Şermin Yalın Sapmaz, Hasan Kandemir, Tilbe Erten, Ayşe Gizem Güleç, Selma Tural Hesapçıoğlu, Ozge Yilmaz, HASAN YÜKSEL

Çocuk ve ergen psikiyatristlerinin sigara bağımlılığı ile ilgili farkındalıkları ve müdahale yaklaşımları

Amaç: Bu çalışmanın amacı, Türkiye genelinde farklı kurumlarda görevyapan çocuk ve ergen psikiyatristlerinin sigara bağımlılığı ve müdahalebasamaklarıyla ilgili tutumlarını belirlemektir. Gereç ve Yöntemler: Yazındaki çalışmalar dikkate alınarak hekimlerin5A uygulamasını değerlendiren bilgi formu oluşturulmuş ve çocuk ruhsağlığı alanında çalışan hekimlere mail ve telefon aracılığıyla uygulan mıştır. Bulgular: Çalışmamızda sigara bırakmada kullanılan 5A yönteminde ilkbasamakta yer alan sigara içme durumunu sormayı hekimlerin çoğun luğu (%52,5) uygulamasına rağmen 5A’nın ileriki basamaklarını gittikçeazalan oranda uyguladıkları görülmüştür. Hekimlerin yalnızca %15’i si gara bırakma tedavisinde izlem yapmaktad

Awareness and intervention approaches relatedto smoking addiction among child and adolescentpsychiatrists

Aim: To determine the attitudes of child and adolescent psychiatrists working in different institutions throughout Turkey towards smoking addiction and intervention steps.Material and Methods: An information form assessing physicians’ 5As approach was established considering the studies included in the literature, and this form was applied to physicians working in the area of child psychiatry by way of e-mail and phone.Results: Although most physicians (52.5%) asked about smoking status, which is included in the first step in the 5As approach used in smoking cessation, it was observed that they implemented further steps of the 5As with gradually decreasing rates in our study. Only 15% of the physicians performed follow-up in smoking cessation treatment

PDF

___

1. Sağlık Bakanlığı Temel Sağlık Hizmetleri Genel Müdürlüğü. Küresel Gençlik Tütün Araştırması (KGTA-2017). Available from: URL: https://hsgm.saglik.gov.tr/depo/birimler/tutun-mucadele-bagimlilik-db/duyurular/KGTA2017_pdf.pdf. Accessed
2. Centers for Disease Control and Prevention. Vital Signs: Current Cigarette Smoking Among Adults Aged ≥18 Years with Mental Illness — United States, 2009–2011. CDC Morbidity and Mortality Weekly Report (MMWR) 2013; 62: 81–7.
3. Poirier MF, Canceil O, Baylé F, et al. Prevalence of smoking in psychiatric patients. Prog Neuropsychopharmacol Biol Psychiatry 2002; 26: 529–37.
4. Colton CW, Manderscheid RW. Congruencies in increased mortality rates, years of potential life lost, and causes of death among public mental health clients in eight states. Prev Chronic Dis 2006; 3: A42.
5. Rüther T, Bobes J, De Hert M, et al; European Psychiatric Association. EPA guidance on tobacco dependence and strategies for smoking cessation in people with mental illness. Eur Psychiatry 2014; 29: 65–82.
6. DeHay T, Morris C, May MG, Devine K, Waxmonsky J. Tobacco use in youth with mental illnesses. J Behav Med 2012; 35: 139–48.
7. Upadhyaya HP, Deas D, Brady KT, Kruesi M. Cigarette smoking and psychiatric comorbidity in children and adolescents. J Am Acad Child Adolesc Psychiatry 2002; 41: 1294–305.
8. Mäkikyrö TH, Hakko HH, Timonen MJ, et al. Smoking and suicidality among adolescent psychiatric patients. J Adolesc Health 2004; 34: 250–3.
9. Mendelsohn CP, Kirby DP, Castle DJ. Smoking and mental illness. An update for psychiatrists. Australas Psychiatry 2015; 23: 37–43.
10. Minami H, Bloom EL, Brinkman HR, Abrantes AM, Young CC, Brown RA. Factors related to cigarette smoking and intent to quit among adolescent inpatients with psychiatric and substance use disorders. Drug Alcohol Depend 2018; 186: 215–8.
11. Bancej C, O’Loughlin J, Platt RW, Paradis G, Gervais A. Smoking cessation attempts among adolescent smokers: a systematic review of prevalence studies. Tob Control 2007; 16: e8.
12. Erden SÇ. Tütün bağımlılığı tedavisi. In: Öztürk M, Ögel K, Evren C, Bilici R, (editors). Bağımlılık Tanı, Tedavi, Önleme. İstanbul; 2019.p.543–52.
13. Akçay Ş, Aytemur ZA, Elbek O, et al. Sigarayı bırakma sürecindeki bireylere yaklaşım. İçinde: Erdinç M, Gülmez İ, (editors). Tütün Kontrolü ve Sigara Bırakma Tedavisi Hekim El Kitabı. Ankara; 2013.p.6–9.
14. Sharma R, Meurk C, Bell S, Ford P, Gartner C. Australian mental health care practitioners’ practices and attitudes for encouraging smoking cessation and tobacco harm reduction in smokers with severe mental illness. Int J Ment Health Nurs 2018; 27: 247–57.
15. Price JH, Sidani JE, Price JA. Child and adolescent psychiatrists’ practices in assisting their adolescent patients who smoke to quit smoking. J Am Acad Child Adolesc Psychiatry 2007; 46: 60–7.
16. Hartmann KE, Espy A, McPheeters M, Kinsinger LS. Physicians taught as residents to conduct smoking cessation intervention: a follow-up study. Prev Med 2004; 39: 344–50.
17. Prochaska JJ, Delucchi K, Hall SM. A meta-analysis of smoking cessation interventions with individuals in substance abuse treatment or recovery. J Consult Clin Psychol 2004; 72: 1144–56.
18. Ragg M, Gordon R, Ahmed T, Allan J. The impact of smoking cessation on schizophrenia and major depression. Australas Psychiatry 2013; 21: 238–45.
19. Taylor G, McNeill A, Girling A, Farley A, Lindson-Hawley N, Aveyard P. Change in mental health after smoking cessation: systematic review and meta-analysis. BMJ 2014; 348: g1151 . 20. Zevin S, Benowitz NL. Drug interactions with tobacco smoking. An update. Clin Pharmacokinet 1999; 36: 425–38.
21. Clinical Practice Guideline Treating Tobacco Use and Dependence 2008 Update Panel, Liaisons, and Staff. A clinical practice guideline for treating tobacco use and dependence: 2008 update. A U.S. Public Health Service report. Am J Prev Med 2008; 35: 158–76