{"id":5183,"date":"2025-03-27T14:12:27","date_gmt":"2025-03-27T13:12:27","guid":{"rendered":"https:\/\/schizophrenia.life\/public\/?page_id=5167"},"modified":"2025-03-27T14:12:27","modified_gmt":"2025-03-27T13:12:27","slug":"sod-chapter-3","status":"publish","type":"page","link":"https:\/\/schizophrenia.life\/public\/sod-chapter-3\/","title":{"rendered":"Chapter 3"},"content":{"rendered":"\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-8f761849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:33.33%\">\n<figure class=\"wp-block-image size-full square-image\"><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"302\" src=\"https:\/\/schizophrenia.life\/public\/wp-content\/uploads\/2025\/09\/Hero_Chpt3.jpg\" alt=\"\" class=\"wp-image-5962\" srcset=\"https:\/\/schizophrenia.life\/public\/wp-content\/uploads\/2025\/09\/Hero_Chpt3.jpg 300w, https:\/\/schizophrenia.life\/public\/wp-content\/uploads\/2025\/09\/Hero_Chpt3-298x300.jpg 298w, https:\/\/schizophrenia.life\/public\/wp-content\/uploads\/2025\/09\/Hero_Chpt3-150x150.jpg 150w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:66.66%\">\n<p class=\"lh-n mb-2 mt-1 has-text-color has-link-color wp-elements-655debfbbf296d9ed4faa522e80ed420 wp-block-paragraph\" style=\"color:#f9a870;font-size:46px\"><strong><strong>Chapter 3<\/strong><\/strong><\/p>\n\n\n\n<p class=\"lh-n mb-2 mt-1 has-text-color has-link-color has-large-font-size wp-elements-a42a5ac136e755ee87ed9e23880ce53b wp-block-paragraph\" style=\"color:#f9a870\"><strong>Tobacco use in schizophrenia<\/strong><\/p>\n\n\n\n<p class=\"mb-0 has-text-color has-link-color wp-elements-63710263596253e789547845999a131f wp-block-paragraph\" style=\"color:#58595b;font-size:16px\">This chapter examines why tobacco use is so common among people with schizophrenia and how it impacts both the condition and its treatment. It also discusses the challenges of quitting and the resources available to support smoking cessation.<\/p>\n\n\n\n<p class=\"has-text-align-center button__primary button-text sod-subchapter-button-f9a870 wp-block-paragraph\"><a href=\"\/public\/wp-content\/uploads\/2025\/09\/03_Candid-Book-2_Chapter-3.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Download the chapter<\/a><\/p>\n<\/div>\n<\/div>\n\n\n<\/div><\/div><\/div><\/div><div class=\"sod_highlight py-4\"><div class=\"rea-main rea-page-default\"><div class=\"rea-page-default__wrapper my-0\"><div class=\"entry-content\">\n\n\n\n<p class=\"has-text-color has-link-color wp-elements-f3106d37b4713fd756d699913e9312f5 wp-block-paragraph\" style=\"color:#f9a870;font-size:26px\"><strong>Fast Facts<\/strong><\/p>\n\n\n\n<p class=\"sod-border-left-f9a870 mb-5 has-text-color has-link-color wp-elements-45a2ec37fbd0d6dd84db37570768317b wp-block-paragraph\" style=\"color:#58595b\"><strong><mark style=\"background-color:rgba(0, 0, 0, 0);color:#f9a870\" class=\"has-inline-color\">High tobacco use rates in schizophrenia<\/mark><\/strong> and other mental disorders aren&#8217;t just a coincidence &#8211; they are rooted in shared genetic and brain chemistry factors.<\/p>\n\n\n\n<p class=\"sod-border-left-f9a870 mb-5 has-text-color has-link-color wp-elements-6795d9d2a9283973813f051a253f30e1 wp-block-paragraph\" style=\"color:#58595b\">Although smoking may seem to provide <strong><mark style=\"background-color:rgba(0, 0, 0, 0);color:#f9a870\" class=\"has-inline-color\">temporary relief<\/mark><\/strong> in some situations, it <strong><mark style=\"background-color:rgba(0, 0, 0, 0);color:#f9a870\" class=\"has-inline-color\">can worsen the course of schizophrenia and damage physical health<\/mark><\/strong>, complicating the overall management of schizophrenia.