The Epidemiology of DSM-5 Nicotine Use Disorder
| Autor: | Roger P. Pickering, S. Patricia Chou, Bridget F. Grant, Risë B. Goldstein, Boji Huang, Tulshi D. Saha, Haitao Zhang, W. June Ruan, Sharon M. Smith, Jeesun Jung |
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| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
business.industry Cross-sectional study medicine.medical_treatment Panic Odds ratio medicine.disease Logistic regression Comorbidity 030227 psychiatry DSM-5 03 medical and health sciences Psychiatry and Mental health 0302 clinical medicine Epidemiology Medicine Smoking cessation medicine.symptom business Psychiatry 030217 neurology & neurosurgery |
| Zdroj: | The Journal of Clinical Psychiatry. 77:1404-1412 |
| ISSN: | 0160-6689 |
| DOI: | 10.4088/jcp.15m10114 |
| Popis: | To present nationally representative information on the prevalence, correlates, psychiatric comorbidity, and treatment of DSM-5 nicotine use disorder (NUD) and the public health burden of US cigarette consumption among adults with NUD and other psychiatric disorders.Using data from the 2012-2013 National Epidemiologic Survey on Alcohol and Related Conditions-III (N = 36,309), we conducted weighted cross-tabulations and multivariate logistic regression analyses to estimate prevalences and examine comorbidity of NUD.Prevalences of 12-month and lifetime DSM-5 NUD were 20.0% and 27.9%, respectively. Nicotine use disorder was more frequent among men, non-Hispanic whites, younger individuals, the previously married, those with less education and lower incomes, and those residing in rural areas. Adjusting for sociodemographic characteristics and additional psychiatric comorbidity, 12-month NUD and lifetime NUD were significantly associated with other substance use and antisocial personality disorders (odds ratios [ORs] = 1.5-5.1, 12-month; 1.5-5.6, lifetime). Twelve-month severe NUD was generally associated with major depressive, bipolar I, bipolar II, panic, generalized anxiety, posttraumatic stress, and schizotypal, borderline, and antisocial personality disorders (ORs = 1.3-2.5). Individuals with current NUD and at least 1 psychiatric disorder comprised 11.1% of US adults but smoked 53.6% of total cigarettes consumed. Treatment was utilized by 20.3% of respondents with 12-month and 18.8% with lifetime NUD.Findings underscore the need to address nicotine use in clinical settings. Recognition of psychiatrically vulnerable subpopulations may inform etiologic research, prevention, and treatment of NUD. |
| Databáze: | OpenAIRE |
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