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Temporal association of onset of daily smoking with adolescent substance use and psychiatric morbidity

Published online by Cambridge University Press:  16 April 2020

Risto Ilomäki ,
Kaisa Riala ,
Helinä Hakko ,
Jaakko Lappalainen ,
Taru Ollinen ,
Pirkko Räsänen  and
Markku Timonen
Risto Ilomäki*
Affiliation:
Department of Psychiatry, University of Oulu, Box 5000, FIN-90014, Finland
Kaisa Riala
Affiliation:
Department of Psychiatry, University of Oulu, Box 5000, FIN-90014, Finland Department of Psychiatry, Oulu University Hospital, Box 26, 90029OYS, Finland
Helinä Hakko
Affiliation:
Department of Psychiatry, University of Oulu, Box 5000, FIN-90014, Finland Department of Psychiatry, Oulu University Hospital, Box 26, 90029OYS, Finland
Jaakko Lappalainen
Affiliation:
Department of Psychiatry, School of Medicine, Yale University, New Haven, CT, USA
Taru Ollinen
Affiliation:
Department of Psychiatry, Oulu University Hospital, Box 26, 90029OYS, Finland
Pirkko Räsänen
Affiliation:
Department of Psychiatry, Oulu University Hospital, Box 26, 90029OYS, Finland
Markku Timonen
Affiliation:
Department of Public Health Science and General Practice, University of Oulu, Box 5000, FIN-90014, Finland
*
*Corresponding author. Department of Psychiatry, University of Oulu, Box 5000, FIN-90014, Finland. Tel.: +358 8 315 6910; fax: +358 8 333 167. E-mail address: [email protected] (R. Ilomäki).
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Abstract

Objective

The association between cigarette smoking and psychiatric disorders is well established for adult populations. However, only limited number of studies has investigated whether the young onset age of daily smoking (DS) among adolescents is associated with psychiatric morbidity and vice versa.

Methods

Data from 508 adolescents admitted to psychiatric hospitalization were collected. Cox proportional hazard model were used to compare the initiation of DS between adolescents with and without substance use (SUD), and other psychiatric disorders.

Results

Rates of DS were high in each diagnostic category. Boys started smoking at younger age (mean 12.4 years) than girls (13.0 years). Both boys and girls diagnosed with conduct or oppositional defiant disorders (COD) and also girls with SUD started daily smoking earlier as compared to those of same gender without these disorders.COD were found to be primary to the initiation of DS among boys. SUD, psychotic, and depressive disorders (DEP) were found to be secondary to DS among both genders.

Conclusions

DS in adolescence is related with later SUD. COD are associated with subsequent initiation of DS among boys. The temporal gap between smoking initiation and COD is shorter among girls. Gender difference plays a role in association of DS and DEP. Initiation of DS at very early age should alert health care professionals of development of later psychopathology, especially SUD.

Keywords

Daily smokingOnset ageComorbidityTemporalityAdolescent
Type
Original articles
Information
European Psychiatry , Volume 23 , Issue 2 , March 2008 , pp. 85 - 91
Copyright
Copyright © Elsevier Masson SAS 2008