<\/p>\n\n\n\n<p class=\"sod-border-left-f9a870 mb-5 has-text-color has-link-color wp-elements-826d0a7680fdcf1e1845a2b2a691422e wp-block-paragraph\" style=\"color:#58595b\">Both <strong><mark style=\"background-color:rgba(0, 0, 0, 0);color:#f9a870\" class=\"has-inline-color\">smoking and quitting smoking can interact with schizophrenia medication<\/mark><\/strong> by affecting how the body processes it &#8211; smoking speeds up the metabolism of some drugs, making them less effective, while quitting can increase drug levels and the risk of side effects. Therefore, it is <strong><mark style=\"background-color:rgba(0, 0, 0, 0);color:#f9a870\" class=\"has-inline-color\">important to talk to the doctor<\/mark><\/strong> to ensure proper medication adjustments.<\/p>\n\n\n\n<p class=\"sod-border-left-f9a870 mb-5 has-text-color has-link-color wp-elements-52e82127c27e1a256d61b4be9e92d6b0 wp-block-paragraph\" style=\"color:#58595b\"><strong><mark style=\"background-color:rgba(0, 0, 0, 0);color:#f9a870\" class=\"has-inline-color\">Quitting smoking<\/mark><\/strong> is a big step for people with schizophrenia and tobacco use disorder. <strong><mark style=\"background-color:rgba(0, 0, 0, 0);color:#f9a870\" class=\"has-inline-color\">It lays the basis for gradual improvements in both physical and mental health.<\/mark><\/strong><\/p>\n\n\n<\/div><\/div><\/div><\/div><div class=\"rea-main rea-page-default\"><div class=\"rea-page-default__wrapper\"><div class=\"\"><div class=\"entry-content\">\n\n\n\n<p class=\"has-text-color has-link-color wp-elements-ed661cd4271ffd2ed9a8bdcccb129c6c wp-block-paragraph\" style=\"color:#0074b2\">Given the overlap in meaning among some terms, which can lead to terminological ambiguity, this chapter adopts the following operational definitions to ensure clarity and consistency for readers.<\/p>\n\n\n\n<p class=\"has-text-color has-link-color wp-elements-52f67e97707ee42981ffe3398864aadf wp-block-paragraph\" style=\"color:#0074b2\"><strong>Tobacco use<\/strong> \u2014 any consumption of nicotinecontaining products derived from tobacco, whether combustible, heated, or smokeless.<\/p>\n\n\n\n<p class=\"has-text-color has-link-color wp-elements-437b765f29cb99b00418cfba0ff88996 wp-block-paragraph\" style=\"color:#0074b2\"><strong>Smoking <\/strong>\u2014 the inhalation of smoke from combusted tobacco products (e.g., cigarettes, cigars, or pipes).<\/p>\n\n\n\n<p class=\"has-text-color has-link-color wp-elements-2669bea6367a872bf5e916f6588f7b80 wp-block-paragraph\" style=\"color:#0074b2\"><strong>Tobacco Use Disorder (TUD)<\/strong> \u2014 the DSM- 5 \/ ICD-11** diagnosis describing a compulsive, harmful pattern of tobacco consumption.<\/p>\n\n\n\n<p class=\"has-text-color has-link-color wp-elements-da1d96aed9b4f1bd4122a7a9be878f12 wp-block-paragraph\" style=\"color:#0074b2\"><strong>Comorbid schizophrenia<\/strong> \u2014 schizophrenia that co-occurs with at least one additional diagnosable condition, in this chapter specifically TUD.<\/p>\n\n\n\n<p class=\"has-text-align-right has-text-color has-link-color wp-elements-03cc724e9c655402f668855c72ff3bcc wp-block-paragraph\" style=\"color:#0074b2\"><em>**DSM-5 and ICD-11 are the shared \u201crulebooks\u201d doctors use worldwide to label and describe health conditions so everyone speaks the same medical language.<\/em><\/p>\n\n\n\n<div class=\"wp-block-columns mt-7 is-layout-flex wp-container-core-columns-is-layout-8f761849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column sod-column sod-column-f9a870 is-layout-flow wp-block-column-is-layout-flow\">\n<a href=\"\/public\/sod-chapter-3-subchapter-1\">\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"212\" src=\"https:\/\/schizophrenia.life\/public\/wp-content\/uploads\/2025\/09\/3.1.jpg\" alt=\"\" class=\"wp-image-6085\"\/><\/figure>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-c0fc3766b0753d15ffc315fd40e3c1d8 wp-block-paragraph\" style=\"font-size:16px\"><strong>Subchapter 1.