Cited by 106Smoking Behavior and CessationSubstance Abuse Treatment and OutcomesGambling Behavior and Treatments

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The Epidemiology of DSM-5 Nicotine Use Disorder: Results From the National Epidemiologic Survey on Alcohol and Related Conditions-III

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Chou, S. Patricia, Goldstein, Risë B., Smith, Sharon M., Huang, Boji, Ruan, W. June, Zhang, Haitao, Jung, Jeesun, Saha, Tulshi D., Pickering, Roger P., Grant, Bridget F.·2016·The Journal of Clinical Psychiatry

DOI 10.4088/jcp.15m10114PMC PMC8154113

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Abstract

OBJECTIVE: To present nationally representative information on the prevalence, correlates, psychiatric comorbidity, and treatment of DSM-5 nicotine use disorder (NUD) and the public health burden of US cigarette consumption among adults with NUD and other psychiatric disorders. METHODS: Using data from the 2012-2013 National Epidemiologic Survey on Alcohol and Related Conditions-III (N = 36,309), we conducted weighted cross-tabulations and multivariate logistic regression analyses to estimate prevalences and examine comorbidity of NUD. RESULTS: Prevalences of 12-month and lifetime DSM-5 NUD were 20.0% and 27.9%, respectively. Nicotine use disorder was more frequent among men, non-Hispanic whites, younger individuals, the previously married, those with less education and lower incomes, and those residing in rural areas. Adjusting for sociodemographic characteristics and additional psychiatric comorbidity, 12-month NUD and lifetime NUD were significantly associated with other substance use and antisocial personality disorders (odds ratios [ORs] = 1.5-5.1, 12-month; 1.5-5.6, lifetime). Twelve-month severe NUD was generally associated with major depressive, bipolar I, bipolar II, panic, generalized anxiety, posttraumatic stress, and schizotypal, borderline, and antisocial personality disorders (ORs = 1.3-2.5). Individuals with current NUD and at least 1 psychiatric disorder comprised 11.1% of US adults but smoked 53.6% of total cigarettes consumed. Treatment was utilized by 20.3% of respondents with 12-month and 18.8% with lifetime NUD. CONCLUSIONS: Findings underscore the need to address nicotine use in clinical settings. Recognition of psychiatrically vulnerable subpopulations may inform etiologic research, prevention, and treatment of NUD.

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Authors: Chou, S. P., Goldstein, R. B., Smith, S. M., Huang, B., Ruan, W. J., Zhang, H., Jung, J., Saha, T. D., Pickering, R. P., & Grant, B. F.
Affiliations: National Institutes of Health (US)
ORCID: Goldstein, Risë B.
Smith, Sharon M.
Ruan, W. June
Zhang, Haitao
Jung, Jeesun
Venue: The Journal of Clinical Psychiatry
Publisher: Physicians Postgraduate Press, Inc
Published: 2016-04-26
Volume: 77
Issue: 10
Pages: 1404-1412
ISSN: 0160-6689 (ISSN-L)
DOI: 10.4088/jcp.15m10114
PMC: PMC8154113
OpenAlex: W2345309666
Cited by: 106
References: 44
Citations by year: 2026: 5 · 2025: 4 · 2024: 8 · 2023: 11 · 2022: 8 · 2021: 13 · 2020: 18 · 2019: 18 · 2018: 17 · 2017: 2 · 2016: 1
FWCI: 10.20
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: The Journal of Clinical Psychiatry (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: National Institutes of Health (Z99‐AA999999)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Smoking Behavior and Cessation
Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Social Sciences › Psychology › Clinical Psychology › Gambling Behavior and Treatments
Keywords: nicotine use disorder, DSM-5, prevalence, psychiatric comorbidity, substance use disorders, antisocial personality disorder, major depressive disorder, bipolar disorder, anxiety disorders, post-traumatic stress disorder, schizotypal personality disorder, borderline personality disorder, smoking, public health burden, treatment utilization, sociodemographic factors
MeSH terms: Adolescent, Adult, Age Factors, Aged, Alcoholism, Mental Disorders, Cross-Sectional Studies, Female, Health Surveys, Humans, Male, Middle Aged, Risk Factors, Smoking, Statistics as Topic, Tobacco Use Disorder, United States, Comorbidity, Smoking Cessation, Diagnostic and Statistical Manual of Mental Disorders, Young Adult

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The Epidemiology of DSM-5 Nicotine Use Disorder: Results From the National Epidemiologic Survey on Alcohol and Related Conditions-III

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