Tobacco smoking and nicotine vaping in persons with first episode psychosis.
Journal: Schizophrenia research
Volume: 267
Issue:
Year of Publication:
Affiliated Institutions:
Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD, USA. Electronic address: mbennett@som.umaryland.edu.
Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD, USA.
Department of Psychiatry, McGill University, Montreal, QC, Canada.
VA VISN Mental Illness Research, Education, and Clinical Center, Baltimore, MD, USA.
Maryland Psychiatric Research Center, Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD, USA.
Pennsylvania Early Intervention Center (PEIC)/HeadsUp, Neurodevelopment and Psychosis Section, Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA; Neurodevelopment and Psychosis Section, Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Johns Hopkins Bayview Medical Center, Baltimore, MD, USA.
Neurodevelopment and Psychosis Section, Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
University of Pittsburgh Medical Center, Western Behavioral Health at Safe Harbor, Erie, PA, USA.
Department of Psychology, Sheppard Pratt, Baltimore, MD, USA.
UPMC, Western Psychiatric Hospital, Pittsburgh, PA, USA.
Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Neurodevelopment and Psychosis Section, Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA; Department of Child and Adolescent Psychiatry and Behavioral Sciences, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Children's Services Center, Wilkes Barre, PA, USA.
Department of Child and Adolescent Psychiatry and Behavioral Sciences, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA; UPMC, Western Psychiatric Hospital, Pittsburgh, PA, USA.
Abstract summary
Tobacco smoking is highly prevalent in persons with psychosis and is the leading cause of preventable mortality in this population. Less is known about tobacco smoking in persons with first episode psychosis (FEP) and there have been no estimates about the prevalence of nicotine vaping in FEP. This study reports rates of tobacco smoking and nicotine vaping in young people with FEP enrolled in Coordinated Specialty Care programs in Pennsylvania and Maryland. Using data collected from 2021 to 2023, we examined lifetime and recent smoking and vaping and compared smokers and vapers to nonusers on symptoms, functioning, and substance use. The sample included 445 participants aged 13-35 with recent psychosis onset. Assessments were collected by program staff. Overall, 28 % of participants engaged in either smoking or vaping within 30 days of the admission assessment. Smokers and vapers were disproportionately male, cannabis users, and had lower negative symptom severity than non-smokers. Vapers had higher role and social functioning. Both smoking and vaping were related to a longer time from psychosis onset to program enrollment. We compare these findings to previous studies and suggest steps for addressing smoking and vaping in this vulnerable population.
Authors & Co-authors:
Bennett
Medoff
Cowan
Fang
Kacmarek
Oikonomou
Calkins
Baker
Bencivengo
Boumaiz
Buchanan
Campbell
Chengappa
Conroy
Cooke
Dong
Fauble
Goldberg
Harvin
Jumper
Kauffman
Kelly
Kohler
Kreyenbuhl
Li
Lucksted
Margolis
Marsteller
Moxam
Namowicz
Oko
Riggs
Saravana
Sarpal
Scheinberg
Smith
States
Taylor
Vatza
Wolcott
Dickerson
Study Outcome
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