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‘I Need a Cigarette’ — The Effects of Cigarette Smoking on Depression and Anxiety of Youth With Early Onset Schizophrenia

Published online by Cambridge University Press:  04 July 2016

Ya-Ling Chen*
Affiliation:
Chaoyang University of Technology, Department of Social Work, Taiwan
Barbara Rittner
Affiliation:
University at Buffalo — The State University of New York, School of Social Work, USA
Eugene Maguin
Affiliation:
University at Buffalo — The State University of New York, School of Social Work, USA
Shannon Dziadaszek
Affiliation:
University at Buffalo — The State University of New York, School of Social Work, USA
*
address for correspondence: Ya-Ling Chen, PhD, Chaoyang University of Technology, Department of Social Work, 168, Jifeng E. Rd, Wufeng District, Taichung City, 413, Taiwan. Email: yc96@cyut.edu.tw
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Abstract

The aim of this research was to examine effects of cigarette smoking on depression and anxiety among children and adolescents (youth) with early onset schizophrenia and/or psychosis. Data were obtained from the national evaluation of the Comprehensive Community Mental Health Services for Children and Their Families Program (CMHS Program). Cubic mixed models were used to analyze the longitudinal data with seven waves (over 3 years). Results showed that 29% youth (N = 117, mean age at intake = 13.9) smoked cigarettes in any prior 6-month period. Cigarette users had high levels of initial and sustained depression and anxiety throughout the seven waves. Predicted depression and anxiety scores of cigarette users and non-users showed that cigarette users had higher but more stable states of anxiety and depression. Results suggested that youth with EOS might use cigarettes for mood regulation. Implications of results for psychologists and counsellors in schools are discussed.

