Peer reviewed
ERIC Number: EJ728006
Record Type: Journal
Publication Date: 2005-Sep-1
Pages: 5
Abstractor: ERIC
ISBN: N/A
ISSN: ISSN-0890-8567
EISSN: N/A
A Practical Clinical Approach to the Treatment of Nicotine Dependence in Adolescents
Upadhyaya, Himanshu; Deas, Deborah; Brady, Kathleen
Journal of the American Academy of Child and Adolescent Psychiatry, v44 n9 p942 Sep 2005
Cigarette smoking in the United States is predominantly a pediatric disorder and causes significant morbidity and mortality; tobacco is related to more than 400,000 deaths in the United States annually. Psychiatric comorbidity is associated with smoking, and early-onset smoking (before age 13) is robustly associated with psychopathology later in adolescence. Child and adolescent psychiatrists are in a position to prevent and treat nicotine dependence because many of their patients smoke cigarettes. Unfortunately, nicotine dependence is frequently underdiagnosed and undertreated among adolescents in psychiatric settings. Nicotine withdrawal can become a significant issue among adolescents admitted to locked inpatient psychiatric units because they are not allowed to smoke. Common nicotine withdrawal symptoms include irritability, anxiety, decreased concentration, increased appetite, and craving for cigarettes. These symptoms can mimic symptoms of other psychiatric disorders as well as make patients more difficult to manage on the unit. Hence, in this clinical perspective article, the authors offer practical advice for addressing nicotine dependence by child and adolescent psychiatrists.
Descriptors: Adolescents, Smoking, Withdrawal (Psychology), Substance Abuse, Psychiatry, Clinical Diagnosis, Symptoms (Individual Disorders), Therapy
Lippincott Williams & Wilkins, P.O. Box 1620, Hagerstown, MD 21741. Tel: 800-638-3030 (Toll Free); Fax: 301-223-2400.
Publication Type: Journal Articles; Reports - Descriptive
Education Level: N/A
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A
Grant or Contract Numbers: N/A