Cigarette smoking and psychotic symptoms in bipolar affective disorder

Corvin, Aiden; O’Mahony, Edmond; O’Regan, Myra; Comerford, Claire; O’Connell, R.M.; Craddock, Nick; Gill, Michael

doi:10.1192/bjp.179.1.35

Cited by 64 publications

(48 citation statements)

References 17 publications

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“…Our findings support the strong relationship between cigarette smoking and unipolar major depressive disorder [1,2], bipolar disorder [3 Á/6], schizophrenia [1,7,8] and schizoaffective disorder [9], demonstrating that this association is present not only in the United States [1,2,7], Spain [3], Scotland [8], Ireland [5] and Israel [4], but also in Hungary.…”

Section: Discussionsupporting

confidence: 85%

Cigarette smoking and psychiatric disorders in Hungary

Döme

Rihmer

Gonda

et al. 2005

International Journal of Psychiatry in Clinical Practice

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Data from the United States and from several European countries show that patients with major mood disorders, schizophrenia and social phobia smoke at significantly higher rates than the general population. However, there are no published results on this field from Central Europe, including Hungary. In the present study, the rate of current and lifetime smoking of the consecutively screened outpatients with DSM-IV unipolar major depression (n=92), bipolar disorder (n=60), schizophrenia (n=80), schizoaffective disorder (n=42) and panic disorder without major depression (n=60) were assessed and the data were compared to the controls (n=5503), representative for the general population of Hungary. The results showed that, compared to controls, the rates of current and lifetime smoking were significantly higher among patients with unipolar major depression, bipolar disorder, schizophrenia and schizoaffective disorder, but not among patients with panic disorder without major depression. The findings support previous findings from other countries on the strong relationship between cigarette smoking and major mood and schizophrenic spectrum disorders.

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Section: Discussionsupporting

confidence: 85%

Cigarette smoking and psychiatric disorders in Hungary

Döme

Rihmer

Gonda

et al. 2005

International Journal of Psychiatry in Clinical Practice

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“…The finding of smoking was interesting. It is consistent with some earlier studies, two with a smaller sample (31,32), and one with a larger sample (33). Smoking seems to be more prevalent in bipolar patients than in normal population, and smoking starts before the onset of the illness (31).…”

Section: General Discussion Of the Resultssupporting

confidence: 91%

“…Smoking seems to be more prevalent in bipolar patients than in normal population, and smoking starts before the onset of the illness (31). Smoking seems to be a predictor for a psychosis (32), and a predictor for a suicidal attempt (33). Smoking has a high heritability estimate, but this regards continuation of smoking, as starting to smoke is psychosocial in origin (34).…”

Section: General Discussion Of the Resultsmentioning

confidence: 96%

Predicting lifetime mood elevation in primary care patients and psychiatric patients

Poutanen

Koivisto

Mattila

et al. 2008

Nordic Journal of Psychiatry

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Unipolar depression is undoubtedly the most common affective disorder, but recently the role of bipolar disorders has become more and more significant. The aim of the study was to improve the detection of mood elevations by careful anamnestic assessment, especially family history and psychosocial functional skills. A sample, screened for depression, of 430 primary care patients and 423 psychiatric patients aged 18-64 were interviewed in 1991-1992 using the Present State Examination. Anamnestic information was obtained by questionnaire and interview. Participants were re-contacted in 1998-1999. Experienced lifetime mood elevation was assessed in the follow-up study using the main criteria of the ICD-10 in a telephone interview by three research psychiatrists. Patient's smoking, suicidality in the Hamilton Depression Scale (HAM-D), problems in making contact with the opposite sex when a teenager, and mental problems in either of the parents when the patient was < or = 15 years were associated with experienced lifetime mood elevation. Quick and easy questions about smoking and difficulties in making contact with the opposite sex may improve the detection of mood elevation.

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“…Goldstein et al (2008) also found positive relationships between smoking status and the severity of depressive episodes and higher rates of comorbid substance use disorder in a sample of adolescents with bipolar disorder (Goldstein et al, 2008). Some studies suggest that smokers with bipolar disorder are more vulnerable to psychotic episodes than non-smokers, but other studies failed to confirm this association (Waxmonsky et al, 2005;Corvin et al, 2001;Cassidy et al, 2002;Heffner et al, 2008). Not all investigations found similar results to the above; for example Heffner et al (2008) found no association between smoking status and the severity and characteristics of bipolar disorder (i.e.…”

Section: Smoking-related Changes In Clinical Characteristics Of Bipolmentioning

confidence: 85%