Cited by 122Smoking Behavior and CessationMental Health Treatment and AccessSubstance Abuse Treatment and Outcomes

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Non-specific psychological distress, smoking status and smoking cessation: United States National Health Interview Survey 2005

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Lawrence, David, Mitrou, Francis, Zubrick, Stephen R·2011·BMC Public Health

DOI 10.1186/1471-2458-11-256PMC PMC3107796

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Abstract

BACKGROUND: It is well established that smoking rates in people with common mental disorders such as anxiety or depressive disorders are much higher than in people without mental disorders. It is less clear whether people with these mental disorders want to quit smoking, attempt to quit smoking or successfully quit smoking at the same rate as people without such disorders. METHODS: We used data from the 2005 Cancer Control Supplement to the United States National Health Interview Survey to explore the relationship between psychological distress as measured using the K6 scale and smoking cessation, by comparing current smokers who had tried unsuccessfully to quit in the previous 12 months to people able to quit for at least 7 to 24 months prior to the survey. We also used data from the 2007 Australian National Survey of Mental Health and Wellbeing to examine the relationship between psychological distress (K6) scores and duration of mental illness. RESULTS: The majority of people with high K6 psychological distress scores also meet diagnostic criteria for mental disorders, and over 90% of these people had first onset of mental disorder more than 2 years prior to the survey. We found that people with high levels of non-specific psychological distress were more likely to be current smokers. They were as likely as people with low levels of psychological distress to report wanting to quit smoking, trying to quit smoking, and to have used smoking cessation aids. However, they were significantly less likely to have quit smoking. CONCLUSIONS: The strong association between K6 psychological distress scores and mental disorders of long duration suggests that the K6 measure is a useful proxy for ongoing mental health problems. As people with anxiety and depressive disorders make up a large proportion of adult smokers in the US, attention to the role of these disorders in smoking behaviours may be a useful area of further investigation for tobacco control.

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Figure 1 Screening process used to select former smokers who quit within the last two years and current smokers with a recent failed quit attempt, US National Health Interview Survey.CC BY · PubMed Central

Figure 2 Australian Adults with ICD-10 depressive or anxiety disorders - time since onset of symptoms by level of non-specific psychological distress, Australian National Survey of Mental Health and Wellbeing.CC BY · PubMed Central

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Authors: Lawrence, D., Mitrou, F., & Zubrick, S. R.
Affiliations: The Kids Research Institute Australia (AU)
Corresponding author: Lawrence, David
ORCID: Mitrou, Francis
Zubrick, Stephen R
Venue: BMC Public Health
Publisher: Springer Science and Business Media LLC
Published: 2011-04-22
Volume: 11
Issue: 1
Pages: 256-256
ISSN: 1471-2458 (ISSN-L)
DOI: 10.1186/1471-2458-11-256
PMC: PMC3107796
OpenAlex: W2110603196
Cited by: 122
References: 63
Citations by year: 2026: 4 · 2025: 4 · 2024: 4 · 2023: 2 · 2022: 8 · 2021: 9 · 2020: 8 · 2019: 4 · 2018: 10 · 2017: 7 · 2016: 15 · 2015: 10 · 2014: 14 · 2013: 12 · 2012: 6
FWCI: 8.07
Type: journal article
Language: en
Open access: gold
doi.org
Licence: cc-by
creativecommons.org/licenses/by/2.0 (tdm)
Locations: BMC Public Health (publishedVersion, cc-by)
PubMed Central (publishedVersion, cc-by)
UWA Profiles and Research Repository (UWA) (publishedVersion, other-oa)
PubMed (publishedVersion)
DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
eSpace (Curtin University) (submittedVersion)
Funders: Australian Government
Centers for Disease Control and Prevention
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Smoking Behavior and Cessation
Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Keywords: psychological distress, smoking cessation, smoking status, mental illness, anxiety disorders, depressive disorders, tobacco control, smoking cessation aids
MeSH terms: Adolescent, Adult, Aged, Female, Health Surveys, Humans, Male, Middle Aged, Smoking, Stress, Psychological, United States, Smoking Cessation, Young Adult

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Non-specific psychological distress, smoking status and smoking cessation: United States National Health Interview Survey 2005

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