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References

Abreu-Villaca, Y., Seidler, F.J., Tate, C.A., Slotkin, T.A.Nicotine is a neurotoxin in adolescent brain: critical periods, patterns of exposure, regional selectivity, and dose thresholds for macromolecular alterations. Brain Res 2003;979(1–2):114–128.CrossRefGoogle ScholarPubMed
Ambrosini, P.J.Historical development and present status of the schedule for affective disorders and schizophrenia for school-age children (K-SADS). J Am Acad Child Adolesc Psychiatry 2000;39(1):49–58.CrossRefGoogle Scholar
Brown, R.A., Lewinsohn, P.M., Seeley, J.R., Wagner, E.F.Cigarette smoking, major depression, and other psychiatric disorders among adolescents. J Am Acad Child Adolesc Psychiatry 1996;35(12):1602–1610.CrossRefGoogle ScholarPubMed
Dierker, L.C., Avenevoli, S., Merikangas, K.R., Flaherty, B.P., Stolar, M.Association between psychiatric disorders and the progression of tobacco use behaviors. J Am Acad Child Adolesc Psychiatry 2001;40(10):1159–1167.CrossRefGoogle ScholarPubMed
Dierker, L.C., Avenevoli, S., Stolar, M., Merikangas, K.R.Smoking and depression: an examination of mechanisms of comorbidity. Am J Psychiatry 2002;159(6):947–953.CrossRefGoogle ScholarPubMed
Fureman, B., Parikh, G., Bragg, A., McLellan, A.T.Addiction severity index: a guide to training and supervising ASI interviews based on the past ten years. 5th ed.Philadelphia: The University of Pennsylvania/Veterans Administration, Center for Studies of Addiction; 1990.Google Scholar
Goodwin, F., Hamilton, S.P.Cigarette smoking and panic: the role of neuroticism. Am J Psychiatry 2002;159(7):1208–1213.CrossRefGoogle ScholarPubMed
Grant, B.F.Age at smoking onset and its association with alcohol consumption and DSM-IV alcohol abuse and dependence: results from the National Longitudinal Alcohol Epidemiologic Survey. J Subst Abuse 1998;10(1):59–73.CrossRefGoogle ScholarPubMed
Hanna, E.Z., Grant, B.F.Parallels to early onset alcohol use in the relationship of early onset smoking with drug use and DSM-IV drug and depressive disorders: findings from the National Longitudinal Epidemiologic Survey. Alcohol Clin Exp Res 1999;23(3):513–522.Google ScholarPubMed
Hanna, E.Z., Yi, H.Y., Dufour, M.C., Whitmore, C.C.The relationship of early-onset regular smoking to alcohol use, depression, illicit drug use, and other risky behaviors during early adolescence: results from the youth supplement to the third national health and nutrition examination survey. J Subst Abuse 2001;13(3):265–282.CrossRefGoogle ScholarPubMed
Hendriks, V.M., Kaplan, C.D., van Limbeek, J., Geerlings, P.The addiction severity index: reliability and validity in a Dutch addict population. J Subst Abuse Treat 1989;6(2):133–141.CrossRefGoogle Scholar
John, U., Meyer, C., Rumpf, H.-J., Hapke, U.Smoking, nicotine dependence and psychiatric comorbidity – a population based study including smoking cessation after three years. Drug Alcohol Depend 2004;76:287–295.CrossRefGoogle ScholarPubMed
Johnson, J.G., Cohen, P., Pine, D., Klein, D.F., Kasen, S., Brook, J.S.Association between cigarette smoking and anxiety disorders during adolescence and early adulthood. JAMA 2000;284(18):2348–2351.CrossRefGoogle ScholarPubMed
Johnson, T.P., Mott, J.A.The reliability of self-reported age of onset of tobacco, alcohol and illicit drug use. Addiction 2001;96(8):1187–1198.CrossRefGoogle Scholar
Kandel, D.B., Johnson, J.G., Bird, H.R., Canino, G., Goodman, S.H., Lahey, B.B.et al.Psychiatric disorders associated with substance use among children and adolescents: findings from the Methods for the Epidemiology of Child and Adolescent Mental Disorders (MECA) Study. J Abnorm Child Psychol 1997;25(2):121–132.CrossRefGoogle ScholarPubMed
Kaufman, J., Birmaher, B., Brent, D., Rao, U., Flynn, C., Moreci, P.et al.Schedule for affective disorders and schizophrenia for school-age children-present and lifetime version (K-SADS-PL): initial reliability and validity data. J Am Acad Child Adolesc Psychiatry 1997;36(7):980–988.CrossRefGoogle ScholarPubMed
Leonard, S., Adler, L.E., Benhammou, K., Berger, R., Breese, C.R., Drebing, C.et al.Smoking and mental illness. Pharmacol Biochem Behav 2001;70(4):561–570.CrossRefGoogle ScholarPubMed
Lewinsohn, P.M., Rohde, P., Brown, R.A.Level of current and past adolescent cigarette smoking as predictors of future substance use disorders in young adulthood. Addiction 1999;94(6):913–921.CrossRefGoogle ScholarPubMed
Mäkikyrö, T.H., Hakko, H.H., Timonen, M.J., Lappalainen, J.A., Ilomäki, R.S., Marttunen, M.J.et al.Smoking and suicidality among adolescent psychiatric patients. J Adolesc Health 2004;34(3):250–253.CrossRefGoogle ScholarPubMed
Patton, G.C., Carlin, J.B., Coffey, C., Wolfer, R., Hibbert, M., Bowes, G.Depression, anxiety, and smoking initiation: a prospective study over 3 years. Am J Public Health 1998;88(10):1518–1522.CrossRefGoogle ScholarPubMed
Riala, K., Hakko, H., Isohanni, M., Pouta, A., Rasanen, P.Is initiation of smoking associated with the prodromal phase of schizophrenia? J Psychiatry Neurosci 2005;30(1):26–32.Google ScholarPubMed
Riggs, P., Mikulich, S., Whitmore, E., Crowley, T.Relationship of ADHD, depression, and non-tobacco substance use disorder to nicotine dependence in substance-dependent delinquents. Drug Alcohol Depend 1999;54(3):195–205.CrossRefGoogle ScholarPubMed
Rimpelä, A., Vikat, A., Rimpelä, M., Lintonen, T., Ahlström, S., Huhtala, H.Nuorten terveystapatutkimus 1999. Tupakoinnin ja päihteiden käytön muutokset. Aiheita 18/1999. Helsinki: Stakes; 1999. [in Finnish].Google Scholar
Salokangas, R.K., Honkonen, T., Stengard, E., Koivisto, A.M., Hietala, J.Cigarette smoking in long term schizophrenia. Eur Psychiatry 2006;21(4):219–223.CrossRefGoogle ScholarPubMed
Sonntag, H., Wittchen, H.U., Hofler, M., Kessler, R.C., Stein, M.B.Are social fears and DSM-IV social anxiety disorder associated with smoking and nicotine dependence in adolescents and young adults?. Eur Psychiatry 2000;15(1):67–74.CrossRefGoogle ScholarPubMed
Upadhyaya, H.P., Deas, D., Brady, K.T., Kruesi, M.Cigarette smoking and psychiatric comorbidity in children and adolescents. J Am Acad Adolesc Psychiatry 2002;41(11):1294–1305.CrossRefGoogle ScholarPubMed
Wu, L.T., Anthony, J.C.Tobacco smoking and depressed mood in late childhood and early adolescence. Am J Public Health 1999;89:1837–1840.CrossRefGoogle ScholarPubMed
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