Exposure to second hand smoke is associated with psychological distress and risk of future psychiatric illness, according to a new research.

A representative sample of 5,560 non-smoking adults and 2,689 smokers without history of mental illness were drawn from the 1998 and 2003 Scottish Health Surveys. A score greater than 3 on the 12-item General Health Questionnaire was employed as an indicator of psychological distress. Incident psychiatric hospital admissions over 6 years follow up were also recorded.
Psychological distress was apparent in 14.5 percent of the sample. In an analysis of the data, after adjustments for a range of potential confounding factors such as social status, high SHS exposure among non-smokers (cotinine levels between 0.70 and 15 micrograms per litre) was associated with 50 percent higher odds of reporting psychological distress in comparison with participants with cotinine levels below the limit of detection. Active smokers were also more likely to report psychological distress.
The risk of future psychiatric illness was also related to high SHS exposure and active smoking.
Lead author Dr Mark Hamer, UCL Epidemiology and Public Health, said: "SHS exposure at home is growing in relative importance as restrictions on smoking in workplaces and public places spread. A growing body of literature has demonstrated the harmful physical effects of second hand smoke exposure, but there has been limited research about the affects on mental health.
"Animal data have suggested that tobacco may induce a negative mood, and some human studies have also identified a potential association between smoking and depression. Our data is therefore consistent with other emerging evidence to suggest a causal role of nicotine exposure in mental health. Importantly, this study advances previous research because we obtained an accurate assessment of SHS exposure using a valid biochemical indicator."
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