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"font-size:16px\">Why is tobacco use so common among people with schizophrenia?<\/p>\n\n\n\n<\/a>\n<\/div>\n\n\n\n<div class=\"wp-block-column sod-column sod-column-f9a870 is-layout-flow wp-block-column-is-layout-flow\">\n<a href=\"\/public\/sod-chapter-3-subchapter-2\">\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"212\" src=\"https:\/\/schizophrenia.life\/public\/wp-content\/uploads\/2025\/09\/3.2.jpg\" alt=\"\" class=\"wp-image-6086\"\/><\/figure>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-666f6b946fde8a0ec22ce4e7167c70c9 wp-block-paragraph\" style=\"font-size:16px\"><strong>Subchapter 2.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"font-size:16px\">How does tobacco use affect schizophrenia?<\/p>\n\n\n\n<\/a>\n<\/div>\n\n\n\n<div class=\"wp-block-column sod-column sod-column-f9a870 is-layout-flow wp-block-column-is-layout-flow\">\n<a href=\"\/public\/sod-chapter-3-subchapter-3\">\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"212\" src=\"https:\/\/schizophrenia.life\/public\/wp-content\/uploads\/2025\/09\/3.3.jpg\" alt=\"\" class=\"wp-image-6087\"\/><\/figure>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-12a3514a68280dc9b4a065b8835c13dc wp-block-paragraph\" style=\"font-size:16px\"><strong>Subchapter 3.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"font-size:16px\">What are the health risks of tabacco use for someone with schizophrenia?<\/p>\n\n\n\n<\/a>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns mt-7 is-layout-flex wp-container-core-columns-is-layout-8f761849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column sod-column sod-column-f9a870 is-layout-flow wp-block-column-is-layout-flow\">\n<a href=\"\/public\/sod-chapter-3-subchapter-4\">\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"212\" src=\"https:\/\/schizophrenia.life\/public\/wp-content\/uploads\/2025\/09\/3.4.jpg\" alt=\"\" class=\"wp-image-6088\"\/><\/figure>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-8a55d440301199ef623641acd46cc15f wp-block-paragraph\" style=\"font-size:16px\"><strong>Subchapter 4.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"font-size:16px\">Why is quitting smoking harder for people with schizophrenia?<\/p>\n\n\n\n<\/a>\n<\/div>\n\n\n\n<div class=\"wp-block-column sod-column sod-column-f9a870 is-layout-flow wp-block-column-is-layout-flow\">\n<a href=\"\/public\/sod-chapter-3-subchapter-5\">\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"212\" src=\"https:\/\/schizophrenia.life\/public\/wp-content\/uploads\/2025\/09\/3.5.jpg\" alt=\"\" class=\"wp-image-6089\"\/><\/figure>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-05aea4ac2c1a121601e93f82e0a7871b wp-block-paragraph\" style=\"font-size:16px\"><strong>Subchapter 5.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"font-size:16px\">Can tobacco use interfere with schizophrenia medications?<\/p>\n\n\n\n<\/a>\n<\/div>\n\n\n\n<div class=\"wp-block-column sod-column sod-column-f9a870 is-layout-flow wp-block-column-is-layout-flow\">\n<a href=\"\/public\/sod-chapter-3-subchapter-6\">\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"212\" src=\"https:\/\/schizophrenia.life\/public\/wp-content\/uploads\/2025\/09\/3.6.jpg\" alt=\"\" class=\"wp-image-6090\"\/><\/figure>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-192ad978d449f60c15c8c52e3c10607e wp-block-paragraph\" style=\"font-size:16px\"><strong>Subchapter 6.