Philip H Smith1, Gregory G Homish, Gary A Giovino, Lynn T Kozlowski. 1. All authors are with the School of Public Health and Health Professions, University at Buffalo, the State University of New York. Philip H. Smith is also with the School of Public Health, Yale University, New Haven, CT.
Abstract
OBJECTIVES: We compared prevalence, severity, and specific symptom profiles for nicotine withdrawal across categories of mental illness. We also examined the influence of nicotine withdrawal on efforts to quit smoking among those with mental illness. METHODS: We analyzed data from 2 sources: wave 1 of the National Epidemiologic Survey on Alcohol and Related Conditions, limiting the sample to current smokers (2001-2002; n = 9913); and a 2-wave cohort telephone survey of a national sample of adult smokers (2004-2006; n = 751). RESULTS: Mental illness was associated with a substantially greater likelihood of nicotine withdrawal syndrome; approximately 44% of nicotine withdrawal syndrome diagnoses were attributable to mental illness. Symptom profiles were highly comparable between mental illness categories, although anxiety-related symptoms were better markers of withdrawal for those with an internalizing disorder. Smokers with mental illness were motivated to quit but were less likely to be successful in their quit attempts, and both dependence and withdrawal independently accounted for this lower likelihood of success. CONCLUSIONS: Nicotine withdrawal may be a particularly important target for intervention among those with mental illness who smoke cigarettes.
OBJECTIVES: We compared prevalence, severity, and specific symptom profiles for nicotine withdrawal across categories of mental illness. We also examined the influence of nicotine withdrawal on efforts to quit smoking among those with mental illness. METHODS: We analyzed data from 2 sources: wave 1 of the National Epidemiologic Survey on Alcohol and Related Conditions, limiting the sample to current smokers (2001-2002; n = 9913); and a 2-wave cohort telephone survey of a national sample of adult smokers (2004-2006; n = 751). RESULTS:Mental illness was associated with a substantially greater likelihood of nicotinewithdrawal syndrome; approximately 44% of nicotinewithdrawal syndrome diagnoses were attributable to mental illness. Symptom profiles were highly comparable between mental illness categories, although anxiety-related symptoms were better markers of withdrawal for those with an internalizing disorder. Smokers with mental illness were motivated to quit but were less likely to be successful in their quit attempts, and both dependence and withdrawal independently accounted for this lower likelihood of success. CONCLUSIONS:Nicotine withdrawal may be a particularly important target for intervention among those with mental illness who smoke cigarettes.
Authors: Josette G Harris; Susan Kongs; Diana Allensworth; Laura Martin; Jason Tregellas; Bernadette Sullivan; Gary Zerbe; Robert Freedman Journal: Neuropsychopharmacology Date: 2004-07 Impact factor: 7.853
Authors: Bridget F Grant; Deborah A Dawson; Frederick S Stinson; Patricia S Chou; Ward Kay; Roger Pickering Journal: Drug Alcohol Depend Date: 2003-07-20 Impact factor: 4.492
Authors: Ryung S Kim; Andrea H Weinberger; Geetanjali Chander; Mark S Sulkowski; Brianna Norton; Jonathan Shuter Journal: Am J Med Date: 2018-01-31 Impact factor: 4.965
Authors: Allison J Carroll; Amanda R Mathew; Frank T Leone; E Paul Wileyto; Andrew Miele; Robert A Schnoll; Brian Hitsman Journal: Nicotine Tob Res Date: 2020-01-27 Impact factor: 4.244
Authors: Philip H Smith; Megan L Saddleson; Gregory G Homish; Sherry A McKee; Lynn T Kozlowski; Gary A Giovino Journal: Psychol Addict Behav Date: 2014-10-27
Authors: K P Jensen; A H Smith; A I Herman; L A Farrer; H R Kranzler; M Sofuoglu; J Gelernter Journal: Mol Psychiatry Date: 2016-04-12 Impact factor: 15.992