Abstract
Purpose of Review: Both smoking and psychiatric illness are independently associated with poorer COPD-related health outcomes, but little is known about the course of COPD among people who smoke and have co-occurring psychiatric illness. This systematic review assessed the links between tobacco smoking and psychiatric illness among individuals with COPD. Recent Findings: Depression and anxiety disorders are positively related with current smoking, nicotine dependence, cigarette use for at least 10 pack-years, and mortality risk among patients with COPD. Several studies also identified schizophrenia as an independent risk factor for incident COPD, after adjusting for smoking history. Summary: There was an association between depression, anxiety, and schizophrenia with tobacco smoking in COPD. Additional research should examine relationships between other psychiatric illnesses (e.g., personality disorders, PTSD) and tobacco smoking and track COPD-related symptom change over time as a function of smoking cigarettes or newer nicotine products (e.g., e-cigarettes) and with smoking cessation.
Original language | English (US) |
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Pages (from-to) | 19-54 |
Number of pages | 36 |
Journal | Current Addiction Reports |
Volume | 11 |
Issue number | 1 |
DOIs | |
State | Published - Feb 2024 |
Keywords
- Anxiety
- COPD
- Depression
- Psychiatric illness
- Smoking
- Tobacco
ASJC Scopus subject areas
- Clinical Psychology
- Psychiatry and Mental health