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Psychiatric diagnoses among quitters versus continuing smokers 3 years after their quit day.


ABSTRACT: People with psychiatric disorders are more likely to smoke and smoke more heavily than the general population, and they suffer disproportionally from smoking-related illnesses. However, little is known about how quitting versus continuing to smoke affects mental health and the likelihood of developing a psychiatric diagnosis. This study used data from a large prospective clinical trial to examine the relations of smoking cessation success with psychiatric diagnoses 1 and 3 years after the target quit day.This study enrolled 1504 smokers (83.9% white; 58.2% female) in a cessation trial that involved the completion of the Composite International Diagnostic Interview to assess psychiatric diagnoses and biochemical confirmation of point-prevalence abstinence at Baseline and Years 1 and 3.Regression analyses showed that, after controlling for pre-quit (past-year) diagnoses, participants who were smoking at the Year 3 follow-up were more likely to have developed and maintained a substance use or major depressive disorder by that time than were individuals who were abstinent at Year 3.Quitting smoking does not appear to negatively influence mental health in the long-term and may be protective with respect to depression and substance use diagnoses; this should encourage smokers to make quit attempts and encourage clinicians to provide cessation treatment.

SUBMITTER: Piper ME 

PROVIDER: S-EPMC3591817 | biostudies-literature | 2013 Feb

REPOSITORIES: biostudies-literature

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Psychiatric diagnoses among quitters versus continuing smokers 3 years after their quit day.

Piper Megan E ME   Rodock Matthew M   Cook Jessica W JW   Schlam Tanya R TR   Fiore Michael C MC   Baker Timothy B TB  

Drug and alcohol dependence 20120917 1-2


<h4>Background</h4>People with psychiatric disorders are more likely to smoke and smoke more heavily than the general population, and they suffer disproportionally from smoking-related illnesses. However, little is known about how quitting versus continuing to smoke affects mental health and the likelihood of developing a psychiatric diagnosis. This study used data from a large prospective clinical trial to examine the relations of smoking cessation success with psychiatric diagnoses 1 and 3 yea  ...[more]

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