Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Nicotine Dependence and Readiness to Quit among Patients with Schizophrenia: Experience from Nepal


Affiliations
1 Mental Hospital, Lagankhel, Nepal
2 Department of Psychiatry and Mental Health, Maharajgunj Medical Campus, Kathmandu, Nepal
3 Nepalese Army Institute of Health Sciences, Bhandarkhal, Kathmandu, Nepal
4 National Academy of Medical Sciences, Mental Hospital, Lagankhel, Nepal
     

   Subscribe/Renew Journal


Greater indulgence into use of nicotine either via smoked or smokeless form in patients with schizophrenia has been accounted in literature numerous times. Prevalence studies of use and dependence of nicotine are less. Thus this study aimed to find more about use and dependence of nicotine and readiness to quit among schizophrenic patients. Ninety seven patients with Schizophrenia were studied. A hospital based, descriptive, cross sectional study was done at Department of Psychiatry, Tribhuvan University Teaching Hospital (TUTH). To screen the nicotine users WHO STEPS was used. For smokers Fagerström Test for Nicotine Dependence was used and for smokeless tobacco users Modified Fagerström-Smokeless Tobacco was used. Assessment of Motivation: Readiness to Quit Ladder was applied to assess motivation. Twentieth version of Statistical package for social science (SPSS-20) was used to analyze data. Among 97 patients enrolled in the study, 55.7% used tobacco in one form or the other. Smoked tobacco only was used by 50% whereas 27.8% used both somokeless and smoked tobacco. Moderate nicotine dependence was found in 77.7% of smokers whereas 53.3% of combined users were highly dependent. Readiness to quit median value was four. It was found to be statistically significant (p<0.05). It was found that in schizophrenics prevalence of nicotine use and dependence is high. Increased tendency to retain nicotine using habits was seen when both smoked and smokeless tobacco were consumed.

Keywords

Nicotine Dependence, Nicotine, Schizophrenia, Smoking, Tobacco.
Subscription Login to verify subscription
User
Notifications
Font Size


Abstract Views: 368

PDF Views: 0




  • Nicotine Dependence and Readiness to Quit among Patients with Schizophrenia: Experience from Nepal

Abstract Views: 368  |  PDF Views: 0

Authors

Binita Dhungel
Mental Hospital, Lagankhel, Nepal
Manisha Chapagain
Department of Psychiatry and Mental Health, Maharajgunj Medical Campus, Kathmandu, Nepal
Sagun Ballav Pant
Department of Psychiatry and Mental Health, Maharajgunj Medical Campus, Kathmandu, Nepal
Suman Prasad Adhikari
Nepalese Army Institute of Health Sciences, Bhandarkhal, Kathmandu, Nepal
Trishna Ghosh Chettri
Mental Hospital, Lagankhel, Nepal
Ananta Prasad Adhikari
National Academy of Medical Sciences, Mental Hospital, Lagankhel, Nepal
Sudip Aryal
Mental Hospital, Lagankhel, Nepal

Abstract


Greater indulgence into use of nicotine either via smoked or smokeless form in patients with schizophrenia has been accounted in literature numerous times. Prevalence studies of use and dependence of nicotine are less. Thus this study aimed to find more about use and dependence of nicotine and readiness to quit among schizophrenic patients. Ninety seven patients with Schizophrenia were studied. A hospital based, descriptive, cross sectional study was done at Department of Psychiatry, Tribhuvan University Teaching Hospital (TUTH). To screen the nicotine users WHO STEPS was used. For smokers Fagerström Test for Nicotine Dependence was used and for smokeless tobacco users Modified Fagerström-Smokeless Tobacco was used. Assessment of Motivation: Readiness to Quit Ladder was applied to assess motivation. Twentieth version of Statistical package for social science (SPSS-20) was used to analyze data. Among 97 patients enrolled in the study, 55.7% used tobacco in one form or the other. Smoked tobacco only was used by 50% whereas 27.8% used both somokeless and smoked tobacco. Moderate nicotine dependence was found in 77.7% of smokers whereas 53.3% of combined users were highly dependent. Readiness to quit median value was four. It was found to be statistically significant (p<0.05). It was found that in schizophrenics prevalence of nicotine use and dependence is high. Increased tendency to retain nicotine using habits was seen when both smoked and smokeless tobacco were consumed.

Keywords


Nicotine Dependence, Nicotine, Schizophrenia, Smoking, Tobacco.