{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T13:54:10Z","timestamp":1774619650585,"version":"3.50.1"},"reference-count":30,"publisher":"CAIRN","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,12,19]]},"abstract":"<jats:p>Objectif\u00a0: Cette \u00e9tude s\u2019int\u00e9resse \u00e0 la place du tabagisme dans la vie des personnes porteuses de troubles psychiques et \u00e0 sa prise en charge chez les patients des secteurs de psychiatrie publique en France. M\u00e9thode\u00a0: L\u2019analyse th\u00e9matique est bas\u00e9e sur des entretiens semi-directifs men\u00e9s aupr\u00e8s de 10 patients et 9 soignants. R\u00e9sultats\u00a0: Le tabac est v\u00e9cu par les patients comme une modalit\u00e9 de gestion \u00e9motionnelle en lien avec leurs vicissitudes psychiques. Pour autant, les professionnels de la psychiatrie, se centrant sur les troubles psychiques et les addictions ayant un impact sur le comportement, se sentent peu concern\u00e9s par cette addiction. Le tabac est d\u2019ailleurs parfois int\u00e9gr\u00e9 au mode de fonctionnement des services. Toutefois, r\u00e9duire la question du sevrage tabagique \u00e0 la bonne volont\u00e9 des soignants serait simplificateur. La dimension structurelle du tabagisme ressortait notamment \u00e0 l\u2019h\u00f4pital psychiatrique, o\u00f9 il constituait une monnaie d\u2019\u00e9change et une activit\u00e9 importante. Conclusions\u00a0: L\u2019individualisation de la prise en charge du sevrage tabagique, souhait\u00e9e par les patients, souligne la pertinence d\u2019une co-construction d\u2019une intervention de sant\u00e9 publique d\u00e9passant la seule prescription de substituts nicotiniques. Cette intervention devra tenir compte des caract\u00e9ristiques de la consommation de tabac des patients pris en charge en psychiatrie, de la n\u00e9cessit\u00e9 qu\u2019elle soit propos\u00e9e \u00e0 un moment o\u00f9 leur \u00e9tat est stable, tout en accompagnant les soignants de psychiatrie pour favoriser leur engagement dans un processus de d\u00e9cision partag\u00e9e des objectifs \u00e0 atteindre en termes de consommation tabagique et de temporalit\u00e9 du processus de sevrage.<\/jats:p>","DOI":"10.3917\/spub.225.0643","type":"journal-article","created":{"date-parts":[[2022,12,29]],"date-time":"2022-12-29T01:00:11Z","timestamp":1672275611000},"page":"643-651","source":"Crossref","is-referenced-by-count":5,"title":["Le tabagisme en psychiatrie\u00a0: r\u00e9alit\u00e9s et implications pour sa prise en charge"],"prefix":"10.3917","volume":"Vol. 34","author":[{"given":"Fr\u00e9d\u00e9ric","family":"Ketterer","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean-Luc","family":"Roelandt","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karine","family":"Chevreul","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2273","reference":[{"key":"rb1","doi-asserted-by":"publisher","first-page":"135-157","DOI":"10.1016\/j.schres.2005.02.010","article-title":"A meta-analysis of worldwide studies demonstrates an association between schizophrenia and tobacco smoking behaviors","volume":"76","author":"de Leon Jose","year":"2005","journal-title":"Schizophrenia Research","ISSN":"https:\/\/id.crossref.org\/issn\/0920-9964","issn-type":"print"},{"key":"rb2","doi-asserted-by":"publisher","first-page":"154-165","DOI":"10.1111\/j.1399-5618.2009.00664.x","article-title":"Tobacco smoking behaviors in bipolar disorder: a comparison of the general population, schizophrenia, and major depression","volume":"11","author":"Diaz Francisco J","year":"2009","journal-title":"Bipolar Disorders","ISSN":"https:\/\/id.crossref.org\/issn\/1398-5647","issn-type":"print"},{"key":"rb3","doi-asserted-by":"publisher","first-page":"153-160","DOI":"10.1002\/wps.20128","article-title":"Risks of all-cause and suicide mortality in mental disorders: a meta-review","volume":"13","author":"Chesney Edward","year":"2014","journal-title":"World Psychiatry","ISSN":"https:\/\/id.crossref.org\/issn\/1723-8617","issn-type":"print"},{"key":"rb4","doi-asserted-by":"publisher","first-page":"e19590","DOI":"10.1371\/journal.pone.0019590","article-title":"Life Expectancy at Birth for People with Serious Mental Illness and Other Major Disorders from a Secondary Mental Health Care Case Register in London","volume":"6","author":"Chang Chin-Kuo","year":"2011","journal-title":"PLoS ONE","ISSN":"https:\/\/id.crossref.org\/issn\/1932-6203","issn-type":"print"},{"key":"rb5","doi-asserted-by":"publisher","first-page":"1172","DOI":"10.1001\/jamapsychiatry.2015.1737","article-title":"Premature Mortality Among Adults With Schizophrenia in the United States","volume":"72","author":"Olfson Mark","year":"2015","journal-title":"JAMA Psychiatry","ISSN":"https:\/\/id.crossref.org\/issn\/2168-622X","issn-type":"print"},{"key":"rb6","doi-asserted-by":"publisher","first-page":"203-207","DOI":"10.1016\/j.jad.2015.12.067","article-title":"Mortality and life expectancy in persons with severe unipolar depression","volume":"193","author":"Laursen Thomas Munk","year":"2016","journal-title":"Journal of Affective Disorders","ISSN":"https:\/\/id.crossref.org\/issn\/0165-0327","issn-type":"print"},{"key":"rb7","unstructured":"7 Ha C, Decool E, Chan Chee C. 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