Tobacco smoking and nicotine vaping in persons with first episode psychosis

被引:1
|
作者
Bennett, Melanie E. [1 ,16 ]
Medoff, Deborah [1 ]
Cowan, Tovah [2 ]
Fang, Lijuan [1 ]
Kacmarek, Corinne [3 ]
Oikonomou, Maria Theodora [4 ]
Calkins, Monica E. [5 ,6 ]
Baker, Krista K. [7 ]
Bencivengo, Donna [5 ,6 ]
Boumaiz, Yasmine [1 ]
Buchanan, Robert W. [4 ]
Campbell, Phillip [6 ]
Chengappa, K. N. Roy [8 ]
Conroy, Catherine G. [6 ]
Cooke, Akinyi [7 ]
Dong, Fanghong [6 ]
Fauble, Mandy [9 ]
Goldberg, Richard W. [1 ]
Harvin, Alexander [10 ]
Jumper, Megan B. E. [6 ]
Kauffman, Belinda [1 ]
Kelly, Christian [11 ]
Kohler, Christian G. [6 ]
Kreyenbuhl, Julie [1 ]
Li, Lan [1 ]
Lucksted, Alicia [1 ]
Margolis, Russell L. [12 ]
Marsteller, Jill A. [13 ]
Moxam, Alex [6 ,14 ]
Namowicz, Denise [15 ]
Oko, Jamie [14 ]
Riggs, Jessie [6 ]
Saravana, Arunadevi [1 ]
Sarpal, Deepak K. [8 ,10 ]
Scheinberg, Rachel [12 ]
Smith, William R. [6 ]
States, Richard [9 ]
Taylor, Jerome [6 ,14 ]
Vatza, Crystal [6 ]
Wolcott, Max [7 ]
Dickerson, Faith [10 ]
机构
[1] Univ Maryland, Sch Med, Dept Psychiat, Baltimore, MD USA
[2] McGill Univ, Dept Psychiat, Montreal, PQ, Canada
[3] VA VISN5 Mental Illness Res Educ & Clin Ctr, Baltimore, MD USA
[4] Univ Maryland, Sch Med, Maryland Psychiat Res Ctr, Dept Psychiat, Baltimore, MD USA
[5] Univ Penn, Perelman Sch Med, Dept Psychiat, Neurodev & Psychosis Sect,Penn Early Intervent Ctr, Philadelphia, PA USA
[6] Univ Penn, Perelman Sch Med, Dept Psychiat, Neurodev & Psychosis Sect, Philadelphia, PA USA
[7] Johns Hopkins Bayview Med Ctr, Baltimore, MD USA
[8] Univ Pittsburgh, Sch Med, Dept Psychiat, Pittsburgh, PA USA
[9] Univ Pittsburgh, Med Ctr, Western Behav Hlth Safe Harbor, Erie, PA USA
[10] Sheppard Pratt, Dept Psychol, Baltimore, MD USA
[11] Western Psychiat Hosp, UPMC, Pittsburgh, PA USA
[12] Johns Hopkins Univ, Dept Psychiat & Behav Sci, Sch Med, Baltimore, MD USA
[13] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Hlth Policy & Management, Baltimore, MD USA
[14] Childrens Hosp Philadelphia, Dept Child & Adolescent Psychiat & Behav Sci, Philadelphia, PA USA
[15] Childrens Serv Ctr, Wilkes Barre, PA USA
[16] 737 W Lombard St,5th Floor, Baltimore, MD 21201 USA
关键词
Tobacco; Nicotine; Smoking; Vaping; Recent onset psychosis; CIGARETTE-SMOKING; UNITED-STATES; PRODUCT USE; SCHIZOPHRENIA; PEOPLE;
D O I
10.1016/j.schres.2024.03.020
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Tobacco smoking is highly prevalent in persons with psychosis and is the leading cause of preventable mortality in this population. Less is known about tobacco smoking in persons with first episode psychosis (FEP) and there have been no estimates about the prevalence of nicotine vaping in FEP. This study reports rates of tobacco smoking and nicotine vaping in young people with FEP enrolled in Coordinated Specialty Care programs in Pennsylvania and Maryland. Using data collected from 2021 to 2023, we examined lifetime and recent smoking and vaping and compared smokers and vapers to nonusers on symptoms, functioning, and substance use. The sample included 445 participants aged 13 -35 with recent psychosis onset. Assessments were collected by program staff. Overall, 28 % of participants engaged in either smoking or vaping within 30 days of the admission assessment. Smokers and vapers were disproportionately male, cannabis users, and had lower negative symptom severity than non-smokers. Vapers had higher role and social functioning. Both smoking and vaping were related to a longer time from psychosis onset to program enrollment. We compare these findings to previous studies and suggest steps for addressing smoking and vaping in this vulnerable population.
引用
收藏
页码:141 / 149
页数:9
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