Cited by 64Smoking Behavior and CessationSubstance Abuse Treatment and OutcomesMental Health Treatment and Access

Mental Disorders and Cigarette Use among Adults in the United States

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Goodwin, Renee D., Zvolensky, Michael J., Keyes, Katherine M., Hasin, Deborah S.·2012·The American Journal on Addictions

Abstract

Background: The goal of this study was to determine the association between mental disorders and cigarette consumption and nicotine dependence. Methods: Data were drawn from the National Epidemiologic Survey of Alcohol and Related Conditions (NESARC), a nationally representative survey of adults (N = 43,093) aged 18 and older. Relationships between specific anxiety disorders, mood disorders, nondependent cigarette use, nicotine dependence among the whole sample, and nicotine dependence among cigarette users were examined. Results: After adjusting for demographics and comorbid mental disorders, generalized anxiety disorder (OR = 1.16 (1.29–1.51)), specific phobia (OR = 1.35 (1.21–1.51)), panic disorder (PD) (OR = 1.90 (1.62–2.23)), major depression (MDD) (OR = 1.31 (1.16–1.48)), and bipolar disorder (OR = 1.30 (1.09–1.54)) were associated with increased likelihood of nondependent cigarette use. Specific phobia (OR = 1.69 (1.49–1.91)), PD (OR = 1.82 (1.50–2.21)), MDD (OR = 1.59 (1.38–1.84)), and bipolar disorder (OR = 1.71 (1.39–2.09)) were associated with increased odds of nicotine dependence among the whole sample; social phobia (OR = 1.69 (1.19–2.40)), specific phobia (OR = 1.69 (1.43–2.01)), MDD (OR = 1.65 (1.34–2.02)), and bipolar disorder (OR = 2.38 (1.74–3.24)) were associated with increased risk of nicotine dependence among cigarette users. Conclusions: Specific anxiety disorders and mood disorders were uniquely associated with nondependent cigarette use, nicotine dependence among the whole sample, and the risk of nicotine dependence among cigarette users in the United States. Findings suggest that demographic differences, comorbid mood, anxiety, substance, and personality disorders all contributed to previously observed associations between mental disorders and nicotine dependence, explaining these links in some but not all cases. (Am J Addict 2012;21:416–423)

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Crossref · 10.1111/j.1521-0391.2012.00263.x

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  1. [30]Holzer CE Shea BM Swanson JW The increased risk for specific psychiatric disorders among persons of low socioeconomic status: Evidence from the Epidemiologic Catchment Area Surveys American Journal of Social Psychiatry 1986 6 4 259 271

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Authors
Goodwin, R. D., Zvolensky, M. J., Keyes, K. M., & Hasin, D. S.
Affiliations
  • University of Vermont (US)
  • New York State Psychiatric Institute (US)
Venue
The American Journal on Addictions
Publisher
Wiley
Published
2012-08-10
Volume
21
Issue
5
Pages
416-423
ISSN
  • 1055-0496 (ISSN-L)
  • 1521-0391
OpenAlex
W1843562072
Cited by
64
References
49
Citations by year
2026: 1 · 2025: 1 · 2024: 1 · 2023: 2 · 2022: 2 · 2021: 6 · 2020: 1 · 2019: 6 · 2018: 9 · 2017: 8 · 2016: 10 · 2015: 7 · 2014: 7 · 2013: 2
FWCI
3.43
Type
journal article
Language
en
Open access
Locations
  • American Journal on Addictions (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institute of Mental Health (K23-MH64746, K23MH064736)
  • National Institute on Drug Abuse (R01 DA20896, R01DA020892)
Topics
  • Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
Keywords
mental illness, cigarette smoking, nicotine dependence, anxiety disorders, mood disorders, generalized anxiety disorder, panic disorder, major depressive disorder, bipolar disorder, specific phobia, social anxiety disorder, comorbidities, tobacco use
MeSH terms
Adult, Aged, Anxiety Disorders, Female, Health Surveys, Humans, Male, Middle Aged, Smoking, Tobacco Use Disorder, United States, Mood Disorders, National Institute on Alcohol Abuse and Alcoholism (U.S.)

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