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Persistence targeted smoking cessation for smokers with schizophrenia or schizoaffective disorder: a feasibility study

Published online by Cambridge University Press:  09 July 2020

Marc L. Steinberg Open the ORCID record for Marc L. Steinberg [Opens in a new window] ,
Benjamin Billingsley ,
Rachel Rosen ,
Elizabeth E. Epstein ,
Shou-En Lu ,
Nicole Weickert  and
Jill M. Williams
Marc L. Steinberg*
Affiliation:
Department of Psychiatry, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ08901, USA
Benjamin Billingsley
Affiliation:
Department of Psychology, Rutgers, The State University of New Jersey, New Brunswick, NJ08901, USA
Rachel Rosen
Affiliation:
Department of Psychology, Rutgers, The State University of New Jersey, New Brunswick, NJ08901, USA
Elizabeth E. Epstein
Affiliation:
Department of Psychiatry, University of Massachusetts Medical School, Worcester, MA01605, USA
Shou-En Lu
Affiliation:
Rutgers School of Public Health, Piscataway, NJ08854, USA
Nicole Weickert
Affiliation:
Department of Psychology, Rutgers, The State University of New Jersey, New Brunswick, NJ08901, USA
Jill M. Williams
Affiliation:
Department of Psychiatry, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ08901, USA
*
Author for correspondence: Marc L. Steinberg, E-mail: marc.steinberg@rutgers.edu
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Abstract

Introduction

Individuals with schizophrenia are more likely to smoke and less likely to quit smoking than those without schizophrenia. Because task persistence is lower in smokers with than without schizophrenia, it is possible that lower levels of task persistence may contribute to greater difficulties in quitting smoking observed among smokers with schizophrenia.

Aims

To develop a feasible and acceptable intervention for smokers with schizophrenia.

Methods

Participants (N = 24) attended eight weekly individual cognitive behavioral therapy sessions for tobacco use disorder with a focus on increasing task persistence and received 10 weeks of nicotine patch.

Results

In total, 93.8% of participants rated the intervention as at least a 6 out of 7 regarding how ‘easy to understand’ it was and 81.3% rated the treatment as at least a 6 out of 7 regarding how helpful it was to them. A total of 62.5% attended at least six of the eight sessions and session attendance was positively related to nicotine dependence and age and negatively related to self-efficacy for quitting.

Discussion

This intervention was feasible and acceptable to smokers with schizophrenia. Future research will examine questions appropriate for later stages of therapy development such as initial efficacy of the intervention and task persistence as a mediator of treatment outcome.

Keywords

Cessationdistress tolerancepersistenceschizophreniatherapytobacco
Type
Original Articles
Information
Journal of Smoking Cessation , Volume 15 , Issue 3 , September 2020 , pp. 157 - 162
Copyright
Copyright © The Author(s), 2020. Published by Cambridge University Press

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