Smoking and common mental disorders in patients with chronic conditions: An analysis of data collected via a web-based screening system

Matcham, Faith, Carroll, Amy, Chung, Natali, Crawford, Victoria, Galloway, James, Hames, Anna, Jackson, Karina, Jacobson, Clare, Manawadu, Dulka, McCracken, Lance, Moxham, John, Rayner, Lauren, Robson, Deborah, Simpson, Anna, Wilson, Nicky and Hotopf, Matthew (2017) Smoking and common mental disorders in patients with chronic conditions: An analysis of data collected via a web-based screening system. General Hospital Psychiatry, 45. pp. 12-18. ISSN 0163-8343

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Abstract

Objective: Smoking is the largest preventable cause of death and disability in the UK and remains pervasive in people with mental disorders and in general hospital patients. We aimed to quantify the prevalence of mental disorders and smoking, examining associations between mental disorders and smoking in patients with chronic physical conditions. Method: Data were collected via routine screening systems implemented across two London NHS Foundation Trusts. The prevalence of mental disorder, current smoking, nicotine dependence and wanting help with quitting smoking were quantified, and the relationships between mental disorder and smoking were examined, adjusting for age, gender and physical illness, with multiple regression models. Results: A total of 7878 patients were screened; 23.2% screened positive for probable major depressive disorder, and 18.5% for probable generalised anxiety disorder. Overall, 31.4% and 29.2% of patients with probable major depressive disorder or generalised anxiety disorder respectively were current smokers. Probable major depression and generalised anxiety disorder were associated with 93% and 44% increased odds of being a current smoker respectively. Patients with depressive disorder also reported higher levels of nicotine dependence, and the presence of common mental disorder was not associated with odds of wanting help with quitting smoking. Conclusion: Common mental disorder in patients with chronic physical health conditions is a risk factor for markedly increased smoking prevalence and nicotine dependence. A general hospital encounter represents an opportunity to help patients who may benefit from such interventions.

Item Type:	Article
Additional Information:	Funding: This is an independent research study supported by Kings Health Partners and the National Institute for Health Research (NIHR) Biomedical Research Centre at South London and Maudsley NHS Foundation Trust and the Institute of Psychiatry, Psychology and Neuroscience, King's College London. The views expressed are those of the the author(s) and not necessarily those of the NHS, the NIHR or the Department of Health.
Faculty \ School:	Faculty of Medicine and Health Sciences > Norwich Medical School
Related URLs:	https://linkinghub.elsevier.com/retrieve...
Depositing User:	LivePure Connector
Date Deposited:	07 Jul 2025 10:30
Last Modified:	07 Jul 2025 10:30
URI:	https://ueaeprints.uea.ac.uk/id/eprint/99847
DOI:	10.1016/j.genhosppsych.2016.11.006

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