Current (but not ex) cigarette smoking is associated with worse cognitive performances in schizophrenia: results from the FACE-SZ cohort.
MALLET, Jasmina
Fondation FondaMental [Créteil]
Institut de psychiatrie et neurosciences de Paris [IPNP - U1266 Inserm]
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Fondation FondaMental [Créteil]
Institut de psychiatrie et neurosciences de Paris [IPNP - U1266 Inserm]
MALLET, Jasmina
Fondation FondaMental [Créteil]
Institut de psychiatrie et neurosciences de Paris [IPNP - U1266 Inserm]
Fondation FondaMental [Créteil]
Institut de psychiatrie et neurosciences de Paris [IPNP - U1266 Inserm]
MAZER, Nicolas
Fondation FondaMental [Créteil]
Institut de psychiatrie et neurosciences de Paris [IPNP - U1266 Inserm]
Fondation FondaMental [Créteil]
Institut de psychiatrie et neurosciences de Paris [IPNP - U1266 Inserm]
SCOGNAMIGLIO, Claire
Fondation FondaMental [Créteil]
Institut de psychiatrie et neurosciences de Paris [IPNP - U1266 Inserm]
Fondation FondaMental [Créteil]
Institut de psychiatrie et neurosciences de Paris [IPNP - U1266 Inserm]
BOYER, Laurent
Centre d'études et de recherche sur les services de santé et la qualité de vie [CEReSS]
Centre d'études et de recherche sur les services de santé et la qualité de vie [CEReSS]
MISDRAHI, David
Nutrition et Neurobiologie intégrée [NutriNeuro]
Institut de psychiatrie et neurosciences de Paris [IPNP - U1266 Inserm]
Nutrition et Neurobiologie intégrée [NutriNeuro]
Institut de psychiatrie et neurosciences de Paris [IPNP - U1266 Inserm]
YANN, Le Strat
Fondation FondaMental [Créteil]
Institut de psychiatrie et neurosciences de Paris [IPNP - U1266 Inserm]
Fondation FondaMental [Créteil]
Institut de psychiatrie et neurosciences de Paris [IPNP - U1266 Inserm]
DUBERTRET, Caroline
Fondation FondaMental [Créteil]
Institut de psychiatrie et neurosciences de Paris [IPNP - U1266 Inserm]
< Réduire
Fondation FondaMental [Créteil]
Institut de psychiatrie et neurosciences de Paris [IPNP - U1266 Inserm]
Langue
EN
Article de revue
Ce document a été publié dans
Psychological Medicine. 2023-08-01, vol. 53, n° 11, p. 5279-5290
Résumé en anglais
Tobacco use is common in subjects with schizophrenia (SZ) and has sometimes been associated with better functioning in short-term studies. Only few studies embrace an extensive examination of tobacco influence on clinical, ...Lire la suite >
Tobacco use is common in subjects with schizophrenia (SZ) and has sometimes been associated with better functioning in short-term studies. Only few studies embrace an extensive examination of tobacco influence on clinical, cognitive and therapeutic characteristics in stabilized SZ outpatients. The objective of the present study was to assess the association between cognitive performances and smoking status in SZ subjects. In total, 1233 SZ participants (73.9% men, mean age 31.5) were included and tested with a comprehensive battery. Tobacco status was self-declared (never-, ex-, or current smokers). Multivariable analyses including principal component analyses (PCA) were used. In total, 53.7% were smokers with 33.7% of them nicotine-dependent. Multiple factor analysis revealed that current tobacco smoking was associated with impaired general intellectual ability and abstract reasoning (aOR 0.60, 95% IC 0.41-0.88, = 0.01) and with a lifetime alcohol use disorder ( = 0.026) and a lifetime cannabis use disorder ( < 0.001). Ex- and never-smokers differed for age, mean outcome, cannabis history and medication [ex-smokers being older ( = 0.047), likely to have higher income ( = 0.026), a lifetime cannabis use disorder ( < 0.001) and higher CPZeq doses ( = 0.005)]. Premorbid IQ in the three groups significantly differed with, from higher to lower: ex-smokers, never-smoker, current smokers (all < 0.001). This study is the largest to date providing strong evidence that chronic smoking is associated with cognitive impairment in SZ, arguing against the self-medication hypothesis as a contributor to the high prevalence of smoking in SZ. Ex-smokers may also represent a specific subgroup. Longitudinal studies are warranted to determine the developmental impact of tobacco on neurocognition.< Réduire
Mots clés en anglais
Male
Humans
Adult
Female
Schizophrenia
Cigarette Smoking
Tobacco
Marijuana Abuse
Cognition
Unités de recherche