Cigarette Smoking and Psychiatric Illness Among Individuals with COPD: a Systematic Review

期刊论文
发表日期：

2024年1月2日

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Jacob Levin,
David Estey,
Ester Yadgaran,
Esther Perez,
Isabella Plotnick,
Jennifer Gittleman,
Joseph Friedman,
Silvana Agterberg,
Sylvie Messer,
Tyler Pia,
Jennifer Birchwale,
Joun Lee,
Lisa N. Cruz,
Natacha A. Gordon,
Rachel S. Kashan,
Jung-Yun Min,
Kate S. Segal,
Caroline Delbourgo Patton,
Tony P. George,
Andrea H. Weinberger

摘要

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.