Comorbidity of mental disorders and substance use: a brief guide for the primary care clinician
4.1 Comorbidity with tobacco
- Smoking is much more common amongst people with mental disorders compared with those without a mental disorder in Australia.
- Smoking cessation strategies that are effective in the general population can be implemented and are effective at the same time as treatment for mental disorders.
- People with mental disorders are able to quit smoking if their mental disorder is under control and other psychotropic medication dosing remains stable.
This has been highlighted by a number of studies:
- "People with psychotic illness: An Australian study 1997-98" found that 73% of males and 56% of females with psychotic illness smoke tobacco and over 80% of these people smoke more than 20 cigarettes per day(67).
- Conversely, the National Survey of Mental Health and Wellbeing(68) found that 35% of smokers between 18-39 years had a mental disorder(69).