Relationship of mood disturbance to cigarette smoking status among 252 patients with a current mood disorder

Christi Ann Patten, J. C. Gillin, S. Golshan, T. D. Wolter, M. Rapaport, J. Kelsoe

Research output: Contribution to journalArticle

25 Citations (Scopus)

Abstract

Background: The relationship between cigarette smoking and mood has received increasing attention. This retrospective study evaluated the relationship between mood disturbance and cigarette smoking status among patients with a current mood disorder. The association between level of nicotine dependence and severity of mood disturbance was also evaluated among current smokers. Method: Retrospective data for 252 patients (63.5% male, 85.0% white) admitted for treatment of a mood disorder at the San Diego Veteran Affairs Mental Health Clinical Research Center between November 1988 and June 1997 were studied. All current cigarette smokers at admission (N = 126) were matched with nonsmokers (N = 126) on the primary DSM-IV Axis I mood disorder diagnosis, admission status (inpatient or outpatient), gender, age (± 5 years), and ethnicity. The Hamilton Rating Scale for Depression (HAM-D), the Beck Depression Inventory, and the Profile of Mood States (POMS) were administered to patients on admission. Conditional logistic regression analysis for matched sets with a backward elimination was used to identify factors independently predictive of current smoking status. Results: A greater number of cups of coffee consumed per day (p = .002), a history of alcoholism (p = .004), and higher POMS fatigue subscale scores (p = .007) were predictive of current smoking status. Among current smokers, the HAM-D terminal insomnia item was positively associated with mean number of cigarettes smoked per day (p = .012). Conclusion: Cigarette smoking should be addressed in the treatment of patients with a current mood disorder. Smokers experience greater levels of fatigue than nonsmokers. In addition, higher cigarette consumption levels are associated with mild-to-severe symptoms of terminal insomnia.

Original languageEnglish (US)
Pages (from-to)319-324
Number of pages6
JournalJournal of Clinical Psychiatry
Volume62
Issue number5
StatePublished - 2001

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Mood Disorders
Smoking
Tobacco Products
Sleep Initiation and Maintenance Disorders
Fatigue
Depression
Tobacco Use Disorder
Patient Admission
Coffee
Veterans
Diagnostic and Statistical Manual of Mental Disorders
Alcoholism
Inpatients
Mental Health
Outpatients
Retrospective Studies
Logistic Models
Regression Analysis
Equipment and Supplies
Therapeutics

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Clinical Psychology

Cite this

Relationship of mood disturbance to cigarette smoking status among 252 patients with a current mood disorder. / Patten, Christi Ann; Gillin, J. C.; Golshan, S.; Wolter, T. D.; Rapaport, M.; Kelsoe, J.

In: Journal of Clinical Psychiatry, Vol. 62, No. 5, 2001, p. 319-324.

Research output: Contribution to journalArticle

Patten, CA, Gillin, JC, Golshan, S, Wolter, TD, Rapaport, M & Kelsoe, J 2001, 'Relationship of mood disturbance to cigarette smoking status among 252 patients with a current mood disorder', Journal of Clinical Psychiatry, vol. 62, no. 5, pp. 319-324.
Patten, Christi Ann ; Gillin, J. C. ; Golshan, S. ; Wolter, T. D. ; Rapaport, M. ; Kelsoe, J. / Relationship of mood disturbance to cigarette smoking status among 252 patients with a current mood disorder. In: Journal of Clinical Psychiatry. 2001 ; Vol. 62, No. 5. pp. 319-324.
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