A retrospective analysis of the association between providing nicotine replacement therapy at admission and motivation to quit and nicotine withdrawal symptoms during an inpatient psychiatric hospitalization

Chizimuzo T.C. Okoli, Yazan D. Al-Mrayat, Charles I. Shelton, Milan Khara

Research output: Contribution to journalArticlepeer-review

5 Scopus citations

Abstract

Background: Psychiatric patients have high tobacco use prevalence, dependence, and withdrawal severity. A tobacco-free psychiatric hospitalization necessitates the management of nicotine withdrawal (NW) for tobacco using patients. NW management often requires the provision of approved nicotine replacement therapy (NRT) to patients, which may also motivate tobacco users towards cessation. However, few studies have examined the associations between providing NRT, motivation to quit, and NW among psychiatric patients. Objective(s): To examine the associations between providing NRT at admission and motivation to quit smoking and severity of NW symptoms. Design: A retrospective review of the medical records of 255 tobacco using patients on whom NW was assessed during their hospital stay. The time when NRT was provided (i.e., at admission vs. not provided vs. on the unit), motivation to quit smoking, and 8-item Minnesota Nicotine Withdrawal Scale were assessed. Results: The primary NW symptom was ‘craving’ (65.1%); reporting of ‘anxiety’ varied by psychiatric diagnosis. Providing NRT at admission was not associated with motivation to quit. Patients receiving NRT on the unit (i.e., delayed receipt) had significantly higher NW than those who received NRT at admission. In multivariate analyses, receiving NRT on the unit was significantly associated with greater NW severity (β =.19, p =.002). Conclusions: Among psychiatric patients, providing NRT at admission is associated with greater severity of NW. The provision of NRT for NW management may be considered as standard practice during tobacco-free psychiatric stays. Future studies may consider the effect of other tobacco treatment medications (such as varenicline, bupropion) on managing NW.

Original languageEnglish
Pages (from-to)131-138
Number of pages8
JournalAddictive Behaviors
Volume85
DOIs
StatePublished - Oct 2018

Keywords

  • Nicotine replacement therapy
  • Nicotine withdrawal
  • Psychiatric hospital
  • Tobacco treatment

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Clinical Psychology
  • Toxicology
  • Psychiatry and Mental health

Fingerprint

Dive into the research topics of 'A retrospective analysis of the association between providing nicotine replacement therapy at admission and motivation to quit and nicotine withdrawal symptoms during an inpatient psychiatric hospitalization'. Together they form a unique fingerprint.

Cite this