Adult attention-deficit/hyperactivity disorder and nicotine withdrawal: a qualitative study of patient perceptions

Liebrenz, Michael; Fisher, Carl Erik; Nellen, Romilda; Frei, Anja; Biechl, Anne-Catherine; Hiestand, Nina; Huber, Alice; Buadze, Anna; Eich, Dominique (2016). Adult attention-deficit/hyperactivity disorder and nicotine withdrawal: a qualitative study of patient perceptions. BMC psychiatry, 16(1), p. 208. BioMed Central 10.1186/s12888-016-0911-9

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Background: Nicotine use has been reported to ameliorate symptoms of Attention-Deficit/Hyperactivity Disorder (ADHD). Furthermore, adults with ADHD have a relatively high prevalence of cigarette smoking and greater difficulty abstaining from smoking. Overall, though, there is scant literature investigating the beliefs, perceptions and experiences of smokers with ADHD regarding smoking cessation and withdrawal. Methods: Our participants (n = 20) fulfilling criteria for ADHD and a past or current dependence from nicotine were recruited from the in- and outpatient clinic of the Zurich University Psychiatric Hospital and the Psychiatric Services Aargau (Switzerland). We conducted in-depth interviews to explore their motivations to quit, past experiences with and expectations about quitting using a purposeful sampling plan. The sample was selected to provide diversity in relation to level of nicotine dependence, participation in a smoking-cessation program, gender, age, martial status and social class. Mayring’s qualitative content analysis approach was used to evaluate findings. Results: Adult smokers with ADHD had made several attempts to quit, experienced intense withdrawal symptoms, and relapsed early and often. They also often perceived a worsening of ADHD symptoms with nicotine abstinence. We identified three motives to quit smoking: 1) health concerns, 2) the feeling of being addicted, and 3) social factors. Most participants favored a smoking cessation program specifically designed for individuals with ADHD because they thought ADHD complicated their nicotine withdrawal and that an ADHD-specific smoking cessation program should address specific symptoms of this disorder. Conclusions: Since treatment initiation and adherence associate closely with perception, we hope these findings will result in better cessation interventions for the vulnerable subgroup of smokers with ADHD. Keywords: ADHD, Nicotine, Withdrawal, Subjective, Qualitative, Narrative

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Service Sector > Institute of Legal Medicine
04 Faculty of Medicine > Service Sector > Institute of Legal Medicine > Forensic Psychiatric Services

UniBE Contributor:

Liebrenz, Michael

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1471-244X

Publisher:

BioMed Central

Language:

English

Submitter:

Antoinette Angehrn

Date Deposited:

25 Jul 2016 16:45

Last Modified:

25 Jul 2016 16:45

Publisher DOI:

10.1186/s12888-016-0911-9

PubMed ID:

27377376

BORIS DOI:

10.7892/boris.84356

URI:

https://boris.unibe.ch/id/eprint/84356

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