The relationship between smoking cessation and binge drinking, depression, and anxiety symptoms among smokers with serious mental illness.
Alcohol consumption
Mental health
Serious mental illness
Smoking cessation
Socioeconomic disparities
Journal
Drug and alcohol dependence
ISSN: 1879-0046
Titre abrégé: Drug Alcohol Depend
Pays: Ireland
ID NLM: 7513587
Informations de publication
Date de publication:
01 01 2019
01 01 2019
Historique:
received:
07
05
2018
revised:
14
08
2018
accepted:
22
08
2018
pubmed:
16
11
2018
medline:
17
4
2019
entrez:
16
11
2018
Statut:
ppublish
Résumé
Concerns about the adverse effects of smoking cessation on alcohol use and mental health are a barrier to cessation for smokers with serious mental illness (SMI). The purpose of this study is to examine how incident smoking cessation affects binge drinking and symptoms of depression and anxiety among smokers with SMI. The present study is a secondary analysis of the OPTIN trial, which demonstrated the effectiveness of proactive outreach for smoking cessation among Minnesota Health Care Programs enrollees. Participants with ICD-9 codes indicating schizophrenia spectrum disorders, psychotic disorders, bipolar disorders, or severe/recurrent major depressive disorder were categorized as having SMI (n = 939); remaining smokers were categorized as non-SMI (n = 1382). Multivariable regressions modeled the association between incident smoking cessation and binge drinking, PHQ-2 depression scores, and PROMIS anxiety scores in the two groups. Quitting smoking was not associated with binge drinking among those with SMI, but was associated with less binge drinking among those without SMI (p = 0.033). Quitting smoking was not associated with PHQ-2 depression scores among those with or without SMI. However, quitting smoking was associated with lower mean PROMIS anxiety scores for those with SMI (p = 0.031), but not those without SMI. Quitting smoking was not associated with heightened binge drinking or symptoms of depression and anxiety among smokers with SMI. These findings suggest that quitting smoking is not detrimental for these patients, and provide evidential support for facilitating access to cessation resources for patients with serious mental illness who smoke.
Identifiants
pubmed: 30439609
pii: S0376-8716(18)30769-5
doi: 10.1016/j.drugalcdep.2018.08.043
pmc: PMC6363348
mid: NIHMS1512369
pii:
doi:
Types de publication
Journal Article
Randomized Controlled Trial
Research Support, N.I.H., Extramural
Research Support, U.S. Gov't, Non-P.H.S.
Langues
eng
Sous-ensembles de citation
IM
Pagination
128-135Subventions
Organisme : NICHD NIH HHS
ID : P2C HD041023
Pays : United States
Organisme : NCI NIH HHS
ID : R01 CA141527
Pays : United States
Organisme : NCI NIH HHS
ID : T32 CA163184
Pays : United States
Informations de copyright
Published by Elsevier B.V.
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