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Slide 2 of 9
I think the first thing to at least understand just like any other psychiatric illness that we think about, there should be a perspective from the biopsychosocial model that there are certain biologic and sort of genetic predisposition to tobacco use and that there are real physiologic issues that come into play during use and treatment.
There are psychological aspects to it, sort of habitual use, condition effects. This is a coping strategy for dealing with negative affect. Peer pressure or social interactions and boredom can play a role. And of course, systemic issues, access to treatment, you know, ability to pay for this, etc., so systemic issues come into play as well.
I think the social aspect and the systems issues actually sometimes get overlooked especially in inpatient treatment or substance use disorder treatment. Because so many patients actually smoke, smoking may become an important part of the social interaction between patients. And so I think having a good understanding not just of the biological aspects of it but the social aspects of smoking may be very important as we think about treatment for these disorders.
References:
- Munafo, M. R., Clark, T. G., Johnstone, E. C., Murphy, M. F., & Walton, R. T. (2004). The genetic basis for smoking behavior: a systematic review and meta-analysis. Nicotine & Tobacco Research, 6(4), 583-597.Chicago
- Williams, J. M., & Ziedonis, D. (2004). Addressing tobacco among individuals with a mental illness or an addiction. Addictive behaviors, 29(6), 1067-1083.
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