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Asociación temporal entre inicio del consumo diario de tabaco y abuso de sustancias en la adolescencia y la morbilidad psiquiátrica

Published online by Cambridge University Press:  12 May 2020

Risto Ilomäki ,
Kaisa Riala ,
Helinä Hakko ,
Jaakko Lappalainen ,
Taru Ollinen ,
Pirkko Räsänen ,
Markku Timonen  and
Grupo de Investigación Estudio 70
Risto Ilomäki
Affiliation:
Departamento de Psiquiatría, Universidad de Oulu, Apartado de Correos 5000, Fin-90014, Finlandia
Kaisa Riala
Affiliation:
Departamento de Psiquiatría, Universidad de Oulu, Apartado de Correos 5000, Fin-90014, Finlandia Departamento de Psiquiatría, Hospital de la Universidad de Oulu, Apartado de Correos 26, 90029 OYS, Finlandia
Helinä Hakko
Affiliation:
Departamento de Psiquiatría, Universidad de Oulu, Apartado de Correos 5000, Fin-90014, Finlandia Departamento de Psiquiatría, Hospital de la Universidad de Oulu, Apartado de Correos 26, 90029 OYS, Finlandia
Jaakko Lappalainen
Affiliation:
Departamento de Psiquiatría, Facultad de Medicina, Universidad de Yale, New Haven, CT, Estados Unidos
Taru Ollinen
Affiliation:
Departamento de Psiquiatría, Hospital de la Universidad de Oulu, Apartado de Correos 26, 90029 OYS, Finlandia
Pirkko Räsänen
Affiliation:
Departamento de Psiquiatría, Hospital de la Universidad de Oulu, Apartado de Correos 26, 90029 OYS, Finlandia
Markku Timonen
Affiliation:
Departamento de Ciencias de Ia Salud Pública y Medicina General, Universidad de Oulu, Apartado de Correos 5000, Fin-90014, Finlandia
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Resumen

Objetivo.

La asociación entre el consumo de cigarrillos y los trastornos psiquiátricos está claramente establecida en adultos. Sin embargo, sólo un número limitado de estudios ha investigado si la edad de inicio del consumo diario de tabaco (TD) en adolescentes se asocia con enfermedades psiquiátricas y viceversa.

Métodos.

Se recogieron datos de 508 adolescentes ingresados en un hospital psiquiátrico. Se usó el modelo de riesgo proporcional de Cox para comparar la iniciación del TD en adolescentes con y sin abuso de sustancias (AS) y otros trastornos psiquiátricos.

Resultados.

Las tasas de TD eran altas en todas las categorías diagnósticas. Los chicos comenzaron a fumar con menos edad (media 12,4 años) que las chicas (13 años). Tanto los chicos como las chicas diagnosticados de trastornos de conducta oposicionista y desafiante (TCOD) y también las chicas con AS comenzaron a fumar habitualmente antes que las chicas sin estos trastornos. El TCOD fue previo a la iniciación del TD en chicos. Los AS, los trastornos psicóticos y depresivos (DEP) fueron secundarios al TD en ambos sexos.

Conclusiones.

El TD en la adolescencia está relacionado con el AS posterior. El TCOD se asocia con la iniciación posterior del TD en chicos. El lapso de tiempo entre la iniciación del tabaquismo y el TCOD es más corto en chicas. La diferencia de sexos desempeña un papel en la asociación de TD y DEP. La iniciación de TD en muy temprana edad debería alertar a los profesionales médicos del posible desarrollo posterior de psicopatologías, sobre todo, AS.

Keywords

Tabaquismo diarioEdad de inicioEnfermedades coexistentesTemporalidadAdolescentes
Type
Artículo original
Information
European Psychiatry (Ed. Española) , Volume 15 , Issue 5 , June 2008 , pp. 246 - 252
Copyright
Copyright © European Psychiatric Association 2008

