Nicotine dependence and incident psychiatric disorders: prospective evidence from US national study.


Journal

Molecular psychiatry
ISSN: 1476-5578
Titre abrégé: Mol Psychiatry
Pays: England
ID NLM: 9607835

Informations de publication

Date de publication:
11 Sep 2024
Historique:
received: 19 12 2023
accepted: 04 09 2024
revised: 02 09 2024
medline: 12 9 2024
pubmed: 12 9 2024
entrez: 11 9 2024
Statut: aheadofprint

Résumé

We examined the prospective associations between nicotine dependence and the likelihood of psychiatric and substance use disorders in the general adult population. Participants came from a nationally representative sample of US adults aged 18 years or older, who were interviewed 3 years apart in the National Epidemiologic Survey on Alcohol and Related Conditions (Wave 1, 2001-2002; Wave 2, 2004-2005). The primary analyses were limited to 32,671 respondents (13,751 male (47.9% weighted); mean age of 45 years (SD = 0.18)) who were interviewed in both waves. We used multiple regression and propensity score matching (PSM) to estimate the strength of independent associations between nicotine dependence related to the use of tobacco products at Wave 1 and incident psychiatric disorders at Wave 2. Psychiatric disorders were measured with a structured interview (Alcohol Use Disorder and Associated Disabilities Interview Schedule-DSM-IV). All analyses adjusted for multiple potential confounders, including childhood (family history of substance use disorders, parental loss, vulnerable family environment), early-adolescence (self-esteem, social deviance, conduct disorder), late-adolescence (education, personality and psychiatric disorders), adulthood (divorce, stressful life events, social deviance, quality of life, history of alcohol or other substance use disorder), and sociodemographic factors. Multiple regression analysis and PSM converged in indicating that nicotine dependence was associated with significantly increased incidence of any psychiatric disorder (OR = 1.39(95%CI:1.20;1.60)), including substance use disorders (OR = 1.91(95%CI:1.47;2.47)), and anxiety disorders (OR = 1.31(95%CI:1.06;1.62)). Population Attributable Risk Proportions were substantial, ranging from 12.5%(95%CI:8.10;17.0) for any psychiatric disorder to 33.3%(95%CI:18.7;48.0) for any other drug use disorder. Supplementary analyses also indicated significant associations between nicotine dependence and persistence of psychiatric and substance use disorders among patients having a disorder at Wave 1. In the general adult population, nicotine dependence is associated with an increased likelihood for several psychiatric and substance use disorders. Given its high prevalence, these findings have important public health implications.

Identifiants

pubmed: 39261672
doi: 10.1038/s41380-024-02748-6
pii: 10.1038/s41380-024-02748-6
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024. The Author(s), under exclusive licence to Springer Nature Limited.

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Auteurs

Guillaume Airagnes (G)

Department of Psychiatry and Addictology, AP-HP.Centre-Université Paris Cité, Paris, France. guillaume.airagnes@aphp.fr.
Université Paris Cité, Faculté de Santé, UFR de Médecine, Paris, France. guillaume.airagnes@aphp.fr.
INSERM UMS011, Population-based Epidemiological Cohorts, Villejuif, France. guillaume.airagnes@aphp.fr.

Marina Sánchez-Rico (M)

Department of Psychiatry and Addictology, AP-HP.Centre-Université Paris Cité, Paris, France.

Amélia Deguilhem (A)

Department of Psychiatry and Addictology, AP-HP.Centre-Université Paris Cité, Paris, France.

Carlos Blanco (C)

Division of Epidemiology, Services, and Prevention Research, National Institute on Drug Abuse, Bethesda, MD, USA.

Mark Olfson (M)

Department of Psychiatry, Columbia University Irving Medical Center/New York State Psychiatric Institute, New York, NY, USA.

Charles Ouazana Vedrines (C)

Department of Psychiatry and Addictology, AP-HP.Centre-Université Paris Cité, Paris, France.
Université Paris Cité, Faculté de Santé, UFR de Médecine, Paris, France.
Université Paris Cité, and Université Sorbonne Paris Nord, INSERM, INRAE, Centre for Research in Epidemiology and StatisticS (CRESS), Paris, France.

Cédric Lemogne (C)

Department of Psychiatry and Addictology, AP-HP.Centre-Université Paris Cité, Paris, France.
Université Paris Cité, Faculté de Santé, UFR de Médecine, Paris, France.
Université Paris Cité, and Université Sorbonne Paris Nord, INSERM, INRAE, Centre for Research in Epidemiology and StatisticS (CRESS), Paris, France.

Frédéric Limosin (F)

Department of Psychiatry and Addictology, AP-HP.Centre-Université Paris Cité, Paris, France.
Université Paris Cité, Faculté de Santé, UFR de Médecine, Paris, France.
INSERM UMR_1266, Institut de Psychiatrie et Neuroscience de Paris, Paris, France.

Nicolas Hoertel (N)

Department of Psychiatry and Addictology, AP-HP.Centre-Université Paris Cité, Paris, France.
Université Paris Cité, Faculté de Santé, UFR de Médecine, Paris, France.
INSERM UMR_1266, Institut de Psychiatrie et Neuroscience de Paris, Paris, France.

Classifications MeSH