PSYCHIATRIC COMORBIDITY OF SMOKING AND NICOTINE DEPENDENCE

被引:319
作者
BRESLAU, N
机构
[1] HENRY FORD HLTH SCI CTR,DEPT PSYCHIAT,DETROIT,MI
[2] HENRY FORD HLTH SCI CTR,DIV BIOSTAT & RES EPIDEMIOL,DETROIT,MI
[3] CASE WESTERN RESERVE UNIV,SCH MED,DEPT PSYCHIAT,CLEVELAND,OH 44106
[4] UNIV MICHIGAN,SCH MED,DEPT PSYCHIAT,ANN ARBOR,MI
关键词
SMOKING; NICOTINE DEPENDENCE; PSYCHIATRIC COMORBIDITY; MAJOR DEPRESSION; ANY ANXIETY DISORDER; SUBSTANCE USE DISORDERS;
D O I
10.1007/BF02196920
中图分类号
B84 [心理学]; C [社会科学总论]; Q98 [人类学];
学科分类号
03 ; 0303 ; 030303 ; 04 ; 0402 ;
摘要
Recent epidemiologic studies have revealed that comorbidity of psychiatric disorders is far more pervasive than previously suspected. Strong associations have been reported between specific substance use disorders and between any mental disorder and any substance use disorder. This report focuses on comorbidity of nicotine dependence, a substance use disorder on which little epidemiologic information is available. Data come from an epidemiologic study of approximately 1000 young adults in southeast Michigan, in which the NIMH-DIS, revised according to DSM-III-R, was used. Lifetime prevalence of nicotine dependence was 20%. Males and females with nicotine dependence had increased odds for alcohol and illicit drug disorders, major depression, and anxiety disorders, compared with nondependent smokers and nonsmokers combined. Major depression and any anxiety disorder were associated specifically with nicotine dependence. Increased odds for alcohol or illicit drug disorders were observed also in nondependent smokers, compared to nonsmokers. History of early conduct problems increased the odds for nicotine dependence among smokers. Potential mechanisms in the comorbidity of nicotine dependence are discussed.
引用
收藏
页码:95 / 101
页数:7
相关论文
共 28 条
  • [12] Freeborn D, 1982, Group Health J, V3, P4
  • [13] SMOKING, SMOKING CESSATION, AND MAJOR DEPRESSION
    GLASSMAN, AH
    HELZER, JE
    COVEY, LS
    COTTLER, LB
    STETNER, F
    TIPP, JE
    JOHNSON, J
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1990, 264 (12): : 1546 - 1549
  • [14] GLASSMAN AH, 1988, JAMA-J AM MED ASSOC, V259, P2863
  • [15] GLASSMAN AH, 1993, AM J PSYCHIAT, V150, P546
  • [16] PERSONALITY AND THE INHERITANCE OF SMOKING-BEHAVIOR - A GENETIC PERSPECTIVE
    HEATH, AC
    MADDEN, PAF
    SLUTSKE, WS
    MARTIN, NG
    [J]. BEHAVIOR GENETICS, 1995, 25 (02) : 103 - 117
  • [17] HELZER JE, 1991, PSYCHIATRIC DISORDER
  • [18] HESSELBROCK MN, 1985, ARCH GEN PSYCHIAT, V42, P1050
  • [19] PATTERNS OF DRUG-USE FROM ADOLESCENCE TO YOUNG ADULTHOOD .1. PERIODS OF RISK FOR INITIATION, CONTINUED USE, AND DISCONTINUATION
    KANDEL, DB
    LOGAN, JA
    [J]. AMERICAN JOURNAL OF PUBLIC HEALTH, 1984, 74 (07) : 660 - 666
  • [20] KENDLER KS, 1993, ARCH GEN PSYCHIAT, V50, P36