Cigarette Smoking and Mental Illness

A Study of Nicotine Withdrawal

Bibliographic Data

ID11035366
AuthorsPhilip H Smith (0000-0003-3841-7031, 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.), Gregory G Homish (0000-0003-2601-3283, 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.), Gary A Giovino (0000-0003-0343-8449, 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.), Lynn T Kozlowski (0000-0003-0634-5774, 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.)
Year2014
Volume104
Issue2
Pagese127-e133
Publication date2014-02-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2013.301502
PMID24328637
OpenAlexW2107669805
LanguageEN
Citations received6
References cited35

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

Cigarette smoking · Environmental health · Mental health · Mental illness · Nicotine · Nicotine dependence · Nicotine withdrawal · Psychiatry · Internal Medicine · Medicine · Neurotransmitter Receptor Influence on Behavior · Smoking Behavior and Cessation · Substance Abuse Treatment and Outcomes

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