Type
Articles
Copyright
Copyright © The Author(s) 2016 

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References

Audrain-McGovern, J., Rodriguez, D., & Kassel, J.D. (2009). Adolescent smoking and depression: Evidence for self-medication and peer smoking mediation. Addiction, 104, 17431756. doi:10.1111/j.1360-0443.2009.02617.x Google Scholar
Biederman, J., Faraone, S.V., Wozniak, J., Mick, E., Kwon, A., & Aleardi, M. (2004). Further evidence of unique developmental phenotypic correlates of pediatric bipolar disorder: Findings from a large sample of clinically referred preadolescent children assessed over the last 7 years. Journal of Affective Disorders, 82 (Suppl. 1), S45S58. doi:10.1016/j.jad.2004.05.021 Google Scholar
Braga, R.J., Reynolds, G.P., & Siris, S.G. (2013). Anxiety comorbidity in schizophrenia. Psychiatry Research, 210, 17. doi:10.1016/j.psychres.2013.07.030 CrossRefGoogle ScholarPubMed
Driver, D.I., Gogtay, N., & Rapoport, J.L. (2013). Childhood onset schizophrenia and early onset schizophrenia spectrum disorders. Child and Adolescent Psychiatric Clinics of North America, 22, 539555. doi:10.1016/j.chc.2013.04.001 Google Scholar
D'Souza, M.S., & Markou, A. (2012). Schizophrenia and tobacco smoking comorbidity: NAChR agonists in the treatment of schizophrenia-associated cognitive deficits. Neuropharmacology, 62, 15641573. doi:10.1016/j.neuropharm.2011.01.044 Google Scholar
Freeman, D., Garety, P.A., & Kuipers, E. (2001). Persecutory delusions: Developing the understanding of belief maintenance and emotional distress. Psychological Medicine, 31, 12931306. doi:10.1017/s003329170100455x Google Scholar
George, T.P., Ziedonis, D.M., Feingold, A., Pepper, W.T., Satterburg, C.A., Winkel, J., . . . Kosten, T.R. (2000). Nicotine transdermal patch and atypical antipsychotic medications for smoking cessation in schizophrenia. The American Journal of Psychiatry, 157, 1851842. doi:10.1176/appi.ajp.157.11.1835 CrossRefGoogle ScholarPubMed
Gawęda, L., Holas, P., & Kokoszka, A. (2013). Do depression and anxiety mediate the relationship between meta-cognitive beliefs and psychological dimensions of auditory hallucinations and delusions in schizophrenia? Psychiatry Research, 210, 13161319. doi:10.1016/j.psychres.2013.08.018 CrossRefGoogle ScholarPubMed
Goff, D.C., Henderson, D.C., & Amico, E. (1992). Cigarette smoking in schizophrenia: Relationship to psychopathology and medication side effects. The American Journal of Psychiatry, 149, 11891194.Google ScholarPubMed
Hahn, B., Harvey, A.N., Concheiro-Guisan, M., Huestis, M.A., Holcomb, H.H., & Gold, J.M. (2013). A test of the cognitive self-medication hypothesis of tobacco smoking in schizophrenia. Biological Psychiatry, 74, 436443. doi:10.1016/j.biopsych.2013.03.017 Google Scholar
Hammerness, P., Harpold, T., Petty, C., Menard, C., Zar-Kessler, C., & Biederman, J. (2008). Characterizing non-OCD anxiety disorders in psychiatrically referred children and adolescents. Journal of Affective Disorders, 105, 213219. doi:10.1016/j.jad.2007.05.012 CrossRefGoogle ScholarPubMed
Jacobsen, L.K., D'Souza, D.C., Mencl, W.E., Pugh, K.R., Skudlarski, P., & Krystal, J.H. (2004). Nicotine effects on brain function and functional connectivity in schizophrenia. Biological Psychiatry, 55, 850858. doi:10.1016/j.biopsych.2003.12.023 Google Scholar
Kotov, R., Guey, L.T., Bromet, E.J., & Schwartz, J.E. (2010). Smoking in schizophrenia: Diagnostic specificity, symptom correlates, and illness severity. Schizophrenia Bulletin, 36, 173181. doi:10.1093/schbul/sbn066 CrossRefGoogle ScholarPubMed
Lane, L., Wehby, H., Little, A., & Cooley, C. (2005). Students educated in self-contained classrooms and self-contained schools: Part II — How do they progress over time? Behavioral Disorders, 30, 363374.CrossRefGoogle Scholar
Lasser, K., Boyd, J.W., Woolhandler, S., Himmelstein, D.U., McCormick, D., & Bor, D.H. (2000). Smoking and mental illness: A population-based prevalence study. Journal of the American Medical Association, 284, 26062610. doi:10.1001/jama.284.20.2606 Google Scholar
Leventhal, A.M., & Zvolensky, M.J. (2015). Anxiety, depression, and cigarette smoking: A trans-diagnostic vulnerability framework to understanding emotion–smoking comorbidity. Psychological Bulletin, 141, 176212. doi:10.1037/bul0000003 Google Scholar
McKenzie, M., Olsson, C.A., Jorm, A.F., Romaniuk, H., & Patton, G.C. (2010). Association of adolescent symptoms of depression and anxiety with daily smoking and nicotine dependence in young adulthood: Findings from a 10-year longitudinal study. Addiction, 105, 16521659. doi:10.1111/j.1360-0443.2010.03002.x Google Scholar
McRenolds, D., Mehta, P., & Nasrallah, H.A. (2013). Evaluation and treatment strategies in patients with schizophrenia and comorbid depression. Psychiatric Annals, 43, 446453.CrossRefGoogle Scholar
Martin, C.R., Allan, R., Fleming, M., & Atkinson, J. (2008). Mood and smoking in schizophrenia. Journal of Psychiatric and Mental Health Nursing, 15, 722727. doi:http://dx.doi.org.gate.lib.buffalo.edu/10.1111/j.1365-2850.2008.01295.x Google Scholar
Matheson, S.L., Vijayan, H., Dickson, H., Shepherd, A.M., Carr, V.J., & Laurens, K.R. (2013). Systematic meta-analysis of childhood social withdrawal in schizophrenia, and comparison with data from at-risk children aged 9–14 years. Journal of Psychiatric Research, 47, 10611068. doi:10.1016/j.jpsychires.2013.03.013 CrossRefGoogle ScholarPubMed