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"font-size:16px\">What resources are available for quit smoking in schizophrenia?<\/p>\n\n\n\n<\/a>\n<\/div>\n<\/div>\n\n\n\n<div class=\"custom-css-block\"><style>#aab_accordion_c8278da5_0 {  }<\/style><\/div><div class=\"wp-block-aab-accordion-block aab__accordion_container  accessibilityOn\" style=\"margin-top:0px;margin-bottom:15px;border:1px solid #bcb6b638\" id=\"aab_accordion_c8278da5_0\" role=\"button\" aria-expanded=\"false\" tabindex=\"0\"><div class=\"aab__accordion_head aab_right_icon \" style=\"background-color:#bcb6b638;border-top:none;border-right:none;border-bottom:none;border-left:none\"><div class=\"aab__accordion_heading aab_right_icon aab_right_link\"><div class=\"head_content_wrapper\"><div class=\"title_wrapper\"><h5 class=\"aab__accordion_title\" style=\"margin:0\">References<\/h5><\/div><\/div><\/div><div class=\"aab__accordion_icon\" style=\"border:0px solid transparent\"><span class=\"aab__icon dashicons dashicons-plus-alt2\" style=\"font-size:23px\"><\/span><\/div><\/div><div class=\"aab__accordion_body  \" role=\"region\" style=\"display:none;border-top:1px solid #bcb6b638;border-right:none;border-bottom:none;border-left:none\"><div class=\"aab__accordion_component\">\n<div class=\"wp-block-rea-list-rea-list-block rea-list-block front\"><div class=\"rea-list-block__wrapper\"><div class=\"list-ordered list\"><p>Szerman N, Parro C, Vega P, 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Tobacco use disorder in patients with other mental disorders: a dual disorder perspective from clinical neuroscience. Frontiers in Psychiatry [Internet]. 2024 Oct 1;15. Available from: <a href=\"https:\/\/www.frontiersin.org\/journals\/psychiatry\/articles\/10.3389\/fpsyt.2024.1427561\/full\" rel=\"nofollow noopener\" target=\"_blank\">https:\/\/www.frontiersin.org\/journals\/psychiatry\/articles\/10.3389\/fpsyt.2024.1427561\/full<\/a><\/p><p>Szerman N, Parro C, Pinet C, Mart\u00ednez-Raga J, Basurte I, Saiz P. TOBACCO USE DISORDER AND DUAL DISORDERS Joint statement by the Spanish Psychiatry Society and the Spanish Dual Disorders Society. Actas Esp Psiquiatr [Internet]. 2022 May 1 [cited 2025 Jul. 10];50(Suppl. 3):77-138. Available from: <a href=\"https:\/\/actaspsiquiatria.es\/index.php\/actas\/article\/view\/16183\" rel=\"nofollow noopener\" target=\"_blank\">https:\/\/actaspsiquiatria.es\/index.php\/actas\/article\/view\/16183<\/a>.<\/p><p>Ding JB, Hu K. 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Progress in Neuro-Psychopharmacology and Biological Psychiatry [Internet]. 2014 Jul;52:79\u201385. Available from: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/23871750\/\" rel=\"nofollow noopener\" target=\"_blank\">https:\/\/pubmed.ncbi.nlm.nih.gov\/23871750\/<\/a><\/p><p>M\u00fcller CP. Drug instrumentalization. Behavioural Brain Research [Internet]. 2020 Jul;390:112672. Available from: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32442549\/\" rel=\"nofollow noopener\" target=\"_blank\">https:\/\/pubmed.ncbi.nlm.nih.gov\/32442549\/<\/a><\/p><p>Valentine G, Sofuoglu M. Cognitive Effects of Nicotine: Recent Progress. Current Neuropharmacology [Internet]. 2018;16(4):403\u2013 14. Available from: <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6018192\/\" rel=\"nofollow noopener\" target=\"_blank\">https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6018192\/<\/a><\/p><p>Garc\u00eda-Portilla MP, Bobes J. 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Available from: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30459658\/\" rel=\"nofollow noopener\" target=\"_blank\">https:\/\/pubmed.ncbi.nlm.nih.gov\/30459658\/<\/a><\/p><p>National Institute on Drug Abuse. Are there sex differences in tobacco smoking?. Retrieved from [Internet]. National Institute on Drug Abuse. 