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The relationship between smoking cessation and binge drinking, depression, and anxiety symptoms among smokers with serious mental illness
- Source :
- Drug and Alcohol Dependence. 194:128-135
- Publication Year :
- 2019
- Publisher :
- Elsevier BV, 2019.
-
Abstract
- Introduction Concerns about the adverse effects of smoking cessation on alcohol use and mental health are a barrier to cessation for smokers with serious mental illness (SMI). The purpose of this study is to examine how incident smoking cessation affects binge drinking and symptoms of depression and anxiety among smokers with SMI. Methods The present study is a secondary analysis of the OPTIN trial, which demonstrated the effectiveness of proactive outreach for smoking cessation among Minnesota Health Care Programs enrollees. Participants with ICD-9 codes indicating schizophrenia spectrum disorders, psychotic disorders, bipolar disorders, or severe/recurrent major depressive disorder were categorized as having SMI (n = 939); remaining smokers were categorized as non-SMI (n = 1382). Multivariable regressions modeled the association between incident smoking cessation and binge drinking, PHQ-2 depression scores, and PROMIS anxiety scores in the two groups. Results Quitting smoking was not associated with binge drinking among those with SMI, but was associated with less binge drinking among those without SMI (p = 0.033). Quitting smoking was not associated with PHQ-2 depression scores among those with or without SMI. However, quitting smoking was associated with lower mean PROMIS anxiety scores for those with SMI (p = 0.031), but not those without SMI. Conclusion Quitting smoking was not associated with heightened binge drinking or symptoms of depression and anxiety among smokers with SMI. These findings suggest that quitting smoking is not detrimental for these patients, and provide evidential support for facilitating access to cessation resources for patients with serious mental illness who smoke.
- Subjects :
- Adult
Male
medicine.medical_specialty
Adolescent
Minnesota
medicine.medical_treatment
education
Binge drinking
Anxiety
Toxicology
Severity of Illness Index
Article
Binge Drinking
Young Adult
03 medical and health sciences
0302 clinical medicine
mental disorders
Health care
medicine
Humans
Pharmacology (medical)
030212 general & internal medicine
Adverse effect
Psychiatry
Depression (differential diagnoses)
Pharmacology
Smokers
Depression
business.industry
Smoking
fungi
Middle Aged
Mental illness
medicine.disease
Mental health
Psychiatry and Mental health
Psychotic Disorders
Smoking cessation
Female
Smoking Cessation
medicine.symptom
business
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 03768716
- Volume :
- 194
- Database :
- OpenAIRE
- Journal :
- Drug and Alcohol Dependence
- Accession number :
- edsair.doi.dedup.....d271e061de226eaf36d300ce810afb3b