Peer-Reviewed Publication
Nicotine Tob Res2026September 9, 2026Journal Article

Sustained Smoking Abstinence Following Psychiatric Hospitalization is Associated with Substantial Decreases in Depression and Anxiety Symptoms.

Richard A Brown1,2, Haruka Minami3, Jason D Shumake1, Nancy A Rigotti4, R N Jacki Hecht2, Lawrence H Price5, Christopher W Kahler6, Douglas E Levy4, Kelly M Carpenter7, Julie Farrington8, Jasper A J Smits1
1Department of Psychology, The University of Texas at Austin, Austin, TX, United States.
2School of Nursing, University of Texas at Austin, Austin, TX.
3Department of Psychology, Fordham University, Bronx, NY.
4Tobacco Research and Treatment Center and Mongan Institute Health Policy Research Center, Department of Medicine, Massachusetts General Hospital and Harvard Medical School Boston, MA.
5Butler Hospital and the Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, RI.
6Center for Alcohol and Addiction Studies and the Department of Behavioral and Social Sciences, Brown University School of Public Health, Providence, RI.
7Center for Wellbeing Research, Optum, Seattle, WA.
8Dell Medical School, The University of Texas at Austin.

Abstract

INTRODUCTION: Individuals with psychiatric disorders experience substantial tobacco-related morbidity and mortality. Concerns persist that smoking cessation may exacerbate depression and anxiety, potentially limiting treatment efforts in psychiatric settings. This study examined whether sustained smoking abstinence following psychiatric hospitalization is associated with changes in depressive and…

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