Cited by 151Smoking Behavior and CessationSubstance Abuse Treatment and OutcomesPrenatal Substance Exposure Effects

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Psychiatric disorders in smokers seeking treatment for tobacco dependence: Relations with tobacco dependence and cessation.

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Piper, Megan E., Smith, Stevens S., Schlam, Tanya R., Fleming, Michael F., Bittrich, Amy A., Brown, Jennifer L., Leitzke, Cathlyn J., Zehner, Mark E., Fiore, Michael C., Baker, Timothy B.·2010·Journal of Consulting and Clinical Psychology

DOI 10.1037/a0018065PMC PMC2813467

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Abstract

OBJECTIVE: The present research examined the relation of psychiatric disorders to tobacco dependence and cessation outcomes. METHOD: Data were collected from 1,504 smokers (58.2% women; 83.9% White; mean age = 44.67 years, SD = 11.08) making an aided smoking cessation attempt as part of a clinical trial. Psychiatric diagnoses were determined with the Composite International Diagnostic Interview structured clinical interview. Tobacco dependence was assessed with the Fagerström Test of Nicotine Dependence (FTND) and the Wisconsin Inventory of Smoking Dependence Motives (WISDM). RESULTS: Diagnostic groups included those who were never diagnosed, those who had ever been diagnosed (at any time, including in the past year), and those with past-year diagnoses (with or without prior diagnosis). Some diagnostic groups had lower follow-up abstinence rates than did the never diagnosed group (ps < .05). At 8 weeks after quitting, strong associations were found between cessation outcome and both past-year mood disorder and ever diagnosed anxiety disorder. At 6 months after quitting, those ever diagnosed with an anxiety disorder (OR = .72, p = .02) and those ever diagnosed with more than one psychiatric diagnosis (OR = .74, p = .03) had lower abstinence rates. The diagnostic categories did not differ in smoking heaviness or the FTND, but they did differ in dependence motives assessed with the WISDM. CONCLUSION: Information on recent or lifetime psychiatric disorders may help clinicians gauge relapse risk and may suggest dependence motives that are particularly relevant to affected patients. These findings also illustrate the importance of using multidimensional tobacco dependence assessments.

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Authors: Piper, M. E., Smith, S. S., Schlam, T. R., Fleming, M. F., Bittrich, A. A., Brown, J. L., Leitzke, C. J., Zehner, M. E., Fiore, M. C., & Baker, T. B.
Affiliations: University of Wisconsin–Madison (US)
ORCID: Piper, Megan E.
Smith, Stevens S.
Schlam, Tanya R.
Fleming, Michael F.
Brown, Jennifer L.
Zehner, Mark E.
Fiore, Michael C.
Baker, Timothy B.
Venue: Journal of Consulting and Clinical Psychology
Publisher: American Psychological Association (APA)
Published: 2010-02
Volume: 78
Issue: 1
Pages: 13-23
ISSN: 0022-006X (ISSN-L)
1939-2117
DOI: 10.1037/a0018065
PMC: PMC2813467
OpenAlex: W2094429523
Cited by: 150
References: 79
Citations by year: 2025: 1 · 2024: 8 · 2023: 9 · 2022: 4 · 2021: 4 · 2020: 8 · 2019: 7 · 2018: 10 · 2017: 8 · 2016: 14 · 2015: 16 · 2014: 16 · 2013: 10 · 2012: 19
FWCI: 9.53
Type: journal article
Language: en
Update notices: correction (2017-08-31)
Open access: green
www.ncbi.nlm.nih.gov
Locations: Journal of Consulting and Clinical Psychology (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: National Institutes of Health (P50 DA019706, M01 RR03186)
University of Wisconsin—Madison (1KL2RR025012-01)
National Cancer Institute (1K05CA139871)
GlaxoSmithKline
Elan Corporation, plc.
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Smoking Behavior and Cessation
Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Prenatal Substance Exposure Effects
Keywords: mental illness, tobacco dependence, smoking cessation, mood disorders, anxiety disorders, abstinence rates, relapse risk, smoking heaviness
MeSH terms: Adult, Anxiety Disorders, Double-Blind Method, Female, Humans, Male, Middle Aged, Motivation, Nicotine, Psychiatric Status Rating Scales, Surveys and Questionnaires, Regression Analysis, Smoking, Tobacco Use Disorder, Smoking Cessation, Treatment Outcome, Patient Selection, Mood Disorders

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Psychiatric disorders in smokers seeking treatment for tobacco dependence: Relations with tobacco dependence and cessation.

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