吸烟行为与精神病和双相情感障碍患者的自杀倾向有关:系统的定量审查和元分析
Jakob Pietschnig1,2, Sandra Oberleiter1, Marcel D Köhler1
1Department of Developmental and Educational Psychology, Faculty of Psychology, University of Vienna, Vienna, Austria.
Frontiers in psychology
|September 27, 2024
概括
吸烟与精神病和双相情感障碍患者自杀企图的风险更高有关. 这一发现表明,吸烟状态可以帮助识别处于更高风险的个人.
科学领域:
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
- 行为科学 行为科学
背景情况:
- 在患有精神病和双相情感障碍的人群中,吸烟更为常见.
- 吸烟可能有助于识别患有自杀企图风险较高的患者.
研究的目的:
- 在患有精神病和双相情感障碍的患者中提供吸烟和自杀企图之间的联系的元分析证据.
主要方法:
- 对22项研究进行了系统的定量审查.
- 对11,452名患者的数据进行了元分析.
- 分析包括精神分裂症和双极性谱系障碍患者,住院和门诊患者以及两性患者.
主要成果:
- 与非吸烟者相比,吸烟者报告自杀未遂的可能性是吸烟者的1.70倍 (OR = 1.70; 95% CI [1.48; 1.95]).
- 这种关联在诊断类型,样本类型和参与者性别之间是一致的.
- 有出版偏差和下降效应的证据表明,观察到的效应可能略有膨胀.
结论:
- 吸烟状态是一个有用的指标,用于识别患有精神病和双相情感障碍的患者,这些患者有自杀企图的风险.
- 吸烟和自杀企图之间的联系很小,但有意义和强大.
- 进一步的研究应该考虑出版偏差对观察到效果大小的影响.
相关概念视频
Stress Prevention and Stress Management Techniques IV
26
Stress often leads to unhealthy habits like smoking, excessive drinking, and overeating, which offer short-term relief but ultimately increase long-term health risks. These behaviors create a cycle that temporarily lowers stress levels but can result in severe long-term health consequences. Breaking these habits is essential to reduce the risk of chronic diseases and improve overall well-being. Three primary changes that support better health include quitting smoking, reducing alcohol intake,...
26
Psychological and Sociocultural Causes of Schizophrenia
80
Schizophrenia, a complex psychiatric disorder, has been historically misunderstood. Early psychological theories attributed its origins to childhood trauma and unresponsive parenting. However, contemporary research largely rejects these notions, favoring the vulnerability-stress hypothesis. This model proposes that individuals with a genetic predisposition to schizophrenia may develop the disorder following exposure to significant environmental stressors. Notably, studies on high-risk...
80
Stress and Mental Health
84
Chronic stress profoundly affects mental health, significantly influencing mood, behavior, and overall quality of life. Research closely links chronic stress with mental health conditions such as depression, anxiety, and substance use disorders. Ongoing exposure to stress can lead to physiological and psychological changes, initiating a cycle of emotional distress and maladaptive coping mechanisms.
Individuals with depression often experience challenges in both their personal and professional...
Individuals with depression often experience challenges in both their personal and professional...
84
Bipolar Disorder
58
Bipolar disorder is a chronic mental health condition marked by significant mood fluctuations, including episodes of mania and depression. Elevated energy levels, heightened mood or irritability, impulsive behavior, reduced sleep needs, rapid speech, racing thoughts, inflated self-esteem, and distractibility characterize mania. Individuals with bipolar disorder often alternate between depressive and manic states, with periods of emotional stability lasting an average of six months to a year.
58
Biological Causes of Schizophrenia
50
Schizophrenia, a severe psychiatric disorder, arises from a complex interplay of biological factors, including genetic predisposition, structural brain abnormalities, neurotransmitter dysregulation, and developmental irregularities. These factors collectively contribute to the onset and progression of the disorder, which typically manifests in late adolescence or early adulthood.
Genetic Factors in Schizophrenia
The genetic basis of schizophrenia is strongly supported by family and twin...
Genetic Factors in Schizophrenia
The genetic basis of schizophrenia is strongly supported by family and twin...
50
Statistical Methods for Analyzing Epidemiological Data
316
Epidemiological data primarily involves information on specific populations' occurrence, distribution, and determinants of health and diseases. This data is crucial for understanding disease patterns and impacts, aiding public health decision-making and disease prevention strategies. The analysis of epidemiological data employs various statistical methods to interpret health-related data effectively. Here are some commonly used methods:
316


