Browse by author
Lookup NU author(s): Emeritus Professor Jan Scott
Full text for this publication is not currently held within this repository. Alternative links are provided below where available.
Background: Tobacco smoking increases the global burden of bipolar disorder (BD). We examined markers of physical and mental health that are associated with tobacco smoking, controlling for confounders that have not always been considered in previous studies of BD.Methods: Over 600 individuals with BD I or II referred to the French Network for bipolar disorder (FACE-BD) who completed standardized assessments, and could be reliably classified as current (CS) or former smokers (FS), were compared with those who were never smokers (NS) on: BD symptom load and psychiatric comorbidities; prevalence of alcohol and substance use disorders (ASUD); medication usage; functioning and physical health parameters. The bivariate and multivariate analyses took into account age and gender.Results: 300 cases (49%) were CS, 78 (13%) FS and 238 (39%) had never smoked. Rates were similar across genders regardless of BD subtype. Compared with NS, CS were more likely to have an ASUD (Odds Ratio (OR) 5.18), BD I (OR 2.09), and lower abdominal obesity (OR 0.97), and FS were more likely to have an ASUD (OR 6.32) and higher abdominal obesity (OR 1.03).Limitations: The sample comprised of white Europeans; the FS subgroup was relatively small and we did not apply any statistical correction for the bivariate analyses.Conclusions: The increased risk of physical and mental health burden in CS and FS compared to NS represents avoidable morbidity in BD. This study offers support to the argument that individuals with BD should be routinely offered support to prevent or stop tobacco smoking.
Author(s): Icick R, Gard S, Barde M, Carminati M, Desage A, Guillaume S, Scott J, Bellivier F, FondaMental Adv Ctr Expertise Bipo
Publication type: Article
Publication status: Published
Journal: Journal of Affective Disorders
Year: 2017
Volume: 208
Pages: 406-413
Print publication date: 15/01/2017
Online publication date: 23/09/2016
Acceptance date: 22/09/2016
ISSN (print): 0165-0327
ISSN (electronic): 1573-2517
Publisher: Elsevier Science BV.
URL: http://dx.doi.org/10.1016/j.jad.2016.09.022
DOI: 10.1016/j.jad.2016.09.022
Altmetrics provided by Altmetric
