{"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-1 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-2 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-3 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-4 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-5 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-6 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-7 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-8 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-9 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-10 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-11 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-12 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-13 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-14 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-15 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-16 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-17 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-18 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-19 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-20 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, Basurte-Villamor I, Ruiz-Veguilla M. 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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}]}}