Smoking and psychiatric disorders: have subthreshold disorders been overlooked?
Smoking and psychiatric disorders: have subthreshold disorders been overlooked?
复制标题
吸烟和精神疾病：阈下疾病是否被忽视了？
DOI：
10.1093/ntr/ntq023
复制
发表时间：
2010
期刊：
影响因子：
--
通讯作者：
Rössler,Wulf
中科院分区：
文献类型：
--
作者：
Landolt,Karin;Ajdacic-Gross,Vladeta;Angst,Jules;Merikangas,KathleenR;Gamma,Alex;Gutzwiller,Felix;Rössler,Wulf
IntroductionThe association between smoking and mental disorders has been confirmed by several studies using cross-sectional and retrospective designs. The present study illustrates the need for differentiating subthreshold psychiatric disorders in the analysis.MethodsThe analysis is based on cumulative (“lifetime”) prevalences of mental disorders and smoking in the Zurich study. This is a longitudinal community study with a stratified sample of 591 participants and six interviews from 1979 to 1999.ResultsThe percentage of lifetime smokers in the Zurich study was higher both in persons with a lifetime psychiatric diagnosis (72%) and in persons with subthreshold disorders (60%) than in those without any diagnosis (40%).DiscussionThe association between smoking and mental disorders turned out to be clearly stronger if subthreshold mental disorders were appropriately considered in the analyses. Constructing appropriate reference groups is as crucial for the analysis of mental disorders and their outcomes as constructing adequate diagnostic groups.
