Relationship between Comorbid Drug Use Disorders, Affective Disorders, and Current Smoking

Bibliographic Data

ID21645425
AuthorsMaria A Parker (0000-0002-9763-1129, Vermont Center on Behavior & Health, University of Vermont, Burlington, Vermont, USA, corresponding author), Andrea C Villanti (0000-0003-3104-966X, Vermont Center on Behavior & Health, University of Vermont, Burlington, Vermont, USA)
Year2021
Volume56
Issue1
Pages93-100
Publication date2021-01-02
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueSubstance Use & Misuse (JOURNAL)
Journal identifiersISSN: 1082-6084 • E-ISSN: 1532-2491
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/10826084.2020.1840591
PMID33143491
OpenAlexW3095706435
LanguageEN
Citations received1
References cited47

Objective: This study aimed to identify subgroups of adults based on comorbid psychiatric disorders and to examine the relationship with current smoking. Method: The National Epidemiologic Survey on Alcohol and Related Conditions-III, 2012–2013, sampled, recruited, and assessed 36,309 adults, with interviews on drug use and other characteristics. The Alcohol Use Disorder and Associated Disabilities Interview Schedule DSM-5 Version (AUDADIS-5) was used to identify psychiatric conditions. Latent class models were developed based on various psychiatric diagnoses. Multinomial logistic regression estimated the significance of covariates in predicting class membership. Results: Four latent classes optimally distinguished the population: no comorbid conditions (63%), comorbid affective disorders (16%), those with alcohol use disorder (AUD; 17%), and a highly comorbid subgroup (i.e., co-occurring affective and drug use disorders; 4%). Current smoking was about twice as prevalent in the classes defined by psychiatric conditions compared to the group with no comorbid conditions. The highly comorbid class was more likely to be current smokers than the comorbid affective disorders class and the AUD class. Furthermore, the highly comorbid class was younger and had lower income, and the AUD class had a higher proportion of males than the other classes. Conclusions: Cigarette smoking was higher in the nearly 40% of respondents characterized by psychiatric disorders, particularly those with drug use disorders. Correlates of membership in these classes were consistent with known vulnerabilities for smoking, highlighting the need for mental health interventions and future research to explicitly address tobacco cessation in clinical settings based on psychiatric diagnoses

Alcohol · Alcohol use disorder · Comorbidity · Environmental health · Latent class model · Logistic regression · Mental health · Population · Psychiatry · Psychological intervention · Clinical Psychology · Medicine · Obesity, Physical Activity, Diet · Psychology · Smoking Behavior and Cessation · Substance Abuse Treatment and Outcomes

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