2020. Available from: <a href=\"https:\/\/nida.nih.gov\/ publications\/research-reports\/tobacco-nicotine-e-cigarettes\/are-there-sex-differences-in-tobacco-smoking\" rel=\"nofollow noopener\" target=\"_blank\">https:\/\/nida.nih.gov\/ publications\/research-reports\/tobacco-nicotine-e-cigarettes\/are-there-sex-differences-in-tobacco-smoking<\/a><\/p><p>Onwuzo CN, Olukorode J, Sange W, Orimoloye DA, Udojike C, Omoragbon L, et al. A Review of Smoking Cessation Interventions: Efficacy, Strategies for Implementation, and Future Directions. Cureus [Internet]. 2024 Jan 11;16(1). Available from: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/38344627\/\" rel=\"nofollow noopener\" target=\"_blank\">https:\/\/pubmed.ncbi.nlm.nih.gov\/38344627\/<\/a><\/p><p>Livingstone-Banks J, Norris E, Hartmann- Boyce J, West R, Jarvis M, Chubb E, et al. Relapse prevention interventions for smoking cessation. Cochrane Database of Systematic Reviews [Internet]. 2019 Oct 28;(10):CD003999. Available from: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/31684681\/\" rel=\"nofollow noopener\" target=\"_blank\">https:\/\/pubmed.ncbi.nlm.nih.gov\/31684681\/<\/a><\/p><p>Tuisku A, Mikko Rahkola, Nieminen P, Tuula Toljamo. Electronic Cigarettes vs Varenicline for Smoking Cessation in Adults. JAMA Internal Medicine [Internet]. 2024 Jun 17;184(8):915\u2013921. Available from: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/38884987\/\" rel=\"nofollow noopener\" target=\"_blank\">https:\/\/pubmed.ncbi.nlm.nih.gov\/38884987\/<\/a><\/p><p>Chen G, Rahman S, Lutfy K. E-cigarettes may serve as a gateway to conventional cigarettes and other addictive drugs. Advances in Drug and Alcohol Research [Internet]. 2023 Jun 30;3:11345. Available from: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/38389821\/\" rel=\"nofollow noopener\" target=\"_blank\">https:\/\/pubmed.ncbi.nlm.nih.gov\/38389821\/<\/a><\/p><\/div><\/div><\/div>\n<\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Chapter 3 Tobacco use in schizophrenia This chapter examines why tobacco use is so common among people with schizophrenia and how it impacts both the condition and its treatment. It also discusses the challenges of quitting and the resources available to support smoking cessation. Download the chapter Fast Facts High tobacco use rates in schizophrenia [&hellip;]<\/p>\n","protected":false},"author":11,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-sod.php","meta":{"_acf_changed":false,"rea_page_title_signed_in_meta_block_field":"","rea_page_title_signed_out_meta_block_field":"","rea_page_description_signed_in_meta_block_field":"","rea_page_description_signed_out_meta_block_field":"","rea_page_footer_id_meta_block_field":"","rea_page_footer_date_meta_block_field":"","footnotes":""},"class_list":["post-5183","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/schizophrenia.life\/public\/wp-json\/wp\/v2\/pages\/5183","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/schizophrenia.life\/public\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/schizophrenia.life\/public\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/schizophrenia.life\/public\/wp-json\/wp\/v2\/users\/11"}],"replies":[{"embeddable":true,"href":"https:\/\/schizophrenia.life\/public\/wp-json\/wp\/v2\/comments?post=5183"}],"version-history":[{"count":0,"href":"https:\/\/schizophrenia.life\/public\/wp-json\/wp\/v2\/pages\/5183\/revisions"}],"wp:attachment":[{"href":"https:\/\/schizophrenia.life\/public\/wp-json\/wp\/v2\/media?parent=5183"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}