Meier, M.H., Caspi, A., Reichenberg, A., Keefe, R.E., Fisher, H.L., Harrington, H., Houts, R., Poulton, R., & Moffitt, T.E. (2014). Neuropsychological decline in schizophrenia from the premorbid to the postonset period: Evidence from a population-representative longitudinal study. The American Journal of Psychiatry, 171, 91101. doi:10.1176/appi.ajp.2013.12111438 Google Scholar
Meszaros, Z.S., Dimmock, J.A., Ploutz-Snyder, R.J., Abdul-Malak, Y., Leontieva, L., Canfield, K., & Batki, S.L. (2011). Predictors of smoking severity in patients with schizophrenia and alcohol use disorders. American Journal on Addictions, 20, 462467. doi:10.1111/j.1521-0391.2011.00150.x Google Scholar
Morisano, D., Wing, V.C., Sacco, K.A., Arenovich, T., & George, T.P. (2013). Effects of tobacco smoking on neuropsychological function in schizophrenia in comparison to other psychiatric disorders and non‐psychiatric controls. The American Journal on Addictions, 22, 4653. doi:10.1111/j.1521-0391.2013.00313.x Google Scholar
Moylan, S., Gustavson, K., Karevold, E., Overland, S., Jacka, F.N., Pasco, J.A., & Berk, M. (2013). The impact of smoking in adolescence on early adult anxiety symptoms and the relationship between infant vulnerability factors for anxiety and early adult anxiety symptoms: The TOPP study. PLoS ONE, 8, doi:10.1371/journal.pone.0063252 Google Scholar
National Institute on Drug Abuse. (2014). High school and youth trends. Retrieved November 27, 2015, from http://www.drugabuse.gov/publications/drugfacts/high-school-youth-trends Google Scholar
Olfson, M., Blanco, C., Liu, L. Moreno, C., & Laje, G. (2006). National trends in the outpatient treatment of children and adolescents with antipsychotic drugs. Archives of General Psychiatry, 63, 679685. doi:10.1001/archpsyc.63.6.679 Google Scholar
Opler, L.A., Hwang, M.Y., & Opler, M.G. (2013). Comorbidities in schizophrenia: Challenges for researchers and clinicians. Psychiatric Annals, 43, 438441.Google Scholar
Sandyk, R. (1993). Cigarette smoking: Effects on cognitive functions and drug-induced parkinsonism in chronic schizophrenia. International Journal of Neuroscience, 70, 193197. doi:10.3109/00207459309000574 Google Scholar
Schimmelmann, B.G., Conus, P., Cotton, S., McGorry, P.D., & Lambert, M. (2007). Pre-treatment, baseline, and outcome differences between early-onset and adult-onset psychosis in an epidemiological cohort of 636 first-episode patients. Schizophrenia Research, 95, 18. doi:10.1016/j.schres.2007.06.004 Google Scholar
Singer, J., & Willett, J. (2003). Applied longitudinal data analysis: Modelling change and event occurrence. New York: Oxford University Press.Google Scholar
Smith, R.C., Singh, A., Infante, M., Khandat, A., & Kloos, A. (2002). Effects of cigarette smoking and nicotine nasal spray on psychiatric symptoms and cognition in schizophrenia. Neuropsychopharmacology, 27, 479497. doi:10.1016/s0893-133x(02)00324-x Google Scholar
Thirugnanasambandam, N., Grundey, J., Adam, K., Drees, A., Skwirba, A.C., Lang, N., Paulus, W., & Nitsche, M.A. (2011). Nicotinergic impact on focal and non-focal neuroplasticity induced by non-invasive brain stimulation in non-smoking humans. Neuropsychopharmacology, 36, 879886. doi:10.1038/npp.2010.227 Google Scholar
Tidey, J.W., & Rohsenow, D.J. (2009). Smoking expectancies and intention to quit in smokers with schizophrenia, schizoaffective disorder and non-psychiatric controls. Schizophrenia Research, 115, 310316. doi:10.1016/j.schres.2009.09.032 Google Scholar
Vancampfort, D., Probst, M., Scheewe, T., De Herdt, A., Sweers, K., Knapen, J., & De Hert, M. (2012). Relationships between physical fitness, physical activity, smoking and metabolic and mental health parameters in people with schizophrenia. Psychiatry Research, 207, 2532.CrossRefGoogle ScholarPubMed
Vourdas, A., Pipe, R., Corrigall, R., & Frangou, S. (2003). Increased developmental deviance and premorbid dysfunction in early onset schizophrenia. Schizophrenia Research, 62, 1322. doi:10.1016/s0920-9964(02)00429-2 Google Scholar
Wehring, H.J., Liu, F., McMahon, R.P., Mackowick, K.M., Love, R.C., Dixon, L., & Kelly, D.L. (2012). Clinical characteristics of heavy and non-heavy smokers with schizophrenia. Schizophrenia Research, 138, 285289. doi:10.1016/j.schres.2012.03.024 CrossRefGoogle ScholarPubMed
Wing, V.C., Wass, E.C., Soh, D.W., & George, T.P. (2012). A review of neurobiological vulnerability factors and treatment implications for comorbid tobacco dependence in schizophrenia. Annals of the New York Academy of Sciences, 1248, 89106.Google Scholar
Winterer, G. (2010). Why do patients with schizophrenia smoke? Current Opinions in Psychiatry 23, 112119. doi:10.1097/YCO.0b013e3283366643 Google Scholar
Young, S., Pfaff, D., Lewandowski, K., Ravichandran, C., Cohen, B.M., & Öngür, D. (2013). Anxiety disorder comorbidity in bipolar disorder, schizophrenia and schizoaffective disorder. Psychopathology, 46, 176185. doi:10.1159/000339556 Google Scholar
Ziedonis, D.M., Kosten, T.R., Glazer, W.M., & Frances, R.J. (1994). Nicotine dependence and schizophrenia. Hospital & Community Psychiatry, 45, 204206.Google Scholar
Zubrick, S.R., Lawrence, D., Mitrou, F., Christensen, D., & Taylor, C.L. (2012). Early mental health morbidity and later smoking at age 17 years. Psychological Medicine, 42, 11031115. doi:10.1017/S0033291711002182 Google Scholar