The relationships between use of alcohol, tobacco and coffee in adolescence and mood disorders in adulthood
Open accessAbstract
INTRODUCTION: Alcohol, tobacco and coffee are commonly used substances and use in adolescence has previously been linked to mood disorders. However, few large prospective studies have investigated adolescent use in relation to mental health outcomes in adulthood. The main aim of this study was to examine the prospective associations between alcohol use, cigarette smoking and coffee consumption at age 16 and subsequent mood disorders up to 33 years of age. METHODS: Data from The Northern Finland Birth Cohort 1986 Study were used and a total of 7660 participants (49.9% male) were included. Associations between alcohol use, cigarette smoking and coffee consumption at age 16 and later diagnoses of major depression and bipolar disorder were examined using multinomial logistic regression analyses. RESULTS: Mean number of cigarettes/day (OR, 1.23 [95% CI 1.01-1.50]) and mean volume of alcohol consumption (OR, 1.22 [95% CI 1.01-1.47]), but not frequency of excessive drinking, in adolescence were associated with increased risk for subsequent bipolar disorder after adjustment for sex, parental psychiatric disorders, family structure, illicit substance use, and emotional and behavioral problems at age 16. An association between cigarette smoking and major depression attenuated to statistically non-significant when adjusted for emotional and behavioral problems. No associations were observed between adolescent coffee consumption and subsequent mood disorders. CONCLUSIONS: This is the first study to report an association of adolescent cigarette smoking and subsequent bipolar disorder diagnosis providing grounds for further research and pointing to a place for preventive measures among adolescents.
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In a Finnish register study, the mean count of cigarettes per day at age 16 was associated with a higher risk of subsequent manifestation of bipolar disorder after adjustment for potential confounders (OR 1.23, 95% CI 1.01-1.50).
“A recent Finnish register study revealed that the mean count of cigarettes/day at age 16 were associated with a higher risk of subsequent manifestation of BD after adjustment for potential confounders (OR, 1.23 [95% CI 1.01–1.50]) (52).”
From The detrimental effects of smoking on the course and outcome in adults with bipolar disorder—A narrative review (2023) · cites this paper as [52]
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- Authors
- Bolstad, I., Alakokkare, A., Bramness, J. G., Rognli, E. B., Levola, J., Mustonen, A., Miettunen, J., & Niemelä, S.
- Affiliations
- Innlandet Hospital Trust (NO)
- University of Turku (FI)
- Norwegian Institute of Public Health (NO)
- Oslo University Hospital (NO)
- University of Helsinki (FI)
- Tampere University (FI)
- Oulu University Hospital (FI)
- Corresponding author
- Bolstad, Ingeborg
- ORCID
- Venue
- Acta Psychiatrica Scandinavica
- Publisher
- Wiley
- Published
- 2022-10-05
- Volume
- 146
- Issue
- 6
- Pages
- 594-603
- ISSN
- 0001-690X (ISSN-L)
- 1600-0447
- PMC
- PMC9827971
- OpenAlex
- W4298088349
- Cited by
- 18
- References
- 56
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 6 · 2023: 5 · 2022: 1
- FWCI
- 2.89
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Acta Psychiatrica Scandinavica (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- UTUPub (University of Turku) (submittedVersion)
- NORA - Norwegian Open Research Archives (submittedVersion, cc-by-nc-nd)
- NORA - Norwegian Open Research Archives (submittedVersion, other-oa)
- Työväentutkimus Vuosikirja (submittedVersion)
- Tampere University Institutional Repository (Tampere University) (submittedVersion, cc-by-nc-nd)
- Funders
- Academy of Finland
- Emil Aaltosen Säätiö
- Juho Vainion Säätiö
- Päivikki ja Sakari Sohlbergin Säätiö
- University of South Alabama
- Yrjö Jahnssonin Säätiö
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Keywords
- adolescent alcohol use, adolescent cigarette smoking, mood disorders, bipolar disorder, major depressive disorder, adolescent substance use, emotional and behavioral problems, Northern Finland Birth Cohort 1986, prospective cohort
- MeSH terms
- Adolescent, Adult, Alcohol Drinking, Ethanol, Coffee, Female, Humans, Male, Prospective Studies, Risk Factors, Nicotiana, Tobacco Products, Mood Disorders, Substance-Related Disorders
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