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References

Bibliografía

[1]Abreu-Villaca, YSeidler, FJTate, CASlotkin, TA. Nicotine is a neurotoxin in adolescent brain: critical periods, patterns of exposure, regional selectivity, and dose thresholds for macromolecular alterations. Brain Res 2003;979(1-2):114-28.CrossRefGoogle ScholarPubMed
[2]Ambrosini, PJ. Historical development and present status of the schedule for affective disorders and schizophrenia for school-age children (KSADS). J Am Acad Child Adolesc Psychiatry 2000; 39(l):49–58.CrossRefGoogle Scholar
[3]Brown, RALewinsohn, PMSeeley, JRWagner, EF. Cigarette smoking, major depression, and other psychiatric disorders among adolescents. J Am Acad Child Adolesc Psychiatry 1996;35(12):1602-10.CrossRefGoogle ScholarPubMed
[4]Dierker, LCAvenevoli, SMerikangas, KRFlaherty, BPStolar, M. Association between psychiatric disorders and the progression of tobacco use behaviors. J Am Acad Child Adolesc Psychiatry 2001;40(10): 1159-67.CrossRefGoogle ScholarPubMed
[5]Dierker, LCAvenevoli, SStolar, MMerikangas, KR. Smoking and depression: an examination of mechanisms of comorbidity. Am J Psychiatry 2002;159(6):947-53.CrossRefGoogle ScholarPubMed
[6]Fureman, BParikh, GBragg, AMcLellan, AT. Addiction severity index: a guide to training and supervising ASI interviews based on the post ten years. 5th ed. Philadelphia: The University of Pennsylvania/ Veterans Administration, Center for Studies of Addiction; 1990.Google Scholar
[7]Goodwin, FHamilton, SP. Cigarette smoking and panic: the role of neuroticism. Am J Psychiatry 2002; 159(7): 1208-13.CrossRefGoogle ScholarPubMed
[8]Grant, BF. Age at smoking onset and its association with alcohol consumption and DSM-IV alcohol abuse and dependence: results from the National Longitudinal Alcohol Epidemiologic Survey. J Subst Abuse 1998; 10(1):59–73.CrossRefGoogle ScholarPubMed
[9]Hanna, EZGrant, BF. Parallels to early onset alcohol use in the relation- ship of early onset smoking with drug use and DSM-IV drug and depressive disorders: findings from the National Longitudinal Epidemiologic Survey. Alcohol Clin Exp Res 1999;23(3):513-22.Google Scholar
[10]Hanna, EZYi, HYDufour, MCWhitmore, CC. The relationship of earlyonset regular smoking to alcohol use, depression, illicit drug use, and other risky behaviors during early adolescence: results from the youth supplement to the third national health and nutrition examination survey. J Subst Abuse 2001; 13(3):265-82.CrossRefGoogle Scholar
[11]Hendriks, VMKaplan, CD, van Limbeek J, Geerlings P. The addiction severity index: reliability and validity in a Dutch addict population. J Subst Abuse Treat 1989; 6(2): 133-41.Google Scholar
[12]John, UMeyer, C, Rumpf H-J, Hapke U. Smoking, nicotine dependence and psychiatric comorbidity—a population based study including smoking cessation after three years. Drug Alcohol Depend 2004; 76: 287–95.CrossRefGoogle Scholar
[13]Johnson, JGCohen, PPine, DKlein, DFKasen, SBrook, JS. Association between cigarette smoking and anxiety disorders during adolescence and early adulthood. JAMA 2000;284(18):2348-51.CrossRefGoogle ScholarPubMed
[14]Johnson, TPMott, JA. The reliability of self-reported age of onset of tobacco, alcohol and illicit drug use. Addiction 2001;96(8): 1187-98.CrossRefGoogle Scholar
[15]Kandel, DBJohnson, JGBird, HRCanino, GGoodman, SHLahey, BB, et al. Psychiatric disorders associated with substance use among children and adolescents: findings from the Methods for the Epidemiology of Child and Adolescent Mental Disorders (MECA) Study. J Abnorm Child Psychol 1997; 25(2): 121-32.CrossRefGoogle ScholarPubMed
[16]Kaufman, JBirmaher, BBrent, DRao, UFlynn, CMoreci, P, et al. Schedule for affective disorders and schizophrenia for school-age children-present and lifetime version (K-SADS-PL): initial reliability and validity data. J Am Acad Child Adolesc Psychiatry 1997;36(7):980-8.CrossRefGoogle ScholarPubMed
[17]Leonard, SAdler, LEBenhammou, KBerger, RBreese, CRDrebing, C, et al. Smoking and mental illness. Pharmacol Biochem Behav 2001;70(4):561-70.CrossRefGoogle ScholarPubMed
[18]Lewinsohn, PMRohde, PBrown, RA. Level of current and past adolescent cigarette smoking as predictors of future substance use disorders in young adulthood. Addiction 1999;94(6):913-21.CrossRefGoogle ScholarPubMed
[19]Mäkikyrö, THHakko, HHTimonen, MJLappalainen, JAIlomäki, RSMarttunen, MJ, et al. Smoking and suicidality among adolescent psychiatric patients. J Adolesc Health 2004;34(3):250-3.CrossRefGoogle ScholarPubMed
[20]Patton, GCCarlin, JBCoffey, CWolfer, RHibbert, MBowes, G. Depression, anxiety, and smoking initiation: a prospective study over 3 years. Am J Public Health 1998; 88(10): 1518-22.Google ScholarPubMed
[21]Riala, KHakko, HIsohanni, MPouta, ARasanen, P. Is iniciation of smoking associated with the prodromal phase of schizophrenia? J Psychiatry Neurosci 2005;30(l):26–32.Google Scholar
[22]Riggs, PMikulich, SWhitmore, ECrowley, T. Relationship of ADHD, depression, and non-tobacco substance use disorder to nicotine dependence in substance-dependent delinquents. Drug Alcohol Depend 1999; 54(3): 195–205.CrossRefGoogle ScholarPubMed
[23]Rimpelä, AVikat, ARimpelä, MLintonen, TAhlström, SHuhtala, H. Nuorten terveystapatukimus 1999. Tupakoinnin ja päihteiden käytön muutokset. Aiheita 18/1999. Helsinki: Stakes; 1999 [in Finnish].Google Scholar
[24]Salokangas, RKHonkonen, TStengard, EKoivisto, AMHietala, J. Cigarette smoking in long term schizophrenia. Eur Psychiatry 2006;21(4):219-23.CrossRefGoogle ScholarPubMed
[25]Sonntag, HWittchen, HUHofler, MKessler, RCStein, MB. Are social fears and DSM-IV social anxiety disorder associated with smoking and nicotine dependence in adolescents and young adults? Eur Psychiatry 2000;15(l):67–74.CrossRefGoogle ScholarPubMed
[26]Upadhyaya, HPDeas, DBrady, KTKruesi, M. Cigarette smoking and psychiatric comorbidity in children and adolescents. J Am Acad Adolesc Psychiatry 2002; 41(11): 1294-305.CrossRefGoogle ScholarPubMed
[27]Wu, LTAnthony, JC. Tobacco smoking and depressed mood in late child-hood and early adolescence. Am J Public Health 1999; 89: 1837–40.CrossRefGoogle Scholar