mental illness using daily. While smokers with serious mental illness have been excluded from most large nicotine-dependence treatment studies, a growing evidence base is available to guide clinicians in assisting their patients with psychiatric illness to quit smoking. The aim of this review is to present the evidence on safety and efficacy of smoking cessation interventions for those with serious mental illness. Smokers with schizophrenia spectrum disorders should receive varenicline or bupropion with or without nicotine replacement therapy in combination with behavioral treatment. Although more research is needed, preliminary evidence suggests that varenicline in combination with behavioral support is efficacious and well tolerated for smoking cessation for those with bipolar disorder and major depressive disorder. Controlled trials have found no evidence that in patients with serious mental illness, the use of pharmacotherapeutic cessation aids worsens psychiatric symptoms or increases the rate of psychiatric adverse events. Converging evidence indicates that a majority of smokers with serious mental illness want to quit smoking and that available pharmacotherapeutic cessation aids combined with behavioral support are both effective for, and well tolerated by, these smokers.

Indexed as

Bipolar DisorderBupropionHumansMajor Depressive DisorderNicotineSchizophreniaSmoking CessationTobacco Use DisorderTreatment OutcomeVareniclineBupropionNicotineVarenicline

Identifiers

PMID25747922
PMCPMC4460830
OpenAlexW2045335964

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.