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Journal of Clinical and
            Basic Psychosomatics                                                  Smoking and schizophrenia symptoms




            Table 1. (Continued)
             Study                                    Goal of study                   Main relevant results
            Does smoking reduce akathisia? Testing a narrow   Examined whether heavy smoking   The self-medication theory does
            version of the self-medication hypothesis [52]  reduces akathisia.        not explain the elevated rates of
                                                                                      smoking observed in individuals
                                                                                      with SCZ.
            Cognitive performance and smoking in first-episode   Examined the differences in the course of   Smoking may improve attention.
            psychosis: The self-medication hypothesis [25]  those deficits after APs.
            SCZ and smoking: An epidemiological survey in a state   Determined whether smoking is related   The relationship between high
            hospital [48]                             to SCZ.                         doses of neuroleptics and smoking
                                                                                      was observed only in patients
                                                                                      without SCZ.
            Preservation effect: Cigarette smoking acts on the   The study aimed to determine if smoking   The investigation of neural
            dynamic of influences among unifying neuropsychiatric   could improve the dynamics of networks   pathways can yield novel insights
            triple networks in SCZ [53]               in individuals with SCZ.        into the self-medication hypothesis
                                                                                      in SCZ.
            Higher rates of cigarette smoking in male adolescents   Investigated the prevalence of cigarette   Based on data indicating
            before the onset of SCZ: A historical-prospective cohort   smoking in adolescents later hospitalized   abnormalities in nicotinic
            study [54]                                for SCZ.                        transmission in patients with
                                                                                      SCZ and their relatives, a higher
                                                                                      prevalence of smoking among
                                                                                      individuals who will later
                                                                                      develop SCZ before the onset
                                                                                      of the illness could suggest a
                                                                                      link between impaired nicotinic
                                                                                      neurotransmission and SCZ.
            Psychoactive substance use in specialized psychiatric   Investigated prevalence and correlates of   Patients with SCZ were more often
            care patients [55]                        substance use among patients.   daily smokers.
            Smoking improves divided attention in SCZ [23]  Examined the interactional effects of SCZ   The positive effect of smoking on
                                                      and smoking history on divided attention.  divided attention.
            Health for smokers with SCZ — a struggle to maintain a   Investigated the habits of smokers with   Smokers with SCZ experience
            dignified life [56]                       SCZ and smoking in relation to health.  health problems.
            Effects of tobacco on AP treatments and their symptoms   Evaluated the prevalence of tobacco in   SCZ patients smoke for reasons
            in SCZ [32]                               patients with SCZ and test if smoking   other than reducing psychotic or
                                                      reduces psychotic and extrapyramidal   extrapyramidal symptoms.
                                                      symptoms.
            Smoking and cognitive deficits in SCZ: A pilot study [42]  Among the smokers, the number of   Smoking may alleviate cognitive
                                                      cigarettes smoked per day was associated   deficits in SCZ by increasing
                                                      with the severity of cognitive symptoms.  dopaminergic neurotransmission.
            Tobacco and cognitive performance in SCZ patients: The   Described the methodology used in the   The high rates of tobacco use in
            design of the COGNICO study [57]          COGNICO study.                  patients with mental disorders.
            Nicotine use and its correlates in patients with   At the beginning of the study and   An interpretation of the findings
            psychosis [58]                            annually for 5 years, levels of nicotine   is that patients with psychosis fail
                                                      usage were assessed in addition to other   to desist from nicotine rather than
                                                      pertinent ratings and measurements.  experience the positive effects of
                                                                                      the usage.
            Differential sensory gating functions between smokers   The effects of cigarette smoking, without   Support a sensory gating deficit
            and non-smokers among drug-naive first-episode   new acute exposure before testing, on   among first-episode SCZ patients.
            schizophrenic patients [26]               sensory gating using the P50 auditory   It was less pronounced among
                                                      evoked potential in a group of SCZ   SCZ patients who were cigarette
                                                      smokers and healthy smokers.    smokers.
            Separate and combined effects of low-dose ketamine and   Investigated the separate and interactive   Acute alterations and individual
            nicotine on behavioral and neural correlates of sustained   roles of the N-methyl-d-aspartate   differences in nAChR function can
            attention [59]                            receptor and nAChR systems in the   moderate glutamatergic-driven
                                                      modulation of attention.        cognitive deficiencies in SCZ.
                                                                                                       (Cont’d...)


            Volume 1 Issue 1 (2023)                         4                        https://doi.org/10.36922/jcbp.1014
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