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. 2024 May:267:141-149.
doi: 10.1016/j.schres.2024.03.020. Epub 2024 Mar 27.

Tobacco smoking and nicotine vaping in persons with first episode psychosis

Melanie E Bennett  1 , Deborah Medoff  2 , Tovah Cowan  3 , Lijuan Fang  2 , Corinne Kacmarek  4 , Maria Theodora Oikonomou  5 , Monica E Calkins  6 , Krista K Baker  7 , Donna Bencivengo  6 , Yasmine Boumaiz  2 , Robert W Buchanan  5 , Phillip Campbell  8 , K N Roy Chengappa  9 , Catherine G Conroy  6 , Akinyi Cooke  7 , Fanghong Dong  6 , Mandy Fauble  10 , Richard W Goldberg  2 , Alexander Harvin  11 , Megan B E Jumper  6 , Belinda Kauffman  2 , Christian Kelly  12 , Christian G Kohler  6 , Julie Kreyenbuhl  2 , Lan Li  2 , Alicia Lucksted  2 , Russell L Margolis  13 , Jill A Marsteller  14 , Alex Moxam  15 , Denise Namowicz  16 , Jamie Oko  17 , Jessie Riggs  6 , Arunadevi Saravana  2 , Deepak K Sarpal  18 , Rachel Scheinberg  13 , William R Smith  8 , Richard States  10 , Jerome Taylor  15 , Crystal Vatza  6 , Max Wolcott  7 , Faith Dickerson  11
Affiliations

Tobacco smoking and nicotine vaping in persons with first episode psychosis

Melanie E Bennett et al. Schizophr Res. 2024 May.

Abstract

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.

Keywords: Nicotine; Recent onset psychosis; Smoking; Tobacco; Vaping.

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Conflict of interest statement

Declaration of competing interest

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