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Cigarette Smoking and Mental Illness: A Study of Nicotine Withdrawal
Journal article   Open access   Peer reviewed

Cigarette Smoking and Mental Illness: A Study of Nicotine Withdrawal

Philip H. Smith, Gregory G. Homish, Gary A. Giovino and Lynn T. Kozlowski
American journal of public health (1971), v 104(2), pp E127-E133
01 Feb 2014
PMID: 24328637
url
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3935702View
Published, Version of Record (VoR)Open Access (License Unspecified) Open

Abstract

Life Sciences & Biomedicine Public, Environmental & Occupational Health Science & Technology
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.

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Collaboration types
Domestic collaboration
Web of Science research areas
Public, Environmental & Occupational Health
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