Nicotine dependence subtypes: Association with smoking history, diagnostic criteria and psychiatric disorders in 5440 regular smokers from the Vietnam Era Twin Registry

2007 ◽  
Vol 32 (1) ◽  
pp. 137-147 ◽  
Author(s):  
Hong Xian ◽  
Jeffrey F. Scherrer ◽  
Seth A. Eisen ◽  
Michael J. Lyons ◽  
Ming Tsuang ◽  
...  
2008 ◽  
Vol 35 (6) ◽  
pp. 423-432 ◽  
Author(s):  
S. Eisen ◽  
R. Neuman ◽  
J. Goldberg ◽  
J. Rice ◽  
W. True
Keyword(s):  

Cephalalgia ◽  
1993 ◽  
Vol 13 (12_suppl) ◽  
pp. 34-38 ◽  
Author(s):  
Kathleen Ries Merikangas ◽  
Allen Frances

This paper reviews the development of diagnostic criteria for the psychiatric disorders in order to provide a model for the development of classification of headache. The strengths and weaknesses of the current psychiatric classification system, and procedures that have been instituted to strengthen the next version of the classification are described. The problems that characterized the successive versions of the criteria are highlighted in order to stimulate future developments of diagnostic criteria for headache syndromes. Recommendations for application of these principles to headache classification are presented.


2007 ◽  
Vol 10 (3) ◽  
pp. 470-478 ◽  
Author(s):  
Qiang Fu ◽  
Andrew C. Heath ◽  
Kathleen K. Bucholz ◽  
Michael J. Lyons ◽  
Ming T. Tsuang ◽  
...  

AbstractMany studies that found associations between depression and nicotine dependence have ignored possible shared genetic influences associated with antisocial traits. The present study examined the contribution of genetic and environmental effects associated with conduct disorder (CD) and antisocial personality disorder (ASPD) to the comorbidity of major depression (MD) and nicotine dependence (ND). A telephone diagnostic interview, the Diagnostic Interview Schedule-III-R, was administered to eligible twins from the Vietnam Era Twin (VET) Registry in 1992. Multivariate genetic models were fitted to 3360 middle-aged and predominantly white twin pairs (1868 monozygotic, 1492 dizygotic pairs) of which both members completed the pertinent diagnostic interview sections. Genetic influences on CD accounted for 100%, 68%, and 50% of the total genetic variance in risk for ASPD, MD and ND, respectively. After controlling for genetic influences on CD, the partial genetic correlation between MD and ND was no longer statistically significant. Nonshared environmental contributions to the comorbidity among these disorders were not significant. This study not only demonstrates that the comorbidity between ND and MD is influenced by common genetic risk factors, but also further suggests that the common genetic risk factors overlapped with those for antisocial traits such as CD and ASPD in men.


1995 ◽  
Vol 4 (1) ◽  
pp. 27-50 ◽  
Author(s):  
Marco Piccinelli ◽  
Stefano Pini ◽  
Cesario Bellantuono ◽  
Paola Bonizzato ◽  
Elisabetta Paltrinieri ◽  
...  

SummaryObjectives - To present the results obtained from a cross-sectional evaluation of a sample of primary care attenders selected in Verona in the framework of the World Health Organization International Multicentre Study on Psychological Problems in Primary Care Settings. Methods - Among consecutive attenders at 16 primary care clinics in Verona during the period April 1991/February 1992, a random sample, stratified on the basis of GHQ-12 scores, was selected for a thorough evaluation of psychological status, physical status and disability in occupational and other daily activities. All patients with psychopathological symptoms at baseline assessment and a 20% random sample of those without psychopathological symptoms were interviewed again after 3 and 12 months (data not presented here). Results - Overall, 1,656 subjects were approached at the primary care clinics and 1,625 met inclusion criteria. The screening procedure was completed by 1,558 subjects and the second-stage evaluation by 250. Psychiatric disorders according to ICD-10 criteria were diagnosed in 12.4% of consecutive primary care attenders; of these, about one-third (4.5% of consecutive primary care attenders) satisfied ICD-10 diagnostic criteria for two or more disorders. Current Depressive Episode (4.7%) and Generalized Anxiety Disorder (3.7%) were the most common diagnoses. In addition, 11.2% of consecutive primary care attenders had ‘sub-threshold’ psychiatric disorders (i.e., they suffered from symptoms in at least two different areas among those listed in ICD-10, but they did not satisfy diagnostic criteria for well-defined disorders). Psychiatric disorders were more common among females and those aged 24-44 years. Only 20.6% of the subjects with psychiatric disorders contacted the general practitioner for their psychological symptoms, 5.7% complained of symptoms which might have had a psychological origin, whereas in about 70% of the cases the psychiatric disorder was concealed behind the presentation of somatic symptoms, pains in various parts of the body or chronic physical illness. Sixty-two percent of the subjects with psychiatric disorders rated their health status as fair or poor, as compared to 52.0% of those with chronic physical illness and 31.3% of those without such disorders. According to the general practitioner, 40.1% of the subjects with psychiatric disorders and 45.3% of those with chronic physical illness had a fair or poor health status, compared to 14.4% of those without such disorders. Disability in occupational and other daily activities was reported by 52.5% of the subjects with psychiatric disorders (in 40.1% of the cases disability was moderate or severe), 44.4% of those with chronic physical illness (in 26.8% of the cases disability was moderate or severe), and 15.0% of the subjects without such disorders (in 9.1% of the cases disability was moderate or severe). According to the interviewer, disability was identified in 48.4% of the subjects with psychiatric disorders, 39.0% of those with chronic physical illness, and 27.6% of the subjects without such disorders. Sixty per cent of the subjects with psychiatric disorders suffered from concurrent chronic physical illness; these subjects had a poorer health status and higher disability levels than those with psychiatric disorders only. Conclusions - Psychiatric disorders among primary care attenders are frequent and represents a major public health problem, since they entail severe functional limitations for the patients and high costs for the society. Thus, appropriate programs for their recognition and treatment are needed.


