Key result
Psychiatric disorders such as alcohol abuse/dependence and generalized anxiety disorder were associated with ever-smoking, while specific disorders decreased the likelihood of quitting smoking.
Why the study?
Are psychiatric disorders associated with ever-smoking and the ability to quit or cut down smoking in a community population?
Cross-Sectional (n=2,980)
No
Are psychiatric disorders associated with ever-smoking and the ability to quit or cut down smoking in a community population?
Specific psychiatric disorders, such as alcohol abuse/dependence and generalized anxiety disorder, are significantly associated with ever-smoking and a decreased likelihood of quitting.
Answers are grounded in this paper and cite their sources.
May warrant psychiatric screening among smokers with CVD; leaves open bidirectional causality and cessation effects.
Correspondence to : Lirio S Covey, Department of Psychiatry, Columbia University, 722 West 168th Street, New York, NY 10032, USA Abstract Objective -To examine the association between cigarette smoking and psychi atric disorders. Design-The relationship between 11 psychiatric disorders and both ever smoking and quitting or reducing smok ing was determined by odds ratio analy sis. Statistical adjustment was employed to control for the influence of comor bidity among psychi atric disorders as well as age, race, education, and urban vs rural residence. Outcome measures Ever-smoking a history of smoking at least one cigarette a day for one month or more. Quit/cut down-made a cessation attempt and succeeded in smoking less than 10 ciga rettes a day for at least 12 months. Participants 2980 individuals from the Durham, North Carolina (USA) epi demiologic catchment area interviewed in 1981-83. Results-A history of ever-smoking was associated with alcohol abuse/ dependence and generalized anxiety dis order among men and women. Men with generalized anxiety disorder and women with recurrent-episode major depression showed a decreased likelihood of quitting or cutting down. A weak association was observed between ever-smoking and single-episode major depression in both genders. There was no excess of ever smokers among individuals with schizo phrenia but the quit rate in this group was nil. Conclusion Significant associations be tween certain psychiatric disorders and cigarette smoking behaviour exist. These associations provide clues for developing smoking control interventions tailored to the presence of those disorders and con tribute as well towards improved man agement of smoking-related psychiatric disorders.
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Covey et al. (1994) conducted a cross-sectional in Psychiatric disorders and cigarette smoking (n=2,980). Psychiatric disorders vs. Individuals without specific psychiatric disorders was evaluated on Ever-smoking and quitting or reducing smoking. Psychiatric disorders such as alcohol abuse/dependence and generalized anxiety disorder were associated with ever-smoking, while specific disorders decreased the likelihood of quitting smoking.
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