" A Study of Prevalence and Clinical Correlates of Nicotine Dependence Among Patients With Bipolar Disorder " (original) (raw)

Background: The lifetime prevalence of substance use disorders is at least 40% in bipolar I patients. Although high smoking rates have been reported among bipolar patients, only a few studies examined the prevalence of smoking in bipolar disorder, and their findings are inconsistent Aims and Objectives: To study the prevalence and clinical correlates of nicotine dependence among patients with Bipolar Disorder. The objectives of this study are to study the prevalence of Nicotine dependence among Bipolar Disorders, socio-demographic variables of the Bipolar patients with Nicotine dependence and to determine the clinical correlates of Bipolar patients with Nicotine dependence. Materials and Methods: A cross sectional study was conducted at Psychiatric Department, at Maharajah's Institute of Medical Sciences, Vizayanagaram, for a period of 2 years on a sample of 92 patients who were diagnosed as having Bipolar Affective Disorder. The tools used were self structured socio-demographic schedule and Fagerstrom Test for Nicotine Dependence which is a widely used measure of severity of Nicotine Dependence. Results: The total sample size was 92 bipolar patients. The mean age of the sample was 33.62±10.573, out of 92 patients, 28 (30.4%) were from 18 to 27 age group; 31 (33.7%) from 28 to 37 age group, and 15 (16.3%) were from 38 to 47 age group. 15 (16.3%) from 48 to 57 age group and 3 (3.3%) from 58 to 67 years age group. In our study 39 (42.4%) were compliant and 53 (57.6%) non compliant. Among the 56 dependents 18(32.1%) patients were compliant, 38(67.9%) were non compliant. Conclusion: that the prevalence of Nicotine dependence was high among the BPAD patients and significantly varied with age, marital status, family history of Alcohol abuse, Total number of episodes and Drug compliance.