Addressing tobacco among individuals with a mental illness or an addiction

Addict Behav. 2004 Aug;29(6):1067-83. doi: 10.1016/j.addbeh.2004.03.009.


Tobacco dependence among individuals with a mental illness or an addiction is a tremendous problem that goes largely ignored. Studies of genetics, neuroimaging, and nicotinic receptors support a neurobiological link between tobacco use and alcohol dependence, drug dependence, schizophrenia, depression, attention-deficit hyperactivity disorder (ADHD), and anxiety disorders. This paper summarizes the recent literature on this topic and discusses how treatment for tobacco can no longer be ignored in mental-health and addiction-treatment settings. More research is needed as well as a national organized effort to address tobacco in this large segment of smokers.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.
  • Review

MeSH terms

  • Diagnosis, Dual (Psychiatry)
  • Humans
  • Mental Disorders / psychology*
  • Smoking Cessation / methods
  • Substance-Related Disorders / psychology
  • Tobacco Use Disorder / epidemiology
  • Tobacco Use Disorder / psychology*
  • Tobacco Use Disorder / therapy