• Preventive medicine · Nov 2016

    A behavioral economic perspective on smoking persistence in serious mental illness.

    • Jennifer W Tidey.
    • Department of Psychiatry & Human Behavior, Center for Alcohol & Addiction Studies, Brown University, Providence, RI 02912, United States. Electronic address: Jennifer_Tidey@brown.edu.
    • Prev Med. 2016 Nov 1; 92: 313531-35.

    AbstractSerious mental illness (SMI) is associated with disproportionately high rates of cigarette smoking. The identification of factors that contribute to persistent smoking in people with SMI may lead to the development and adoption of tobacco control policies and treatment approaches that help these smokers quit. This commentary examines factors underlying smoking persistence in people with SMI from the perspective of behavioral economics, a discipline that applies economic principles to understanding drug abuse and dependence. Studies, conducted in the Northeastern US within the past 30years, that compare the reinforcing effects of nicotine and the costs of smoking in smokers with and without schizophrenia and depression are discussed, and interventions that may reduce the reinforcing efficacy of nicotine and increase the costs of smoking in people with SMI are described.Copyright © 2016 Elsevier Inc. All rights reserved.

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