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双相情感障碍青少年中吸烟的意义。

Significance of cigarette smoking among youths with bipolar disorder.

作者信息

Goldstein Benjamin I, Birmaher Boris, Axelson David A, Goldstein Tina R, Esposito-Smythers Christianne, Strober Michael A, Hunt Jeffrey, Leonard Henrietta, Gill Mary Kay, Iyengar Satish, Grimm Colleen, Yang Mei, Ryan Neal D, Keller Martin B

机构信息

Department of Psychiatry, Western Psychiatric Institute and Clinic, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania 15213, USA.

出版信息

Am J Addict. 2008 Sep-Oct;17(5):364-71. doi: 10.1080/10550490802266151.

Abstract

Cigarette smoking among adults with bipolar disorder (BP) correlates with psychosis, substance use disorders (SUD), and suicidality. Little is known regarding smoking among youths with BP. Youths with BP (n = 441) were divided into three smoking groups: Never, Ever, and Daily. Twenty-five percent reported any smoking (11% daily, 14% ever). Ever and Daily subjects had significantly greater lifetime prevalence of suicide attempts, physical abuse, conduct disorder, and SUD compared to Never subjects. Daily heavy smokers had greater prevalence of SUD and suicide attempts, and worse depression versus daily light smokers. Smoking among youths with BP is independently associated with suicide attempts and SUD.

摘要

双相情感障碍(BP)成年患者中的吸烟行为与精神病、物质使用障碍(SUD)和自杀倾向相关。关于双相情感障碍青少年的吸烟情况,我们所知甚少。患有双相情感障碍的青少年(n = 441)被分为三个吸烟组:从不吸烟、曾经吸烟和每日吸烟。25%的人报告有过任何吸烟行为(11%每日吸烟,14%曾经吸烟)。与从不吸烟的受试者相比,曾经吸烟和每日吸烟的受试者自杀未遂、身体虐待、品行障碍和物质使用障碍的终生患病率显著更高。每日大量吸烟者物质使用障碍和自杀未遂的患病率更高,且与每日少量吸烟者相比,抑郁情况更严重。双相情感障碍青少年中的吸烟行为与自杀未遂和物质使用障碍独立相关。

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