2006 ◽  
Vol 74 (1) ◽  
pp. 186-190 ◽  
Author(s):  
Karestan C. Koenen ◽  
Brian Hitsman ◽  
Michael J. Lyons ◽  
Laura Stroud ◽  
Raymond Niaura ◽  
...  

2003 ◽  
Vol 28 (8) ◽  
pp. 1447-1452 ◽  
Author(s):  
Sharon L.R Kardia ◽  
Cynthia S Pomerleau ◽  
Laura S Rozek ◽  
Judith L Marks

2004 ◽  
Vol 61 (11) ◽  
pp. 1107 ◽  
Author(s):  
Bridget F. Grant ◽  
Deborah S. Hasin ◽  
S. Patricia Chou ◽  
Frederick S. Stinson ◽  
Deborah A. Dawson

2019 ◽  
Author(s):  
Andre Bertani ◽  
Suzana Erico Tanni ◽  
Irma Godoy

Abstract Background to assess the prevalence of concomitant use of alternative forms of tobacco and analyze tobacco smoking characteristics in pregnant women. Methods: 127 pregnant women who smoked conventional cigarettes were evaluated during prenatal care. Those signing the informed consent form responded to a specific questionnaire containing questions related to general characteristics, comorbidities, gestational history, smoking history, secondhand smoke, degree of nicotine dependence, motivation stage and the prevalence of concomitant use of alternative forms of tobacco. They were separated into those who smoked conventional cigarettes only and those who smoked conventional cigarettes associated with straw cigarettes, waterpipe and/or e-cigarettes. Results: Mean age was 26.9 ± 6.6 years, most had only elementary education and belonged to economic classes C and D. Diagnosis of pulmonary disease was reported by 23.6% and cardiovascular diseases by 53.5%. Twenty-five (19.6%) smoked conventional cigarettes only and 102 also smoked alternative forms of tobacco. Those who smoked only conventional cigarettes had significantly lower smoke-load than those using alternative forms of tobacco. Those who smoked conventional cigarettes and waterpipe had higher nicotine dependence than other groups. Secondhand smoking was common (82.6%) and 59.1% were contemplative in relation to cessation. Conclusions: The prevalence of alternative tobacco forms is high and factors such as smoking during previous pregnancy, alcohol consumption during current pregnancy and high smoke-load may have contributed to the maintenance of smoking in the gestational period.


2018 ◽  
Vol 6 (2) ◽  
pp. 54-59
Author(s):  
S Limbu ◽  
DR Shakya ◽  
N Sapkota ◽  
R Gautam ◽  
L Paudel

Introduction: Nicotine dependent individuals among the tobacco users are in greater risk of having tobacco related disease and psychiatric co-morbidities. There is little information about the tobacco use and nicotine dependence among psychiatric patients in developing countries including Nepal. This study was done to estimate the prevalence of tobacco use, the level of nicotine dependence among the users and the psychiatric disorder specific prevalence among tobacco users admitted in psychiatry ward.Material And Method: A cross-sectional study was conducted in In-patient setting of Department of Psychiatry, BPKIHS. Ninety cases (size) were enrolled. The Fagerström Test for Nicotine Dependence (FTND) was applied to assess the level of nicotine dependence and the Mini International Neuropsychiatric Interview (M.I.N.I.) for diagnosis of Psychiatric disorders.Results: The prevalence of tobacco use was 62.2%. Tobacco use was more common among males (p value< 0.05).Smokeless form was the commonest form of tobacco. Majority of tobacco users had moderate nicotine dependence and had started the use in adolescence and in their 20s. Psychotic disorders were the most common diagnosis among the admitted patients.Conclusion: Tobacco use is common in patients with psychiatric disorders. Nicotine dependence should be looked into for holistic management. Treatment approaches should be tailored in tobacco users with comorbid psychiatric disorders, as this specific population has high prevalence of tobacco use and higher nicotine dependence. J Psychiatrists’ Association of Nepal Vol. 6, No. 2, 2017, Page: 54-59


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